D50 Flashcards
1
Q
Class
A
Carbohydrate
Antihypoglycemix
2
Q
Action
A
Rapidly elevates blood glucose level
3
Q
Indications
A
Hypoglycemia
AMS of unknown etiology
Seizures in diabetics
4
Q
Contraindications
A
Use with caution in pts with increasing ICP as the added glucose can worsen cerebral edema
5
Q
Side effects
A
Venous irritation
Localized tissue necrosis
Intracerebral hemorrhage in neonates
6
Q
Precautions
A
Use large bore catheter
Undiluted D50 in neonates causes intracerebral bleeds.
Dextrose can cause severe neurological symptoms (Wernicke’s encephalopathy, Korsakov’s psychosis)if pt is thiamine deficient. Use with 100 mg thiamine in pts suspected of having thiamine deficiency.
