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Drug Reference Formulary PCP - Hypoglycemic Agents

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Drug Reference Formulary PCP - Hypoglycemic Agents

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Fill in the blanks for the hypoglycemic agents used in the PCP scope.

Glucagon, Oral Glucose, and Dextrose

Created by

Petra Voigt
Petra Voigt
Canada

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Drug Reference Formulary PCP - Hypoglycemic Agents
 

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Drug Reference Formulary PCP - Hypoglycemic AgentsOnline version

Fill in the blanks for the hypoglycemic agents used in the PCP scope. Glucagon, Oral Glucose, and Dextrose

by Petra Voigt
1

hypoglycemic hyperglycemic anticholinergic

Dextrose is classified as a agent .

2

antagonists glycogenisis glycogenolysis hepatic agonists kidney glycolysis renal cerebral

Glucagon acts on glucagon receptor , activating enzymes which facilitates , increasing serum glucose .

3

contraindicated AMS hypoglycemic asymmetrical indicated asymptomatic hyperglycemic symptomatic

Dextrose is in events .

4

conscious unconscious

Oral glucose is contraindicated in patients .

5

5 50g 3g min 20g 50g awakens 10 10g greater 15 seconds 4 3 5 hours 2 lesser 25g improvement

The normal dosage of D50W is SIVP / IO q prn . Titrate to BGL or equal to . 0 mmol / L or patient . Maximum dose of .

6

3 4 12 less 0g 5g 5g greater 5 2 15 12

The dosage for D50W in head injury / stroke patients is . SIVP . You can consider additional . only if BGL remains than . 0 mmol / L .

7

status SPO2 increased intracranial HR PP BGL mental BP decreased pressure

When giving Dextrose , use caution when administering to patients with suspected ( stroke , head injury ) . Treat patient as per protocol and then reassess patient ? s neurological status and .

8

5 40 mg 10 g 20 12.5 30 50 40 15 mcg

To create D10W , remove mL from the D50W pre - load and replace with mL of normal saline , for a new concentration of / 50 mL .

9

necrosis interstitial phlebitis irritation

The adverse effects of Dextrose include and to veins / tissues .

10

do don’t

When administering Dextrose , ensure patency of IV site after half dose is administered .

11

sugars hyperglycemia fats proteins hypoglycemia carbohydrates

Other must be given after Dextrose to prevent relapse after is corrected .

12

3 awakens min 5 50 15 25 greater 2 20 seconds 4 improvement 5 0g 5g 12 less 10 hours

The pediatric dose for D50W is . SIVP q prn . Titrate to BGL than or equal to . 0 mmol / L or patient .

13

2 minutes hours 13 seconds 10 15 20 5

The maximum clinical effect of IV dextrose is

14

mcg lbs seconds 15 g 0 L improvement g geriatric 12 2 5 mins 12 mg 5 hours 5 3 0 awakens 0 pediatric 4 20 less kg mL 5 greater kg 2

The dose for D25W is . / or / SIVP / IO to a single max dose of .
q prn , titrate to BGL than or equal to . mmol / L or patient .

15

50mL 40mL 50 12.5mL 5 mg 10mL 5 0 20 12 g mcg 10 20mL 25mL 25mL

To create D25W , remove from the D50W pre - load and replace with of normal saline . This gives a new concentration of . / mL .

16

D10W D50W D25W D90W D35W

is 0 . 5 g / kg or 5 mL / kg SIVP / IO
q 5 minutes prn , titrate to BGL greater than or equal to 4 . 0 mmol / L or patient improvement .

17

anticholinergic hypoglycemic hyperglycemic

Glucagon is classified as a agent .

18

4 g hours IM mg 5 SQ IV seconds mg buccal mcg 15 2 15 1 2 50 25 min

The adult dosage for glucagon is q prn to a total max dose of .

19

glucose pork peanuts contraindicated glucagon soy pork products proteins indicated dextrose

Glucagon is in patients with a hypersensitivity to , , or .

20

contraindicated corn soy corn pork indicated peanuts

Dextrose is in patients with allergy to or products .

21

sugar hypoglycemic fats hyperglycemic protein carbohydrates dead

After giving your patient a hyperglycemic agent , and they regain adequate LOC , you should give them supplemental as soon as possible , otherwise they may become again .

22

instability nausea confusion bleeding vomiting headache tachycardia dizziness bradycardia

Adverse effects of glucagon are , , and .

23

5 IV 15 10 30 any PO IM 25

The maximum clinical effect for glucagon by route is minutes .

24

generic trade

Oral Glucose is the name . Glucola or Insta - glucose is the name .

25

carbohydrates glucose lactate

The mechanism of action of oral glucose is that it increases serum .

26

glucose concentration amounts dextrose serum sucrose carbohydrates

Dextrose acts by increasing .

27

adult 5 15 2 10 pediatric

The dose of oral glucose is 25 g PO , without repeating .
The dose of oral glucose is 25 g PO q min to a total max of 50 g .

28

cardiovascular calcium potassium bradycardia nephron hypertension hypotension gluconeogenesis sugar hematosis glucose glycogen renal sodium renal tachycardia

Precautions in glucagon include :
- Hepatic or insufficiency
- Only effective if liver stores are present . Malnourished patients may not respond well
- Use with caution in patients with underlying disease .
- Lowers serum levels
- Can cause , nausea , vomiting , or .

29

sweating dizziness nausea heartburn vomiting confusion

The adverse effects and precautions of oral glucose are and .

30

D25W D35W D50W D10 D90W

Dextrose 50% in water is .
Dextrose 25% in water is .
Dextrose 10% in water is

31

2 20 greater 5 15 10 25 0 less 1 15 12 15 2 5 0 20 1

The pediatric dose for glucagon :

In pts than or equal to kg : . mg IM q min prn to total max dose of mg

In pts greater than kg : mg IM q min prn to a total max dose of m g

32

symptomatic asymptomatic hyperglycemic hypoglycemic

The indicator for glucagon is a event .

33

5 60 10 30 50 25

The maximum clinical effect of oral glucose is min .

 
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