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Dextrose MMPP

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Question
Answer
Class   Carbohybrate,Hypertonic solution  
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Action   Rapidly increases serum glucose levels. Short-term osmotic diuresis  
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Indications   Hypoglycemia, altered LOC, coma of unknown etiology, seizure of unknown etiology, status epilepticus  
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Contraindications   Intracranial hemorrhage  
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Adverse Reactions   Extravastion leads to tissue necrosis. Warmth, pain, burning, thrombophlebitis, rhabdomyolysis, hyperglycemia  
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Adult dose and admin.   12.5-25g slow IV; may repeat as necessary.  
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Peds. dose and admin.   .5-1 g/kg/dose slow IV; may repeat as necessary  
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Duration   Onset: less than 1 minute; Peak effect: Varies; Duration: Varies;  
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Drug Interactions   Sodium Bicarbinate, Coumadin  
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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  
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Created by: chinds
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