Supplied: 1-2 amps of D50W (25-50 gm glucose);
Cautions
- nutritional support solutions infused peripherally are usually limited to 10-12.5% Dextrose because infusion of more hypertonic solutions into peripheral veins can result in phlebitis or severe infiltration sequelae;
Peds
- w/ Dextrose concentrations of 10-12.5% adequate calories for preterm neonates can be provided peripherally if the patient can tolerate large fluid loads and maximum doses of fat emulsion;
- Rx begins w/ 10 gm/kg/day of dextrose in older infants and children;
- increases of 5 gm/kg/q12-24 hrs upto 30gm/kg/day may be made if there is a central venous access and normal glucose tolerance;
- neonates may not tolerate large amounts of glucose initially & are at risk for hyperosmolar coma as result of hyperglycemia;
- note: infants have lower renal threshold for glucose