Non-neonatal hypoglycemia (peds): Difference between revisions
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==Treatment== | ==Treatment== | ||
''See [[critical care quick reference]] for doses by weight | |||
*Glucose | *Glucose | ||
**Bolus [[D10W]] 2mL/kg; then infuse D10W @ 0.06-0.08mL/kg/min | **Bolus [[D10W]] 2mL/kg; then infuse D10W @ 0.06-0.08mL/kg/min |
Revision as of 19:21, 25 March 2015
Differential Diagnosis
- Ingestions (e.g. ETOH)
- Metabolic disease^
- Sepsis
^Save blood tubes before treatment
Treatment
See critical care quick reference for doses by weight
- Glucose
- Bolus D10W 2mL/kg; then infuse D10W @ 0.06-0.08mL/kg/min
- Glucagon
- Used for persistent hypoglycemia despite glucose administration
- 0.03 mg/kg subq/IV
Pediatric Hypoglycemia Dextrose Chart
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:
|
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