Help with SIM "doctors order"

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Specializes in LDRP, Wound Care, SANE, CLNC.

Prepping for my last SIM of nursing school. These were created by my fellow students and I have no clue what one of the docs orders are, can you help me out?

What is : D50 50gm IVP now

I know the IVP now part, but what is D50? is that 50% dextrose? 50gm???

Typo?

ARG. Need to be prepped for lab in the afternoon and can't get a hold of any of the SIM creators.

Thanks!

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Specializes in CCU MICU Rapid Response.

yes you are right... its a syringe, iv push. 50% dextrose. You give it to hypoglycemic patients that arent able to take things orally. :) Good luck with your SIM lab! Ivanna

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Specializes in ICU.

the D50 part you got... but the normal amp comes 25 gm's in 50 ml's..... (thus the 50% :) and it's usually the big blue one if you have to find it quick....

good luck, some little medic tips with the D50, aspirate before admin (sugar is really bad if it infiltrates) we normally aspirate in the beginning, the middle and the end, just looking for good blood return in the hub of the catheter. It's really thick, so use a larger vein, 18g IV would be ideal, and remember that it's basically pure sugar and metabolizes quickly so you need to follow up with complex carbs / protein after they wake up and are able, or their BG will crash again and lower. Also it's not necessary to give the entire amp, (unless the MD's are insisting) just until they wake up more. then of course recheck the BG..... :)

Good luck!

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Specializes in med/surg, psych, public health.

A friend of mine, (paramedic) thought you might be interested in this pdf. :)

http://www.jems.com/Images/dextrose_tcm16-107991.pdf

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Specializes in LDRP, Wound Care, SANE, CLNC.

Thank you sooooo much. What wonderful information. I am gonna rock this SIM!

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