Dextrose 50%

(D50W, 50% Dextrose)

 

INDICATIONS:

  • Suspected hypoglycemia
  • Altered LOC
  • Coma/Seizure of unknown etiology

 

ADMINISTRATION:

 

  • IO, IV through a free flowing line; Per Rectum in Pediatrics

 

DOSAGE:

ADULT:

  • 25 grams slow administration IV/IO administration give on a case by case basis per Paramedic discretion.

 

PEDIATRIC:

  • 0.5 - 1.0 grams/kg,  (2-4 mL/kg) slow administration IV/IO or rectum administration
  • Dilute D50W 1:1 with sterile water, Ringer’s Lactate, or Saline (2-4 ml/kg of D25 mixture)

 

THERAPEUTIC EFFECTS:

 

  • Immediate source of glucose and water

 

RELATIVE CONTRAINDICATIONS:

 

  • Intracranial hemorrhage
  • Known CVA

 

SIDE EFFECTS:

 

  • Local irritation
  • May precipitate severe neurologic symptoms in alcoholics

 

SPECIAL NOTES / RESTRICTIONS:

  • Draw blood sample OR do a D-stix prior to administration
  • Causes local tissue necrosis if IV infiltrates