Non-neonatal hypoglycemia (peds)

DDX

1. Ingestions (e.g. ETOH)
2. Metabolic dz^
3. Sepsis

^Save blood tubes b/f treatment

Treatment

1. Neonate
   1. Glucose
      1. Bolus D10W 2mL/kg ; then infuse D10W @ 0.06-0.08mL/kg/min
   2. Glucagon
      1. Used for persistent hypoglycemia despite glucose administration
      2. 20-30 mcg/kg subq/IV

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

See Also

Hypoglycemia (Neonatal)

Hypoglycemia