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D50 Word Scramble

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Question	Answer
GENERIC NAME	Dextrose 50%, D50
BRAND NAME	Dextrose 50%, D50
CLASS	Carbohydrate, hyperglycemic
MECHANISM OF ACTION	Aerobic metabolic substrate (ATP production). Reverses CNS effects of hypoglycemia by rapidly increasing serum glucose levels. Provides short-term osmotic diuresis.
INDICATIONS	Known hypoglycemia, Altered level of consciousness of unknown etiology, Seizures of unknown etiology. Hyperkalemia
CONTRAINDICATIONS	Known thiamine deficiency (relative). Delirium tremens; use with caution in patients with acute alcoholism, may be ineffective without thiamine. Head injury. Intra cranial hemorrhage (relative).Severe pain (paradoxical excitement may occur).
ADVERSE REACTIONS	Cerebral edema in children when given IV undiluted, Worsening elevated ICP or cerebral edema from trauma or cerebral vascular accident. Extravasation leads to severe tissue necrosis. Sclerosing effect on peripheral veins.
NOTES ON ADMINISTRATION	Inducing an unnecessary hyperosmolar state during certain illness/injury states(head injuries,cerebral edema,Intra cranial bleeds,etc.)May worsen neurological outcome.Dextrose is very necrosing to the vascular system,shouldn't be given through small veins
INCOMPATABILITIES/DRUG INTERACTIONS	Sodium bicarbonate, Diazepam will precipitate if given concurrently without flushing
DOSE/ROUTE, AULT	Hypoglycemia, altered level of consciousness or seizures of unknown etiology; 25-100 ml of D50 (12.5-50 Gm, 2 to 2 amps) IV Hyperkalemia; 50 Gm of Dextrose IV total may be given over 1 hour. Pediatric Dosage
ONSET OF ACTION	Seconds
PEAK EFFECTS	Variable
DURATION OF ACTION	Variable
AZ DRUG BOX SUPPLY RANGE	2 - 4 prefilled syringe