Group 9 - Dextrose 50% Flashcards Preview

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Flashcards in Group 9 - Dextrose 50% Deck (11)
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1
Q

Dextrose 50%

Drug Class?

A

Dextrose 50% Drug Class:

  • Carbohydrate
  • Hyperglycemic
2
Q

Dextrose 50%

Mechanism of Action (MOA)?

A

Dextrose 50% MOA:

  • Reverses CNS effects of hypoglycemia by rapidly increasing serum glucose levels.
3
Q

Dextrose 50%

Indications?

A

Dextrose 50% Indications:

  • Hypoglycemia
  • ALOC of unknown etiology
  • Seizures of unknown etiology
  • Hyperkalemia
4
Q

Dextrose 50%

Contraindications?

A

Dextrose 50% Contraindications:

  • Known thiamine deficiency (relative, if suspected give thiamine)
  • Delirium tremens
  • Head injury (unless documented hypoglycemia)
  • Intercranial hemorrhage (relative)
5
Q

Dextrose 50%

Adverse Reactions?

A

Dextrose 50% Adverse Reactions:

  • Cerebral edema in children when given IV undiluted
  • Worsening elevated ICP
  • Extravasation leads to severe tissue necrosis
6
Q

Dextrose 50%

Adult Dose?

A

Dextrose 50% Adult Dose

  • Hypoglycemia, ALOC or SZ of unknown etiology: 25-100 ml of D50 (12.5 - 50 Gm) IV.
  • Hyperkalemia: 50 Gm of D50 IV administered with calcium chloride and sodium bicarbonate.
7
Q

Dextrose 50%

Pediatric Dose?

A

Dextrose 50% Pediatric Dose:

  • 0.5 - 1 Gm/kg of dextrose 10% solution; recommended slowly over 20 minutes.
  • To prepare dextrose 10% , waste 50 ml of normal saline from a 250 ml normal saline “bag” and add 50 ml of dextrose 50%.
8
Q

Dextrose 50%

Onset of Action?

A

Dextrose 50% Onset of Action:

  • Seconds
9
Q

Dextrose 50%

Peak Effects?

A

Dextrose 50% Peak Effects:

  • Variable
10
Q

Dextrose 50%

Duration of Action?

A

Dextrose 50% Duration of Action:

  • Variable
11
Q

Dextrose 50%

AZ Drug Box Minimum Supply?

A

Dextrose 50% AZ Drug Box Minimum Supply:

  • 50 Gm