In questa VETgirl formazione continua veterinaria online blog, Il dottor Garrett Pachtinger, DACVECC review è il DO e il DONT del destrosio.

Mentre il destrosio può essere una terapia salvavita, può anche causare malattie se non somministrato in modo appropriato.

Quali sono alcuni destrosio VETgirl DONT'S?

1) VETgirl sconsiglia la somministrazione di fluidi SQ con destrosio poiché questo tipo di fluido fornisce un buon terreno per la crescita dei batteri che possono provocare cellulite o formazione di ascessi.

2) VETgirl inoltre sconsiglia di somministrare destrosio in soluzione come CRI superiore al 5% attraverso una vena periferica, in quanto l'aumentata osmolarità può causare flebiti.

Quali sono i DO di destrosio di VETgirl?

1) Facile scorciatoia per destrosio VETgirl per soluzioni CRI:

– Per preparare una soluzione al 2.5% aggiungere 50 ml di destrosio al 50% (o 25 g di destrosio) a una sacca di liquidi da 1 litro.
– Per preparare una soluzione al 5.0% aggiungere 100 ml di destrosio al 50% (o 50 g di destrosio) a una sacca di liquidi da 1 litro.

2) For live-saving bolus therapy in a hypoglycemic crisis, supplementation should be implemented quickly! Use this shortcut for those crisis situations: 0.5–1.5 mL/kg of 50% dextrose, diluted 1:4. This can be followed by dextrose in solution as noted above. Most importantly, recognize when your patient may be hypoglycemic first (e.g., xylitol toxicosis, neonate that is doing poorly, lethargic patient, seizuring patient, etc.).

For a great “MacGyver” read on how to make your own emergency 50% dextrose, check out this VETgirl blog on “Sugar rush in the crashing patient by Dr. Hillary Israeli, VMD” here!

And if you’re really having a hard time calculating how to add dextrose or do dextrose calculations, you can just buy our Dextrose veterinary wheel HERE.

VETgirl dextrose calculator wheel

  1. Renee DeSimone dice:

    I would like to know your stance on how long you keep a bottle of dextrose once it is punctured?
    It is preservative free.
    Once punctured, do you refrigerate?

    Grazie

    • ragazza veterinaria dice:

      Yes, we do refrigerate it. We honestly use it so quickly in the ER, so we use it within a month.

  2. LG dice:

    I’m fairly new to the vet tech field and just to clarify, do you need to take 100 ml out of the bag of fluids, prior to injecting the 100 ml of 50% dextrose into the fluid bag, to make it a 5% solution? Or is that already accounted for? Thanks!

  3. Kerrie dice:

    LG, since no one replied and I found thins I thought I would answer. To be 100% accurate you would have to take out as much fluids from the bad as you would put in the dextrose. To make 1L total fluids. Good example of this is when calculating for dextrose. 5% is what you need and you have 50% dextrose. You divide 5/50 = 0.1 then multiple by the amount of fluids you need total. 0.1*1000ml = 100 ml of dextrose. Now let’s calculate 25% for 1 ml. This makes sense in a second. You divide 25/50 = 0.5 then 0.5* 1 ml total solution. It’s 0.5 ml dextrose for 1 ml total solution. You would take 0.5 ml of fluid from 1ml syringe and add 0.5 ml of dextrose to the remaining. 25% of 50% is half. Half dextrose and half fluid. You wouldn’t add 0.5ml dextrose to 1ml of fluid because then 1/3 is dextrose and 2/3 is fluid. You would get like 16.6% solution then. Does this help?

  5. Becky Sue dice:

    I have seen that, for the hypoglycemic patient, 2-5mL/kg/hr of 5% dextrose in water will be adequate to maintain a blood sugar between 100-200 mg/dL while still maintaining electrolyte-balanced fluids at 5-10 ml/kg/hr. Obviously this is variable based on a per patient basis. But it’s a good relative benchmark.

  6. bebeko dice:

    I accidentally gave my cat dextrose under the skin. What will be the preventive measure to be done to avoid side effects?

  7. Sarah S dice:

    Would you give IV dextrose (using the protocol described) to a cat with hypoglycemia as measured on glucometer, but who is not clinical? We sometimes see this happening during blood glucose curves… I usually err on the side of caution and try to first feed them, then bolus them if their BG gets low, but it does mess up the curve and they never have clinical signs when this happens, maybe because we are trying to be proactive.

  8. Maria dice:

    Many rescues treat parvo dogs with LRS 5% dextrose. They give those fluids subcutaneously. Should that route of administration be avoided because of the dextrose?

Solo i membri VETgirl possono lasciare commenti. Accedi or Unisciti a VETgirl adesso!