Drug Therapy Protocols: Glucose 5% Disclaimer and copyright ©2016 Queensland Government All rights reserved. Without limiting the reservation of copyright, no person shall reproduce, store in a retrieval system or transmit in any form, or by any means, part or the whole of the Queensland Ambulance Service (‘QAS’) Clinical practice manual (‘CPM’) without the priorwritten permission of the Commissioner. The QAS accepts no responsibility for any modification, redistribution or use of the CPM or any part thereof. The CPM is expressly intended for use by QAS paramedics whenperforming duties and delivering ambulance services for, and on behalf of, the QAS. Under no circumstances will the QAS, its employees or agents, be liable for any loss, injury, claim, liability or damages of any kind resulting from the unauthorised use of, or reliance upon the CPM or its contents. While effort has been made to contact all copyright owners this has not always been possible. The QAS would welcome notification from any copyright holder who has been omitted or incorrectly acknowledged. All feedback and suggestions are welcome, please forward to: [email protected] Date October, 2015 Purpose Scope Author To ensure a consistent procedural approach to Glucose 5% 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 5% October, 2015 Drug class Side effects Pharmocological dilutant UNCONTROLLED WHEN PRINTED Pharmacology • Nil Glucose is a sugar that is the principal energy source for body cells, especially the brain.[1] Metabolism Broken down in most tissues and distributed throughout total body water.[1] Presentation • Viaflex® plastic container, 100 mL, glucose 5% UNCONTROLLED WHEN PRINTED Indications • As a vehicle for drug delivery during IV/IO drug infusion administration Onset Duration Half-life Not applicable Not applicable Not applicable • For the dilution and reconstitution of medications UNCONTROLLED WHEN PRINTED Schedule • Nil • Unscheduled. Routes of administration Intravenous injection (IV) CCP Contraindications Intravenous infusion (IV INF) CCP UNCONTROLLED WHEN PRINTED Precautions Intraosseous injection (IO) Figure 4.15 CCP • Hyperglycaemia QUEENSLAND AMBULANCE SERVICE 759 Glucose 5% Adult dosages • As a vehicle for drug delivery during IV/IO drug infusion administration UNCONTROLLED WHEN PRINTED CCP • For the dilution and reconstitution of medications IV/IO INF As authorised on individual DTPs UNCONTROLLED WHEN PRINTED Paediatric dosages • As a vehicle for drug delivery during IV/IO drug infusion administration • For the dilution and reconstitution of medications CCP UNCONTROLLED WHEN PRINTED IV/IO INF As authorised on individual DTPs UNCONTROLLED WHEN PRINTED Special notes • Following medication dilution/reconstitution all unused glucose 5% solution should be discarded immediately. 760
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