Dextrose 50% in water. good or bad?

[markjohnson]

Patient is hypotensive and unconscious (GCS: 2T) with a suspected TBI. What are the advantages/disadvantages or reasonings for administering dextrose to this patient?

[Sour Lemon]

markjohnson said:

Patient is hypotensive and unconscious (GCS: 2T) with a suspected TBI. What are the advantages/disadvantages or reasonings for administering dextrose to this patient?

You're not going to be able to hop online and get the answers when you take and attempt to pass NCLEX. Do your own homework so that you'll be well-prepared when that time comes.

[Okami_CCRN, BSN, RN]

Well think about it, what kind of solution is D50, what would it do to a patient with neurological compromise? Also what should you check before administering an Amp of D50?

[markjohnson]

I'm not taking any test. I just want verification of what I've already come to understand about the topic

[meanmaryjean, DNP, RN]

markjohnson said:

I'm not taking any test. I just want verification of what I've already come to understand about the topic

Well, how about sharing what you've 'come to understand about the topic'- because it sure does look like you want the answer to a homework question.

[markjohnson]

D50 would cause an increase in ICP and shouldn't be administered in this case from my basic understanding. i just want to hear some ideas of why it wouldve been administered in the first place and how big of an impact on the ICP and overall outcome it couldve had on the patient

[markjohnson]

you're right it does look like that lol but i could just google it instead of coming here. ive been looking at a friends medical records and it says that D50 was given when his glucose reading was already 265mg/dL. i just wanted to get an exact answer from the medical professionals on this site as to why it would've been given and how much of an impact it would've caused if it was incorrectly administered.

[NurseGirl525, ASN, RN]

markjohnson said:

you're right it does look like that LOL but I could just Google it instead of coming here. I've been looking at a friends medical records and it says that D50 was given when his glucose reading was already 265mg/dL. I just wanted to get an exact answer from the medical professionals on this site as to why it would've been given and how much of an impact it would've caused if it was incorrectly administered.

We cannot give medical advice here.

[Wuzzie]

Mark, we are all truly sorry about the loss of your friend but as we told you on your last thread we cannot give you what you want. None of us were there and we don't know, nor can we speak to what happened or if any incorrect care was given to him. Not only that but to try to drag us into this is really not fair. I know you want answers but this is not the place to get them. This should be left up to the family's attorney not a bunch of strangers on the internet who may or may not know what they are talking about.