Peter Antevy covers which dextrose concentrations to use by age: D10 for infants under 1 year, D25 for kids 1 to 7, D50 for 8 and up. Learn how to identify Bristoject syringes and dilute D50 down to D10 or D25 by swapping out dextrose for saline.
Questions this video answers
D10
D25
D50
Remove 40 mL of D50 (leaving 10 mL) and draw back 40 mL of normal saline to yield 50 mL of D10.
Leave 25 mL of D50 (remove 25 mL) then draw in 25 mL of normal saline to yield 50 mL of D25.
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Happy holidays. This is Peter Anteve here for another edition of the Han Tevi Minute. And I wanted to discuss one of my favorite topics, which is dextrose. Let's go over some tips and tricks to the trade. So, at your agency, you may be using D10, D25 or D50, but more than likely, as an EMS provider, you only carry D50. So let's talk about D10. Typically, D10 is used for children under the age of one. D25 will typically use from ages one to approximately seven years of age, and D50 from ages eight and above.
And the reason for that is going to be very clear. Once we go over how to create D10 and D25 from D50, let's talk about which brista jet you have. This is very important because you can see here that the Bristajet here goes from 0 to 50, and this Bristajet goes from 0 to 50, but you can see that the plungers are on opposite ends. So if you use this Bristoject, you're going to be starting at zero, and as you deliver the medication, you'll see exactly how much you've given, as opposed to this Bristoject, which is actually counting down from 50. So point number one, just be very careful about what you have. So when you're giving a dose, you. You actually have an easier time giving that dose correctly.
So let's talk now about how to make either D10 or D25 from your D50. So a little trick is, if you're going to make D10, you should leave in 10, make D25, you're going to leave in 25. So what do I mean by that? It means that if you're going to make D10, you want to leave 10mls in. So what we're going to do is always have a cup for the weight, and essentially you're going to just remove.
40Ml of the D50.
And you're going to leave 10 in.
Once you've done that, you can then hook up to your iv.
Make sure that we pinch it off, open up your IV bag, and now you can simply draw back up 40mls of saline back into your vial. And that will leave you now with 50 mls of D10, D10. And for D25, we're going to leave in 25. So we'll do the same thing, but this time we're going to empty out half of this until we get to 25 right here. Then we're going to hook right back up to our IV at the Luer. Lock port.
Open up our IV set, and then you're going to pull back in.
25Cc'S of normal saline. And now you have 50cc of D25.
So, final two thoughts. Number one, D10, let's use it for all ages, right? Preemie all the way to adult. It's safer. It's better if you can do that. But if you are using this. And now we've created D25, let's take a look. D25 for a 1 year old will be 20mls. A 7 year old 25 kilogram kid will be 50mls. So if you've mixed it like this, you've essentially maxed out your D25 in this BaristaJet. And that's why we say that at 8 years old, you should probably move over to D50. It's got nothing to do with anything except that you run out of D25 by doing it this way. There are other ways of making D25. You can take your D50 and add it to 50 of saline and now you have 100 of D25. But the bottom line is it's important to know what you have, what you use, and then how to make it. So if you want to learn more, come join us at the Gentevi Pre Hospital Pediatric provider course, which is now four hours of CEUs. It's CAPC certified. We recently launched it and we're really excited. Thanks again.
