2023年4月1日 · Either D5W or D10W are safe for peripheral infusion. The infusion rate depends on severity of hypoglycemia. A typical rate might be ~150 ml/hr D5W, or 75 ml/hr D10W.

2024年2月19日 · High volume infusion must be used with close monitoring in patients with cardiac or pulmonary failure, and in patients with non-osmotic vasopressin release (including SIADH), due to the risk of hospital-acquired hyponatremia.

2014年12月31日 · One small randomized controlled trial evaluated the effectiveness of D10 vs D50 for the treatment of hypoglycemia by EMS providers in the pre-hospital setting. 1 The study included 51 profoundly hypoglycemic patients (median blood glucose of 26 mg/dL evenly distributed among both arms.

-Give IV bolus of 2-3 mL/kg of D10W. -Begin continuous infusion of D10W at 4-6 mg/kg/min. -If infant of diabetic mother, begin D10W at 8-10 mg/kg/min (100-125 cc/kg/d).

2023年7月5日 · When and How to start a continuous IV infusion; Start an infusion for any patient requiring 2nd IV bolus; Start an infusion after the first IV bolus in the following clinical situations: Initial presentation with AMS or seizure

2024年10月24日 · D10W and D10 1/4NS are the primary IV solutions used in neonates and young infants at risk for hypoglycemia. These two IV solutions are also the primary IV solutions of choice to provide for hourly maintenance fluid requirements …

2016年2月23日 · Use of 10% Dextrose appears to be safe, effective, and efficient for the emergent management of clinically significant hypoglycemia. Protocols and guidelines which recommend the use of D10W instead of D50W are becoming common practice worldwide, and expert opinion supports the implementation of this practice for prehospital providers.

Dextrose Injection, USP is a sterile, nonpyrogenic solution for fluid replenishment and caloric supply in single dose containers for intravenous administration. It contains no antimicrobial...

D10W: 6 mL/kg/h for first 10 kg + 3 mL/kg/h for 11–20 kg + 1.5 mL/kg/h for each additional kg >20 kg; Adult >8yrs <70 D50W: 50mL (1 amp) OR 1 mL/kg Consider diluting the D25W or D50W bolus, with NS 1-to-1, as those concentrations may be sclerosing to veins; Recheck 5 minutes after dose and repeat dose if low.

Indications: Symptomatic hypoglycemia, altered mentation with glucose < 60, newborn with heart rate < 60 and glucose < 40. Contraindications: In suspected hypoglycemia: None. Concentrations: Injection: 25g/250mL (1g/10mL) Adult: Titrate to effect. Pediatric: Titrate to effect. Precautions: Use with caution in patients with suspected increased ICP.