Dextrose 50%
(D50W, 50% Dextrose)
INDICATIONS:
- Suspected hypoglycemia
- Altered LOC
- Coma/Seizure of unknown etiology
DOSAGE:
ADULT:
- 25 grams slow administration IV/IO given on a case by case basis per Paramedic discretion.
PEDIATRIC:
- Diluted (1:1) with NS, for a concentration of D25
- Dose of 0.5 - 1 grams/kg (2-4 mL/kg) slow IV/IO or rectum administration
- Given on a case by case basis per Paramedic discretion
CONTRAINDICATIONS:
- Intracranial hemorrhage
- Known CVA
SIDE EFFECTS:
- Local irritation
- May precipitate severe neurological symptoms in alcoholics