Non-neonatal hypoglycemia (peds): Difference between revisions
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==Treatment== | ==Treatment== | ||
#Neonate | |||
##Glucose | |||
###Bolus D10W 2mL/kg ; then infuse D10W @ 0.06-0.08mL/kg/min | |||
##Glucagon | |||
###Used for persistent hypoglycemia despite glucose administration | |||
###20-30 mcg/kg subq/IV | |||
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Revision as of 04:29, 29 September 2013
DDX
- Ingestions (e.g. ETOH)
- Metabolic dz^
- Sepsis
^Save blood tubes b/f treatment
Treatment
- Neonate
- Glucose
- Bolus D10W 2mL/kg ; then infuse D10W @ 0.06-0.08mL/kg/min
- Glucagon
- Used for persistent hypoglycemia despite glucose administration
- 20-30 mcg/kg subq/IV
- Glucose
| Age | Tx | Def |
| <2mo | D10W | (glu <40) |
| 2mo-8yrs | D25W | (glu <60) |
| >8yrs | D50W | (glu <70) |
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)
^recheck in all Q5min and repeat dose if low