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

EMT: Not authorized

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.