Template:Pediatric hypoglycemia chart: Difference between revisions

Latest revision as of 21:10, 14 June 2023

Category	Age	Glucose	Treatment	Initial IV Bolus	Maintenance Dose
Neonatal	<2mo	<40	D10W	2.5-5 mL/kg	6 mL/kg/h
Pediatric	2mo-8yrs	<60	D25W	2 mL/kg	D10W: 6 mL/kg/h for first 10 kg + 3 mL/kg/h for 11–20 kg + 1.5 mL/kg/h for each additional kg >20 kg
Adult	>8yrs	<70	D50W	50mL (1 amp) OR 1 mL/kg

Consider diluting the D25W or D50W bolus, with NS 1-to-1, as those concentrations may be sclerosing to veins
Recheck 5 minutes after dose and repeat dose if low.
Consider glucagon IM/SQ if IV access is not readily available

@@ Line 1: / Line 1: @@
+===[[Pediatric hypoglycemia|Pediatric Hypoglycemia]] [[Dextrose]] Chart===
 {| class="wikitable"
+| '''Category'''
 | '''Age'''
+| '''Glucose'''
 | '''Treatment'''
-| '''Definition'''
+| '''[[Critical care quick reference|Initial IV Bolus]]'''
+| '''Maintenance Dose'''
 |-
-| [[Neonatal hypoglycemia]] (<2mo)
+| [[Neonatal hypoglycemia|Neonatal]]
-| D10W
+| <2mo
-| (glu <40)
+| <40
+| [[D10W]]
+| 2.5-5 mL/kg
+| 6 mL/kg/h
 |-
-| [[Pediatric hypoglycemia]] (2mo-8yrs)
+| [[Hypoglycemia (peds)|Pediatric]]
-| D25W
+| 2mo-8yrs
-| (glu <60)
+| <60
+| [[D25W]]
+| 2 mL/kg
+|
+[[D10W]]:
+*6 mL/kg/h for first 10 kg
+*+ 3 mL/kg/h for 11–20 kg
+*+ 1.5 mL/kg/h for each additional kg >20 kg
 |-
-| Adult [[hypoglycemia]] (>8yrs)
+| [[Hypoglycemia|Adult]]
-| D50W
+| >8yrs
-| (glu <70)
+| <70
+| [[D50W]]
+| 50mL (1 amp) '''OR''' 1 mL/kg
+|
 |}
-Dose all = 2mL/kg IV  (may use 4mL/kg for D10W) or use the Rule of 50 (5cc/kg for D10, 2cc/kg for D25, 1cc/kg for D50)
+*Consider diluting the [[D25W]] or [[D50W]] bolus, with NS 1-to-1, as those concentrations may be sclerosing to veins
+*Recheck 5 minutes after dose and repeat dose if low.
-^recheck in all Q5min and repeat dose if low
+*Consider [[glucagon]] IM/SQ if IV access is not readily available