Dextrose 10% Overview and Pharmacology
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Questions and Answers

What is the drug classification for Dextrose 10%?

  • Analgesic
  • Carbohydrate (correct)
  • Anti-hypoglycemic (correct)
  • Antibiotic
  • What is the mechanism of action for Dextrose 10%?

    Rapidly increases serum blood glucose levels; short term osmotic diuresis.

    What are the pharmacokinetics for Dextrose 10%?

    Onset of action: < 1 minute; Peak effects: varies; Duration of action: varies; Half-life: N/A.

    What is an indication for the field use of Dextrose 10%?

    <p>Hypoglycemia.</p> Signup and view all the answers

    What is a contraindication for Dextrose 10%?

    <p>Intracranial hemorrhage.</p> Signup and view all the answers

    Which of the following are side effects of Dextrose 10%? (Select all that apply)

    <p>Tissue necrosis</p> Signup and view all the answers

    What is the adult dose for Dextrose 10%?

    <p>25 g slow IV/IO until mental status to baseline and BGL are greater than 60 mg/dL or max 25 g (250 mL premixed infusion bag) administered.</p> Signup and view all the answers

    What is the pediatric dose for Dextrose 10%?

    <p>0.5 g/kg IV/IO until mental status to baseline and BGL are greater than 60 mg/dL or max 25 g (250 mL premixed infusion bag) administered.</p> Signup and view all the answers

    What are some precautions for using Dextrose 10%?

    <p>Caution in patients with increased ICP or cerebral edema.</p> Signup and view all the answers

    There are no drug-drug interactions for Dextrose 10% in EMS.

    <p>True</p> Signup and view all the answers

    Study Notes

    Dextrose 10% Overview

    • Drug classification: Carbohydrate / Anti-hypoglycemic, used to manage low blood sugar levels.

    Mechanism of Action

    • Rapidly elevates serum blood glucose levels, providing quick energy.
    • Induces short-term osmotic diuresis, influencing fluid balance.

    Pharmacokinetics

    • Onset of action occurs in less than 1 minute, ensuring rapid response.
    • Peak effects vary based on individual metabolism and conditions.
    • Duration of action and half-life are also variable and patient-dependent.

    Indications for Use

    • Primarily indicated for the treatment of hypoglycemia, a critical condition where blood sugar levels fall dangerously low.

    Contraindications

    • Should not be administered in cases of intracranial hemorrhage, as it may exacerbate the condition.

    Side Effects

    • Risk of tissue necrosis, cerebral hemorrhage, and ischemia.
    • Potential for pulmonary edema and sensations of warmth, pain, or burning at infusion sites.
    • Hyperglycemia can occur due to excessive glucose levels.

    Dosage Guidelines for Adults

    • Administer 25 g slow IV/IO until neurological status improves and blood glucose levels exceed 60 mg/dL, with a maximum dose of 25 g (equivalent to a 250 mL premixed infusion).

    Dosage Guidelines for Pediatrics

    • Dosage is calculated at 0.5 g/kg IV/IO, with similar goals for mental status and blood glucose levels, capped at 25 g.

    Precautions

    • Exercise caution when administering to patients with increased intracranial pressure (ICP) or cerebral edema.

    Drug-Drug Interactions

    • No known significant interactions with other drugs in emergency medical services (EMS) settings.

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    Description

    Explore the various aspects of Dextrose 10%, a carbohydrate drug used to manage low blood sugar levels. This quiz covers its mechanism of action, pharmacokinetics, indications, contraindications, and potential side effects. Test your understanding of this crucial anti-hypoglycemic treatment.

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