Download Glucose 10% - Queensland Ambulance Service

Drug Therapy Protocols: Glucose 10%
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Date
October, 2015
Purpose
Scope
Author
To ensure a consistent procedural approach to Glucose 10% administration.
Applies to all QAS clinical staff.
Clinical Quality & Patient Safety Unit, QAS
Review date
October, 2017
URL
https://ambulance.qld.gov.au/clinical.html
This work is licensed under the Creative Commons
Attribution-NonCommercial-NoDerivatives 4.0
International License. To view a copy of this license,
visit http://creativecommons.org/licenses/by-nc-nd/4.0/.
Glucose 10%
October, 2015
Drug class
Side effects
Hyperglycaemic
UNCONTROLLED WHEN PRINTED
Pharmacology
• Nil
Glucose is a sugar that is the principal energy source for body cells,
especially the brain.[1]
Metabolism
Presentation
Broken down in most tissues and distributed throughout total body water.[2] • Viaflex® plastic container, 250 mL glucose 10% (25 g)
UNCONTROLLED WHEN PRINTED
Indications
• Symptomatic hypoglycaemia (with the inability to self-administer oral glucose)
Onset
Duration
Half-life
Rapid
Not applicable
Not applicable
UNCONTROLLED WHEN PRINTED
Contraindications
Schedule
• Unscheduled.
Intravenous infusion (IV INF )
CCP
Routes of administration
ACP2
• Nil
• Hyperglycaemia
Intraosseous infusion (IO INF )
CCP
UNCONTROLLED WHEN PRINTED
Precautions
Figure 4.16
QUEENSLAND AMBULANCE SERVICE
761
Glucose 10%
October, 2015
Adult dosages
Special notes
UNCONTROLLED WHEN PRINTED
Symptomatic hypoglycaemia
CCP
ACP2
(with the inability to self administer oral glucose)
IV
INF
15 g (150 mL)
Repeated at 100 mL (10 g) boluses every 5 minutes until BGL > 4.0 mmol/L.
• Glucose 10% is the preferred treatment for hypoglycaemia for patients unable to take oral glucose. This is due to its rapid onset and ability to quickly restore blood glucose
concentration to normal values.[2]
CCP
UNCONTROLLED WHEN PRINTED
IO
INF
15 g (150 mL)
Repeated at 100 mL (10 g) boluses every 5 minutes until BGL > 4.0 mmol/L.
Paediatric dosages
UNCONTROLLED WHEN PRINTED
Symptomatic hypoglycaemia
CCP
ACP2
(with the inability to self administer oral glucose)
IV
INF
0.25 g/kg (2.5 mL/kg)
Repeated at 1 mL/kg (0.1 g/kg) boluses every 5 minutes until BGL > 4.0 mmol/L.
IO
INF
0.25 g/kg (2.5 mL/kg)
Repeated at 1 mL/kg (0.1 g/kg) boluses every 5 minutes until BGL > 4.0 mmol/L.
CCP
UNCONTROLLED WHEN PRINTED
QUEENSLAND AMBULANCE SERVICE
762