Dextrose

Class:
Carbohydrate

Action:
Metabolic conversion to ATP to provide cellular energy
Provides 3.4 calories/g

Indications:
Hypoglycemia
Altered mentation

Precautions:
Hypersensitivity
DKA

Adult Dosing:

  • 10-25 g IV or IO, repeat PRN for refractory cases
  • 5-10 g (50-100 mL of a 10% solution) IV or IO
    • If blood glucose level range is 40-70 administer 50 mL D10W and reevaluate
    • If blood glucose is <40 administer 100mL D10W and reevaluate

Pediatric Dosing:

  • 0.5 g/kg IV or IO up to 25 g, repeat PRN for refractory cases
    • For under 1yr. of age- dilute to 1/2 concentration (D25W), and administer 0.5 g/kg up to 25g
    • For neonatal patients- dilute to 1/4 concentration (D12.5W), and administer 0.25-0.5 g/kg up to 25g total
  • 1 mL/kg of D10W or D10NS IV or IO, OR adult dosing, whichever is less solution