Don’t aspirate 3 times but do a 10cc flush NS to make sure the line flushes good before administration of the D50. If you can only get a 22ga. you can dilute the D50 to D25 and it will flow thru a smaller ga. easier. I always believed that you had to have a large IV to give D50, but I was working with a medic of over 20 years and she gave it thru a 20ga. and I thought that the Pts. arm was going to fall off. Not the case she sad she had given it this way for years w/o any problems just have to push it slow. Also when you give it do you hang NS or D5W? .
Has anyone given D50 thru a adult IO? Is this possible?
Does everyone carry Glucagon as a backup?
What would be wrong with pulling 50cc out of a 250 bag of D5W and putting the D50 in and using a ten gtts. set, and giving it that way thru something as small as a 22-24ga. Just keep good check on BS and shouldn’t be a problem, it may take a few min. but the Pt. is getting the meds.
CW