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ACP Dextrose D50W/D25W
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Dextrose D50W/D25W
Class:
carbohydrate
antihypoglycemic
Dextrose D50W/D25W
Actions
Rapidly metabolized calories given parenterally,
which promotes glycogen stores
and prevents ketosis in patients with inadequate oral intake
Dextrose D50W/D25W
Indications:
Hypoglycemia
Coma of unknown origin (if unable to obtain blood glucose reading)
Dextrose D50W/D25W
Contraindications:
Hyperglycemia Patients with increased ICP or intracranial hemorrhage
Dextrose D50W/D25W
Adverse effects:
Hyperglycemia
Thrombophlebitis is phlebitis (vein inflammation) related to a thrombus (blood clot)
Dextrose D50W/D25W
Onset
30-60 seconds
Dextrose D50W/D25W
Duration:
depends upon degree and cause of hypoglycemia
Dextrose D50W/D25W
Adult Dosage :
0.5 – 1.0 g/kg of D50W slow IVP
Second dose may be given if first dose ineffective
Suspected head injury 12.5 g D50W slow IVP
- Re-check chemstrip in opposite limb and assess patient
Dextrose D50W/D25W
Pediatric Dosage
0.5-1.0 g/kg of D25W (2-4 mls/kg) slow IVP
Dextrose D50W/D25W
Route
IV
Dextrose D50W/D25W
Interactions/Precautions:
Dextrose greater (>) than 5% is considered a hypertonic solution.
It can be very irritating to the vein and could cause cerebral bleeding if not given slowly
Patients with increased intracranial pressure
- (give a half dose and reassess – Never withhold, if the patient’s metabolic needs are deficient)
Ensure patency of IV – can cause tissue sloughing if interstitial (or Necrosis)
IV cathalon should be 18g minimum as solution is very viscous
Note Dextrose
:
- 50% = 0.50 g/ml
- 25% = 0.25 g/ml
Author
spy187
ID
42495
Card Set
ACP Dextrose D50W/D25W
Description
Flash card for all the details about Dextrose D50W/D25W
Updated
2010-10-23T22:38:28Z
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