Non-neonatal hypoglycemia (peds)
Revision as of 18:58, 25 March 2015 by Rossdonaldson1 (talk | contribs) (Rossdonaldson1 moved page Hypoglycemia (Peds) to Hypoglycemia (peds))
DDX
- Ingestions (e.g. ETOH)
- Metabolic dz^
- Sepsis
^Save blood tubes b/f 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