2015 Trumbull Memorial Hospital Demo

Dextrose 10% Solution Dextrose 10% Solution

Action

Onset

Natural sugar

1-2 minutes

Indications Hypoglycemia / unresponsiveness (Adult and Pediatric) Altered Mental Status (Adult and Pediatric) Hypoglycemia induced seizures (Adult and Pediatric) Pediatric Hypovolemic Shock Cardiac Arrest with Hypoglycemia (Adult and Pediatric)

Adult Dose Infuse via IV/IO drip until mental status improves Alternative: Draw D10 into a syringe and bolus IVP/IO as necessary

Pediatric Dose Neonatal Hypoglycemia 2 mL/kg via syringe ONLY Pediatric Hypoglycemia 5 mL/kg via syringe ONLY

Contraindications Hypersensitivity, hemorrhagic CVA, cerebral edema, hyperglycemia, delirium tremors if patient is dehydrated Do not coadminister simultaneously with blood products Adverse Reactions Febrile response, infection at injection site, venous thrombosis or phlebitis, extravasation, hypervolemia, confusion or unresponsiveness. Use the largest available peripheral vein. May produce allergic reactions in corn-sensitive persons. Precautions Use no more than the required amount to gain the desired effect. NEVER connect the D10 bag to an IV/IO line in a PEDIATRIC patient. Administer via SYRINGE bolus ONLY. Never leave the D10 bag connected once an adult’s mental status has improved. Once mental status has improved and patient is able to swallow, it is best if the person raise their blood glucose level naturally (eating, drinking carbohydrates). Refer to hypoglycemia protocol. Do not administer via IM or SQ route. If thrombosis or extravasation occur, stop the infusion.

Considerations Do not use Dextrose in an IV site that is questionable. Perform blood glucose analysis prior to administration and 5-15 minutes after initial analysis.

197

EMR

EMT

AEMT

Paramedic

Extended