For which condition would dextrose 50% IV be inappropriate?

Dextrose 50% intravenous (IV) is a concentrated form of sugar commonly used to quickly raise blood glucose levels in patients experiencing hypoglycemia or low blood sugar. In the case of hyperglycemia, where blood glucose levels are elevated, administering dextrose would further increase glucose levels, potentially exacerbating the condition and leading to more serious complications such as hyperglycemic crises.

In contrast, hypoglycemia is a direct indication for the use of dextrose 50%, as it provides immediate glucose replenishment. During pregnancy, dextrose may be used when necessary, especially if a maternal condition requires it. Severe dehydration may also involve the administration of dextrose within a fluid replacement regimen if needed, although it’s typically accompanied by other fluids like saline.

Thus, in situations of hyperglycemia, administering dextrose 50% IV is inappropriate due to the risks associated with further elevating blood glucose levels in a patient already experiencing high glucose readings.