50% Dextrose
Adult dose
50 ml of 50% Dextrose (25 Gm). May be repeated if there is no response or a minimal response is noted in marked hypoglycemia
Generic Name
50% Dextrose
Special Considerations
Administer through a free flowing IV Live preferable started in a large vein. Tissue necrosis can be extremely severe. Notify the physician immediately on arrival to the hospital if you suspect infiltration. If available, a glucometer blood glucose level should be done prior to administration of dextrose. Use oral glucose only in conscious alert patients with a gag reflex
Classification
Carbohydrate
Trade Name
D50, Insta-Glucose (oral preparation)
Route of administration
IV
Contraindications
None, if documented hypoglycemia exists
Supplied
Prefilled Syringes containing 50 ml of 50% Dextrose (25 Gm)
Actions
Raise circulating serum glucose levels. Acts transiently as an osmotic diuretic
Indications
Symptomatic hypoglycemia. Comas of unknown origins
Side Effects
Tissue necrosis if it infiltrates the skin. May precipitate severe neurological symptoms (Wernicke's Syndrome) in alcoholics.