I have the following questions: If a person is hypoglycemic and unconscious, do you give an amp of D50 or 1mg of glucagon IM in the ED? I also want to know what an amp actually means. How many mg/cc is an amp of D50 and how do you administer it in an emergency situation? Is it IV push or IV drip? If it is an IVP, over how many mins do you push? If it's an IV drip, for how long should it infuse into the pt?
Thank you in advance for your responses.
D50 should be used very conservatively. It often has a pH of 3.5, which makes it a strong vesicant (anything less than a pH of 5 is considered a vesicant). Even if it doesn't extravasate it will still damage the vein to some degree due to it's acidity. There is no reason to give it just for a BG of <70 as a BG of 60 is still a normal fasting BG level. If we see severe symptoms (stroke-like symptoms, unconsciousness, etc) then we give D50, otherwise we give juice or run D5 or D10.
Last edit by MunoRN on Apr 17, '11
If your patient is comatose and intubated, will you insert ngt so you can push oj (hopefully already has ngt) vs. pt has a picc and an amp of D50 is available. I'm not necessarily looking for what's cheaper for the hospital. I'm looking for what's going to help my patient the fastest. Not saying that you can't insert a ngt and push that oj, but I'm looking to treat that sugar quickly. Plus, just because pt has a ngt doesn't mean we're feeding him. If he's npo, give the D50. At the end of the day, follow you facility's policy. At my hospital, BG < 70 is to be treated.
Last edit by himilayaneyes on Apr 19, '11