Dextrose

Trade – Dextrose (D50, D25, D10) Class – Antihypoglycemic MOA – Increases blood glucose concentrations Indications – Hypoglycemia Contraindications – Intracranial and instraspinal hemorrhage, delirium tremens. Side effects – Hyperglycemia, warmth, burning from IV infusion. Concentrated solutions may cause pain and thrombosis of peripheral veins. Dosing – Hyperkalemia: Adult: 25G of dextrose 50% IV,IO Pedi: 0.5 – 1G/kg IV/IO Hypoglycemia: Adult: 10-25g dextrose 50% IV Pedi: Older then 2 years 2ml/kg of Dextrose 50% Pedi under years old: 2-4 ml/kg of Dextrose 10%