Dextrose

Question 1

Dextrose Classification

Answer 1

Carbohydrate

Question 2

Dextrose Mechanism

Answer 2

Raises blood glucose simply by added presence directly into vasculature

Question 3

Dextrose Pharmacokinetics

Answer 3

Onset: <1min
Peak: Varies
Duration: Varies
Half Life: N/A

Question 4

Dextrose Indications

Answer 4

• Hypoglycemia

- Hypoglycemia during neonatal resuscitaion (D10 only)

Question 5

Dextrose Contraindications

Answer 5

Hyperglycemia

Question 6

Dextrose Side Effects/Adverse Reactions

Answer 6

Tissue necrosis/phlebitis at injection site

Question 7

Dextrose Dose

Answer 7

Adult:
25g slow IV IO [D10 or D50] or until dose administered yields appropriate mental status
Pedi:
0.5-1g/kg slow IV IO [D10 or D25]

Question 8

Dextrose Precautions

Answer 8

• Local venous irritation may occur in smaller veins
• Caution patient with increased ICP or cerebral edema
• D50 should not be used in patienst younger than 16 years, but may be diluted 1:1 with sterile water to make D25 for children

Question 9

Dextrose Drug Interactions

Answer 9

None EMS