DEXTROSE 50%

DEXTROSE 50%

DEXTROSE 50%
Class
	Glucose elevating agent (Hyperglycemic)
Action
	Elevates blood glucose levels rapidly and provides short term osmotic diuresis.
Indications
	Hypoglycemia. Coma of unknown origin.
Contraindications
	Intracranial Hemorrhage. Hyperglycemia
Precaution
	Blood glucose measurement is preferred before administration. Administer thiamine before 50% Dextrose in cases of suspected thiamine deficiency.
Side effects
	Local venous irritation and extravasation leads to tissue necrosis.
Administration
Rout: IV/IO	Onset: 10 minutes	Peak effect: 40 minutes	Duration: variable
Adult Dose:
	25 grams (50 ml) IV/IO push.
Pediatric Dose:
	Newborn, D10W, 2-4 ml/kg, IV/IO. <2 year of age- D25, 2-4ml/kg, IV/IO. >2 year of age- D50, 1-2ml/kg, IV/IO.