D10W: Difference between revisions

 
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==General==
==General==
*Type:  
*Type: [[Dextrose-based products]]
*Dosage Forms:
*Dosage Forms:
*Common Trade Names:  
*Common Trade Names:


==Adult Dosing==
==Adult Dosing==


==Pediatric Dosing==
==Pediatric Dosing==
===[[Neonatal hypoglycemia]]===
===[[Neonatal hypoglycemia]]===
*Bolus [[D10W]] 2mL/kg; then infuse D10W @ 0.06-0.08mL/kg/min
*Bolus 2-5 mL/kg
**Then infuse at 0.06-0.08 mL/kg/min


==Special Populations==
==Special Populations==
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{{Pediatric hypoglycemia chart}}
{{Pediatric hypoglycemia chart}}


==Sources==
==References==
<references/>


<references/>
[[Category:Pharmacology]]
[[Category:Pharmacology]]

Latest revision as of 21:18, 14 June 2023

General

Adult Dosing

Pediatric Dosing

Neonatal hypoglycemia

  • Bolus 2-5 mL/kg
    • Then infuse at 0.06-0.08 mL/kg/min

Special Populations

  • Pregnancy Rating:
  • Lactation:
  • Renal Dosing
    • Adult
    • Pediatric
  • Hepatic Dosing
    • Adult
    • Pediatric

Contraindications

  • Allergy to class/drug

Adverse Reactions

Serious

Common

Pharmacology

  • Half-life:
  • Metabolism:
  • Excretion:
  • Mechanism of Action:

See Also

Pediatric Hypoglycemia Dextrose Chart

Category Age Glucose Treatment Initial IV Bolus Maintenance Dose
Neonatal <2mo <40 D10W 2.5-5 mL/kg 6 mL/kg/h
Pediatric 2mo-8yrs <60 D25W 2 mL/kg

D10W:

  • 6 mL/kg/h for first 10 kg
  • + 3 mL/kg/h for 11–20 kg
  • + 1.5 mL/kg/h for each additional kg >20 kg
Adult >8yrs <70 D50W 50mL (1 amp) OR 1 mL/kg
  • Consider diluting the D25W or D50W bolus, with NS 1-to-1, as those concentrations may be sclerosing to veins
  • Recheck 5 minutes after dose and repeat dose if low.
  • Consider glucagon IM/SQ if IV access is not readily available

References