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Low blood sugar, juice or D50?

Endocrine   (40,662 Views | 49 Replies)

mappers specializes in Med/Surg/Tele/Onc.

8,736 Profile Views; 437 Posts

You are reading page 5 of Low blood sugar, juice or D50?. If you want to start from the beginning Go to First Page.

mmc51264 has 8 years experience as a ADN, BSN, MSN, RN and specializes in orthopedic; Informatics, diabetes.

2,777 Posts; 39,201 Profile Views

thank you for the link and I can what their rationale is. The study is older, but I will ask about why our protocol is what it is. The ED may have a  different protocol than what we do for hypoglycemic events on a post-op, non-urgent unit. 

 

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MunoRN has 10 years experience as a RN and specializes in Critical Care.

1 Follower; 6,505 Posts; 66,990 Profile Views

On 2/8/2020 at 6:47 PM, mmc51264 said:

Can you send me some links? Please?  I don't work at some mom and pop hospital. Everything is EBP, top tier. Never had I head that D50 is "caustic" What do you use for the treatments I listed? 

There are multiple practice organizations with recommendations related to treating acute hypoglycemia, all recommend that D50 only be used when other options aren't appropriate.  As an example: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3474629/

Dextrose is a sclerosing agent, which is why uncontrolled diabetes results in damage to vessels.  It's similar to injecting stomach acid intravenously.

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