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Dextrose MMPP

QuestionAnswer
Class Carbohybrate,Hypertonic solution
Action Rapidly increases serum glucose levels. Short-term osmotic diuresis
Indications Hypoglycemia, altered LOC, coma of unknown etiology, seizure of unknown etiology, status epilepticus
Contraindications Intracranial hemorrhage
Adverse Reactions Extravastion leads to tissue necrosis. Warmth, pain, burning, thrombophlebitis, rhabdomyolysis, hyperglycemia
Adult dose and admin. 12.5-25g slow IV; may repeat as necessary.
Peds. dose and admin. .5-1 g/kg/dose slow IV; may repeat as necessary
Duration Onset: less than 1 minute; Peak effect: Varies; Duration: Varies;
Drug Interactions Sodium Bicarbinate, Coumadin
Special Considerations Administer thiamine prior to D50 in known alcoholic patients. Determine blood glucose level before administering. Do not give to patients with known CVA unless hypoglycemia documented
Created by: chinds