Dextrose 50% PDF

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ACTIVE LEARNING TEMPLATE:

Medication

ST UDENT NAME _____________________________________

Dextrose 50% Caloric sources - carbohydrates CATEGORY CLASS ______________________________________________________________________ MEDICATION __________________________________________________________________________

REVIEW MODULE CHAPTER ___________

PURPOSE OF MEDICATION

Expected Pharmacological Action Provides calories.

Therapeutic Use Provision of calories. Prevention and treatment of hypoglycemia.

Complications Inappropriate insulin secretion (long-term use), fluid overload, hypokalemia, hypomagnesemia, hypophosphatemia, local pain/irritation at IV site, glycosuria, & hyperglycemia.

Contraindications/Precautions Allergy to corn or corn products; Hypertonic solution (5%) should not be given to patients with CNS bleeding or anuria or who are at risk of dehydration.

Interactions May cause salt & water retention & increase potassium excretion. Monitor glucose, sodium, & potassium levels. Will alter requirements for insulin or oral hypoglycemic agents in diabetic patients.

Medication Administration IV (Adults): 20–50mL of 50% solution infused slowly (3 mL/ min).

Nursing Interventions Assess the hydration of pts receiving IV dextrose. Monitor I&O, electrolyte concentrations. Assess pt for dehydration or edema. Assess nutritional status & caloric needs of patient.

Client Education Evaluation of Medication Effectiveness Correction and maintenance of adequate hydration status and normal serum glucose levels. Maintenance of adequate caloric intake.

ACTIVE LEARNING TEMPLATES

Explain need for supplement to pt & family, answer any questions. Tell pt to report adverse reactions promptly, especially severe dizziness or syncope....