Dextrose 10%
GENERIC NAME
Dextrose
TRADE NAME
Dextrose 10
DESCRIPTION
Dextrose is a simple sugar that is rapidly metabolized by the body, providing quick restoration of blood glucose levels.
HOW SUPPLIED
Prefilled bag: 25 grams/250 ml (10% solution)
INDICATIONS
- Hypoglycemia
CONTRAINDICATIONS
- No major contraindications for IV administration of Dextrose.
- Known or suspected CVA (stroke) in the absence of hypoglycemia.
MECHANISM OF ACTION
Rapidly restores blood glucose levels in cases of hypoglycemia.
SIDE EFFECTS
- Local venous irritation and potential tissue necrosis if IV infiltration occurs.
AUTHORIZATION
AEMT: Standing order
Paramedic: Standing order
DOSAGE
- Adult: 250 ml IV/IO wide open, may repeat once if blood glucose remains < 60 mg/dL.
- Pediatric: 5 ml/kg (0.5 g/kg) IV/IO, may repeat once if blood glucose remains < 60 mg/dL.
ADMINISTRATION NOTES
- If desired dose is ≤ 100 ml, draw the required amount of D10 into a syringe and administer via slow IV/IO push using the port closest to the patient.
- If the desired dose is > 100 ml, administer by running wide open as a piggy-back to Normal Saline.
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