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

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Petra Voigt

Canada

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Drug Reference Formulary PCP - Hypoglycemic Agents


Compléter Drug Reference Formulary PCP - Hypoglycemic AgentsVersion en ligne Fill in the blanks for the hypoglycemic agents used in the PCP scope. Glucagon, Oral Glucose, and Dextrose par Petra Voigt 1 anticholinergic hyperglycemic hypoglycemic Dextrose is classified as a agent . 2 glycolysis renal glycogenisis agonists kidney antagonists hepatic glycogenolysis cerebral Glucagon acts on glucagon receptor , activating enzymes which facilitates , increasing serum glucose . 3 asymmetrical hyperglycemic AMS asymptomatic contraindicated symptomatic indicated hypoglycemic Dextrose is in events . 4 conscious unconscious Oral glucose is contraindicated in patients . 5 min 4 15 lesser 5 50g 5 3 3g 2 25g hours 10g seconds 20g 10 greater improvement 50g awakens 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 12 5g less 5 15 2 greater 12 3 0g 5g 4 The dosage for D50W in head injury / stroke patients is . SIVP . You can consider additional . only if BGL remains than . 0 mmol / L . 7 pressure BP intracranial status PP BGL increased SPO2 HR mental decreased 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 15 5 30 12.5 mcg 10 mg 40 20 50 40 g 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 phlebitis irritation necrosis interstitial 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 fats proteins hyperglycemia carbohydrates sugars hypoglycemia Other must be given after Dextrose to prevent relapse after is corrected . 12 less 4 3 25 12 20 greater 5 2 0g 5g awakens hours improvement min seconds 5 50 15 10 The pediatric dose for D50W is . SIVP q prn . Titrate to BGL than or equal to . 0 mmol / L or patient . 13 15 minutes 2 seconds 5 10 hours 13 20 The maximum clinical effect of IV dextrose is 14 12 less L pediatric g 15 3 0 2 mL kg 20 mins mcg 0 greater improvement seconds lbs kg hours geriatric 5 5 12 4 0 5 g 5 awakens mg 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 20mL 50mL 20 10 25mL 50 5 g 10mL 40mL 12.5mL 25mL 5 12 mg mcg 0 To create D25W , remove from the D50W pre - load and replace with of normal saline . This gives a new concentration of . / mL . 16 D10W D90W D50W D25W 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 hyperglycemic anticholinergic hypoglycemic Glucagon is classified as a agent . 18 50 mg 15 5 mg g 2 25 buccal hours min 2 seconds 4 15 IV mcg SQ IM 1 The adult dosage for glucagon is q prn to a total max dose of . 19 soy proteins pork indicated glucagon glucose peanuts contraindicated products dextrose pork Glucagon is in patients with a hypersensitivity to , , or . 20 pork corn corn peanuts indicated soy contraindicated Dextrose is in patients with allergy to or products . 21 protein dead hyperglycemic fats hypoglycemic carbohydrates sugar 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 bradycardia bleeding instability tachycardia dizziness nausea vomiting headache confusion Adverse effects of glucagon are , , and . 23 IM IV 15 10 25 30 PO 5 any 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 lactate glucose The mechanism of action of oral glucose is that it increases serum . 26 carbohydrates sucrose amounts concentration glucose serum dextrose Dextrose acts by increasing . 27 pediatric 15 adult 10 5 2 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 renal calcium hematosis bradycardia sugar potassium glucose hypotension sodium tachycardia gluconeogenesis hypertension nephron cardiovascular renal glycogen 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 nausea confusion sweating dizziness heartburn vomiting The adverse effects and precautions of oral glucose are and . 30 D10 D25W D50W D35W D90W Dextrose 50% in water is . Dextrose 25% in water is . Dextrose 10% in water is 31 0 2 15 0 15 less 15 20 1 12 1 5 greater 5 2 25 10 20 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 hypoglycemic symptomatic hyperglycemic asymptomatic The indicator for glucagon is a event . 33 10 60 50 30 5 25 The maximum clinical effect of oral glucose is min .

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Drug Reference Formulary PCP - Hypoglycemic AgentsVersion en ligne

par Petra Voigt

anticholinergic hyperglycemic hypoglycemic

glycolysis renal glycogenisis agonists kidney antagonists hepatic glycogenolysis cerebral

asymmetrical hyperglycemic AMS asymptomatic contraindicated symptomatic indicated hypoglycemic

conscious unconscious

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

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

pressure BP intracranial status PP BGL increased SPO2 HR mental decreased

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

phlebitis irritation necrosis interstitial

do don’t

fats proteins hyperglycemia carbohydrates sugars hypoglycemia

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

15 minutes 2 seconds 5 10 hours 13 20

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

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

D10W D90W D50W D25W D35W

hyperglycemic anticholinergic hypoglycemic

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

soy proteins pork indicated glucagon glucose peanuts contraindicated products dextrose pork

pork corn corn peanuts indicated soy contraindicated

protein dead hyperglycemic fats hypoglycemic carbohydrates sugar

bradycardia bleeding instability tachycardia dizziness nausea vomiting headache confusion

IM IV 15 10 25 30 PO 5 any

generic trade

carbohydrates lactate glucose

carbohydrates sucrose amounts concentration glucose serum dextrose

pediatric 15 adult 10 5 2

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

nausea confusion sweating dizziness heartburn vomiting

D10 D25W D50W D35W D90W

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

hypoglycemic symptomatic hyperglycemic asymptomatic

10 60 50 30 5 25