Term
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Definition
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Term
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Definition
- Hypoglycemia
- Coma of unknown origin (unable to obtain BGL)
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Term
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Definition
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Term
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Definition
- IV catheter should be at least 18 gauge as solution is very viscous
- Ensure patency of IV, will cause tissue sloughing if interstitial
- Dextrose greater than 5% is a hypertonic solution, it is very irritating to the vein and can cause cerebral bleeding if not given slowly
- Patients with ICP, give half dose and reassess, Never withhold if the patients metabolic needs are deficient.
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Term
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Definition
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Term
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Definition
- 0.5g to 1.0g per kg slow IV push,
- Suspected head injury = 12.5g D50W slow IV push,
- Supplied as a preload of 25g dextrose in 50ml water
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Term
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Definition
- 0.5g to 1.0g per kg of D25W (2-4ml per kg) slow IV push
- Push 25ml into the garbage and draw up 25ml of normal saline (This will give the correct concentration of D25W, 12.5g of dextrose in 50ml water/saline)
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Term
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Definition
- Recheck BGL in opposite limb after administration.
- If patient requires more than 25g dextrose, push one preload and reassess before deciding to push second preload.
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Term
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Definition
- Carbohydrate
- Antihypoglycemic
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Term
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Definition
- Rapidly metabolized calories given parenterally, which promotes glycogen stores and prevents ketosis in patients with inadequate intake
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