D50

Question 1

Class

Answer 1

Carbohydrate

Antihypoglycemix

Question 2

Action

Answer 2

Rapidly elevates blood glucose level

Question 3

Indications

Answer 3

Hypoglycemia
AMS of unknown etiology
Seizures in diabetics

Question 4

Contraindications

Answer 4

Use with caution in pts with increasing ICP as the added glucose can worsen cerebral edema

Question 5

Side effects

Answer 5

Venous irritation
Localized tissue necrosis
Intracerebral hemorrhage in neonates

Question 6

Precautions

Answer 6

Use large bore catheter
Undiluted D50 in neonates causes intracerebral bleeds.
Dextrose can cause severe neurological symptoms (Wernicke’s encephalopathy, Korsakov’s psychosis)if pt is thiamine deficient. Use with 100 mg thiamine in pts suspected of having thiamine deficiency.