Difference between revisions of "Non-neonatal hypoglycemia (peds)"

m (Rossdonaldson1 moved page Hypoglycemia (Peds) to Hypoglycemia (peds))
(DDX)
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==DDX==
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==Differential Diagnosis==
 
# Ingestions (e.g. ETOH)
 
# Ingestions (e.g. ETOH)
# Metabolic dz^
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# Metabolic disease^
# Sepsis
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# [[Sepsis (peds)|Sepsis]]
  
^Save blood tubes b/f treatment
+
^Save blood tubes before treatment
  
 
==Treatment==
 
==Treatment==

Revision as of 18:59, 25 March 2015

Differential Diagnosis

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

^Save blood tubes before treatment

Treatment

  • 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
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