Medscape - Indication-specific dosing for D50W, DGlucose (dextrose), frequency-based adverse effects, comprehensive interactions, contraindications, pregnancy & lactation schedules, and cost...

2019年5月22日 · 50% dextrose solution (D50W) typically comes as a 50 cc pre-filled syringe containing 25 grams of dextrose. As a cardiac anesthesiologist and intensivist, I most commonly administer D50W to treat profound hypoglycemia or in conjunction with insulin to induce an intracellular shift of potassium in patients with hyperkalemia.

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.

Alternatively, administer 25-50 g (D50W) IV; may repeat doses in severe cases; determine glucose levels before injecting dose; in emergencies, may administer promptly before obtaining glucose...

2023年4月1日 · The traditional treatment has been 50-100 ml of D50W (1-2 ampules of D50W). This is readily available and easy to administer. D10W is another option (~100-200 ml usually; may be pushed in several 50-ml boluses). Advantages: D10W is less irritating to the veins than D50W. D10W may have a lower risk of overshoot hyperglycemia.

2024年2月22日 · 50% Dextrose Injection, USP is a sterile, nonpyrogenic, hypertonic solution of dextrose in water for injection for intravenous injection as a fluid and nutrient replenisher. Each mL of fluid contains 0.5 g dextrose, hydrous which delivers 3.4 kcal/gram.

2021年10月4日 · What alternative do we have for parenteral management of hypoglycemic patients? The answer is 10% dextrose, also known as “D10.” In this dose, 250 mL of D10 is equivalent to 50 mL of D50 in that both give 25 grams of …

In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345. Keep a list of all your medications with you, and share the list with your doctor and pharmacist. If someone has overdosed and has serious symptoms such as passing out or trouble breathing, call 911.

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. Consider glucagon IM/SQ if IV access is not readily available; References

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