Certified Emergency Nurse (CEN) Test 2025 – 400 Free Practice Questions to Pass the Exam

Switching to a solution with dextrose during hyperglycemia treatment is indicated when glucose levels drop below 250 mg/dL. This is because maintaining appropriate glucose levels is essential, especially in the context of hyperglycemia treatment where insulin is often administered to lower blood glucose. If glucose levels drop too low, the patient may be at risk for hypoglycemia, which can lead to various complications, including confusion, loss of consciousness, or seizures.

When glucose levels are around 250 mg/dL, switching to a solution containing dextrose can help provide a stable source of glucose to prevent abrupt drops that could lead to hypoglycemia. This transition ensures that the patient maintains a safe and adequate level of glucose in the bloodstream while still managing the underlying hyperglycemia effectively.

Monitoring glucose levels closely during treatment and adjusting fluids accordingly is critical to avoid complications associated with both hyperglycemia and hypoglycemia, ensuring patient safety and optimal recovery.