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Trade name
D50W, D12W, D5W
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Description
The most fundamental form of sugar utilized by the body for energy, and the only source of energy used by the brain.
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Actions
Rapidly increases circulating levels of glucose in blood
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Indications
Known or suspected hypoglycemia in the presence of ALOC, or absent gag reflex
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Contraindications
- 1. None in the presence of known symptomatic hypoglycemia.
- 2. Use caution in patients with increased intracranial pressure. May worsen cerebral edema, or bleeding
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Side Effects
- 1. Severe tissue necrosis with extravasation.
- 2. Wernicke’s encephalopathy, or Korsakoff’s psychosis in presence of thiamine deficiency
- 3. Phlebitis, warmth, or other pain at injection site
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Administration
- Adult: 25 g of 50% solution IV.
- Peds: 2 mL/kg of 25% solution IV.
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Onset
Immediate, with peak and duration dependent on degree of hypoglycemia.
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