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EMR
EMT
AEMT
Paramedic
Extended
Dextrose 10% Solution
Action
Onset
Natural sugar
1-2 minutes
Indications
Hypoglycemia / unresponsiveness (Adult and Pediatric)
Altered Mental Status (Adult and Pediatric)
Hypoglycemia induced seizures (Adult and Pediatric)
Pediatric Hypovolemic Shock
Cardiac Arrest with Hypoglycemia (Adult and Pediatric)
Adult Dose
Infuse via IV/IO drip until mental status improves
Alternative: Draw D10 into a syringe and bolus IVP/IO as necessary
Pediatric Dose
Neonatal Hypoglycemia 2 mL/kg via syringe ONLY
Pediatric Hypoglycemia 5 mL/kg via syringe ONLY
Contraindications
Hypersensitivity, hemorrhagic CVA, cerebral edema, hyperglycemia, delirium tremors if patient is dehydrated
Do not coadminister simultaneously with blood products
Adverse Reactions
Febrile response, infection at injection site, venous thrombosis or phlebitis, extravasation, hypervolemia,
confusion or unresponsiveness. Use the largest available peripheral vein. May produce allergic reactions in
corn-sensitive persons.
Precautions
Use no more than the required amount to gain the desired effect.
NEVER connect the D10 bag to an IV/IO line in a PEDIATRIC patient. Administer via SYRINGE bolus
ONLY.
Never leave the D10 bag connected once an adult’s mental status has improved. Once mental status has
improved and patient is able to swallow, it is best if the person raise their blood glucose level naturally (eating,
drinking carbohydrates). Refer to hypoglycemia protocol.
Do not administer via IM or SQ route.
If thrombosis or extravasation occur, stop the infusion.
Considerations
Do not use Dextrose in an IV site that is questionable.
Perform blood glucose analysis prior to administration and 5-15 minutes after initial analysis.
Dextrose 10% Solution