Dextrose 10%

 

Note: both adult and pediatric patients should receive only dextrose 10%

 

INDICATIONS & DOSAGE: NH

Adult:

  • Hypoglycemia (Hypoglycemia 2.10A): Dextrose 10% IV via premixed infusion bag (preferred) or prefilled syringe until mental status returns to baseline and glucose level is greater than70mg/dL.

 

Pediatric:

 

PEARLS

 

ACTIONS

A monosaccharide, which provides calories for metabolic needs, spares body proteins and loss of electrolytes. Readily excreted by kidneys producing diuresis. Hypertonic solution.

 

WARNINGS

Care should be exercised to insure that the needle (or catheter) is well within the lumen of the vein and that extravasation does not occur.

 

CONTRAINDICATIONS

[None in true hypoglycemia.]

 

SIDE EFFECTS

Cardiovascular: Thrombosis, sclerosing if given in peripheral vein.
Local: Tissue irritation if infiltrates. Extravasation may cause tissue necrosis.

Others: Acidosis, alkalosis, hyperglycemia, and hypokalemia.
 

 
 

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