D50 100ml (Dextrose 50%) is a highly concentrated, hypertonic intravenous (IV) solution used primarily as a carbohydrate source to treat severe low blood sugar (hypoglycemia).
Key Specifications
Concentration: Contains 50 grams of dextrose per 100ml of fluid (0.5 g/mL).
Caloric Value: Provides approximately 170–200 calories per 100ml (3.4 kcal per gram of dextrose).
Common Formats: While standard emergency "amps" are typically 50ml (containing 25g of dextrose), 100ml glass or plastic bottles and vials are common for larger doses or for use as a base for preparing other concentrations.
Primary Medical Uses
Hypoglycemia Treatment: Used in emergencies to rapidly restore blood glucose levels, particularly in cases of insulin shock or sulfonylurea overdose.
Caloric Supplement: Administered (often after dilution) to patients unable to take adequate oral nutrition.
Dilution Base: Often used by healthcare professionals to create lower concentrations (like D10 or D25) by mixing it with sterile water or saline.
Administration & Safety
Route: Must be administered intravenously (IV). It is extremely irritating and should never be given subcutaneously or intramuscularly.
Vascular Access: Due to its high tonicity, it is preferably administered via a central vein or very slowly into a large peripheral vein to minimize the risk of phlebitis (vein inflammation).
Monitoring: Frequent monitoring of blood glucose levels is required to prevent rebound hypoglycemia or severe hyperglycemia.

