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Dextrose (D50W, D23W, D10W)

rename
paramedic's version from 2017-09-13 03:42

Section

Question Answer
Classification Carbohydrate, Hyperglycemia Agent
Mechanism of Action Increases blood glucose levels to provide immediate source of glucose that can be rapidly used for cellular metabolism.
Indications Hypoglycemia, ALOC w/ unknown origin
Contraindications None in emergency settings with presence of Hypoglycemia
Side Effects Venous irritation, Tissue Necrosis w/ extravasation
Interactions None
Routes of Administration Slow IV/ IO Push, NG tube
Onset/ Duration 30- 60 seconds/ depends on severity of Hypoglycemia
Adult Dose 25 grams of D50% IV
Pediatric Dose D25%: 2mL/Kg IV
Additional Info. Obtain blood glucose ASAP, Aspirate every 10mL to assure venous potency, tissue necrosis will occur w/ extravavasation, use caution w/ suspected stroke, and more...
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