Glucose Injection 50 %

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๐Ÿ’ง Glucose Injection 50% (Dextrose 50%)


โœ… DESCRIPTION

Glucose Injection 50% is a sterile, hypertonic intravenous solution containing 50 g of glucose per 100 mL of water for injection. It is primarily used for emergency correction of severe hypoglycemia and as a concentrated caloric source when fluid intake must be restricted.


๐Ÿงช FORMULATION

  • Concentration: 50% w/v (50 g glucose in 100 mL)
  • Form: Injectable solution
  • Route: Intravenous (IV) only
  • Typical volumes: 25 mL, 50 mL ampoules/vials

๐ŸŒฟ NATURE

  • Highly hypertonic (osmolarity ~2520 mOsm/L)
  • Non-pyrogenic, preservative-free
  • Each mL provides 0.5 g of glucose
  • High caloric density: ~1700 kcal/L

๐Ÿ“Œ USES

  • Acute severe hypoglycemia, especially in unconscious or unresponsive patients
  • Emergency management in diabetic coma
  • Caloric supplementation when fluid restriction is necessary
  • Occasionally used in hyperkalemia (with insulin)

๐ŸŒŸ ADVANTAGES

  • Immediate reversal of hypoglycemia
  • Requires smaller volume for high glucose delivery
  • Compatible with insulin in specific protocols
  • Useful in emergency and critical care settings

โš ๏ธ PRECAUTIONS

  • Must be administered via a secure IV line, preferably through a central vein (due to irritation risk)
  • Avoid extravasation โ€“ can cause tissue necrosis
  • Regularly monitor:
    • Blood glucose
    • Serum electrolytes
    • Fluid balance
  • Caution in patients with:
    • Diabetes mellitus
    • Renal insufficiency
    • Heart failure
    • Intracranial pressure elevation

โŒ CONTRAINDICATIONS

  • Hyperglycemia
  • Diabetes (uncontrolled)
  • Hypokalemia
  • Fluid overload conditions
  • Delirium tremens (with dehydration)
  • Known glucose hypersensitivity

๐Ÿ’ข SIDE EFFECTS

  • Hyperglycemia
  • Electrolyte imbalance (especially hyponatremia, hypokalemia)
  • Phlebitis and vein irritation
  • Local tissue damage from extravasation
  • Fluid overload, pulmonary edema in high doses

๐Ÿ“ฅ PACKING

  • Available in ampoules or vials:
    • 25 mL, 50 mL, sometimes 100 mL
  • Single-dose only โ€“ discard unused portion

๐ŸงŠ STORAGE

  • Store at 15โ€“25ยฐC
  • Protect from light
  • Do not use if solution is discolored or contains particles
  • Use immediately after opening

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