SA EMS ROAD EXPERIENCE • HPCSA STATUTORY DRUG MONOGRAPH
DEXTROSE INTRAVENOUS (10% & 50%)
Dextrose Monohydrate / D-Glucose (10% & 50% IV Infusion / Bolus)
HPCSA CDST 2024 (Version 1.3 Framework)
Official Statutory Clinical Reference
Intravenous Carbohydrate Substrate • Hypertonic Solution • AntihypoglycaemicHPCSA CDST 2024 (v1.3 Framework)
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DEXTROSE INTRAVENOUS (10% & 50%)
Dextrose Monohydrate / D-Glucose (10% & 50% IV Infusion / Bolus)
Clinical Summary: A sterile hypertonic intravenous carbohydrate solution delivering rapid vascular glucose to terminate neuroglycopenic coma, status epilepticus, and severe acute hypoglycaemia.
Authorized HPCSA Emergency Care Scope of Practice (Annexure A 2022)Statutory Board Mandate
ECA (*)AEA (*)ECT (*)LEGENDARY CCA (^) [ANT PARAMEDIC]NDIP EMC (^) [ANT PARAMEDIC]ECP ONLY (~)
DEXTROSE INTRAVENOUS (10% & 50%) Audio BriefingCLINICAL PROFESSOR
No Audio Published Yet
00:00Full Monograph
1. Mechanism of Action
How this drug operates physiologically in the human body
2. Statutory Clinical Indications
2 UsesStrictly per HPCSA CDST v1.3, Annexure A & CPG
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CRITICAL ROAD TRAPCardiac Arrest Risk❓ What solution to use for my hypoglycaemia patient?
CRITICAL ROAD TRAP: THE HALF-DARROW'S DEATH TRAP. Why squeezing “Half-Darrow's with 5% Dextrose” delivers a lethal potassium flush (VF/Asystole), sugar math failure, and the Golden Road Rule.
3. Adverse Effects & Pathophysiology
Why the body reacts and why it occurs in specific indications
4. Contraindications & Lethal Risks
Biological consequences & why it threatens life
5. Statutory Resources & Quotes
Verbatim regulatory excerpts with deep external links
SA EMS FIELD PROTOCOLS • EDUCATIONAL REVIEW & STATUTORY CITATIONS
An independent educational review and study companion based on the official HPCSA CDST 2024 (Version 1.3 Framework), CPG 2018, and Annexure A (2022) sourced directly from the official HPCSA publication portal. Not for live on-scene patient management.
Author: Jacoline (Jax) Geldenhuys, BEMC • HPCSA Registered Emergency Care Practitioner (ECP)