Paramedic Pharmacology - Dextrose 50%

Dose (Peds)

0.5-1g/kg of D10 over 20 minutes NOTE: remove 50ml from 250ml IV bag and add 1 amp D50. 5-10ml/kg of D10 = 0.5-1g/kg

Dose (Adult)

12.5-50g IV

Package

25g/50ml syringe

Class

Carbohydrate, hyperglycemic

Adverse Reactions

Cerebral edema/ Increased ICP Tissue necrosis (if IV infiltrates)

Contraindications

Head injury (unless documented hypoglycemia)

MOA

Increases blood glucose levels, short term osmotic diuresis

Indications

Known hypoglycemia Altered LOC or seizures of unknown etiology Hyperkalemia (in combination with sodium bicarbonate and calcium chloride)

Brand

d50