Indications and field use for Dextrose
Known hypoglycemia
ALOC of unknown etiology
Seizures of unknown etiology
Hyperkalemia
Mechanism of action for Dextrose 50%
Reverses CNS effects of hypoglycemia by rapidly increasing glucose levels
Contraindications of Dextrose 50
Known thiamine deficiency Delirium tremens Head injury Intra cranial hemorrhage Severe pain
Adverse reactions of Dextrose
Cerebral edema in children when give undiluted
Worsening elevated ICP or cerebral edema from trauma
Extravasation leads to severe tissue necrosis
Sclerosing effect on peripheral veins
Routes of administration of D50
IV bolus (rapid)