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

(DDX)
(Treatment)
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==Treatment==
 
==Treatment==
 
*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
*Glucagon
+
*[[Glucagon]]
 
**Used for persistent hypoglycemia despite glucose administration
 
**Used for persistent hypoglycemia despite glucose administration
 
**0.03 mg/kg subq/IV
 
**0.03 mg/kg subq/IV
  
{| class="pbNotSortable" width="200" cellspacing="1" cellpadding="1" border="1"
+
{| class="wikitable"  
| Age
+
| '''Age'''
| Tx
+
| '''Treatment'''
| Def
+
| '''Definition'''
 
|-
 
|-
 
| <2mo
 
| <2mo

Revision as of 19:02, 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 Treatment Definition
<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