Glucose

Question 1

Pharmacology and presentation of Glucose?

Answer 1

50g:500ml

• 10% Hypertonic glucose solution

Question 2

Indicators of Glucose?

Answer 2

• Diabetic hypoglycaemia (BGL <3.5mmol) in patients with altered conscious state and/or cannot swallow safely, and IV access obtained.
• Neonatal Resuscitation

Question 3

Contraindications of Glucose?

Answer 3

• Nil

Question 4

Cautions of Glucose?

Answer 4

• Ensure IV patency due to potential for tissue necrosis

Question 5

Side Effects of Glucose?

Answer 5

• Nil

Question 6

Dosing Regimes of Glucose?

Answer 6

Adults
- 100ml IV, Repeat PRN checking BSL 10minutely

Paediatrics
- 2ml per kg, Repeat PRN checking BSL 10minutely

Neonatal Resuscitation
- 10ml if BSL <2.5mmol, 20 minutes after oral glucose, repeat PRN checking BSL 10minutely

Question 7

Onset and duration of Glucose?

Answer 7

Onset:
- 3mins
Duration
- Depends on severity of hypoglycaemic episode