Hypoglycemia - Drugs

Question 1

Dextrose 50% (D50)

Class:

MOA:

Answer 1

Class: Carbohydrate; Hypertonic solution

MOA: provides the lacking form of carbohydrate, dextrose, in the emergency care of a hypoglycemic patient

Question 2

Dextrose 50% (D50)

Indications:

Side Effects:

Answer 2

Indications: Hypoglycemia; coma or seizure of unknown origin

Side Effects: Hyperglycemia; phlebitis

Question 3

Dextrose 50% (D50)

Contraindications:

Considerations:

Answer 3

Contraindications: Intracranial bleeding; increased intracranial pressure

Considerations: Check blood glucose levels prior to administration; must be administered through a patent IV to prevent tissue necrosis; may precipitate neurological symptoms in chronic alcoholic, or malnourished patients

Question 4

Dextrose 50% (D50)

Dose:

Onset and Duration:

Answer 4

Dose Adult: 12.5-25 g slow IVP

Dose Pediatric: .5-1g/kg slow IVP (D25)

Onset: 1 minute
Duration: Dependent on glucose levels

Question 5

Dextrose 10% (D10)

Class:

MOA:

Answer 5

Class: Carbohydrate; hypertonic solution

MOA: Provides the lacking form of carbohydrate, dextrose, in the emergency care of a hypoglycemic patient

Question 6

Dextrose 10% (D10)

Indications:

Side Effects:

Answer 6

Indications: Symptomatic hypoglycemia, cardiac arrest (newly born with heart rate < 60) or altered mental ion with glucose level < 50

Side Effects: Patients may complain of warmth, pain, or burning at the injection site

Question 7

Dextrose 10% (D10)

Contraindications:

Considerations:

Answer 7

Contraindications: Intracranial bleeding; increased intracranial pressure

Considerations: Check blood glucose levels prior to administration; must be administered through a patent IV to prevent tissue necrosis

Question 8

Dextrose 10% (D10)

Dose:

Onset and Duration:

Answer 8

Dose Adult: Titrate to effect

Dose Pediatric: 10mL/kg, (1g/kg max dose 25g)

Onset: 1 minute
Duration: Dependent on glucose levels