Dextrose

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Pediatric Hypoglycemia Dextrose Chart

  • Consider diluting the D25 or D50 bolus, with NS 1:1, as those concentrations may be sclerosing to veins
Category Age Glucose Treatment Initial IV Bolus Maintenance Dose
Neonatal <2mo <40 D10W 2.5-5 mL/kg 6 mL/kg/h
Pediatric 2mo-8yrs <60 D25W 2 mL/kg

D10W:

  • 6 mL/kg/h for first 10 kg
  • + 3 mL/kg/h for 11–20 kg
  • + 1.5 mL/kg/h for each additional kg >20 kg
Adult >8yrs <70 D50W 50mL (1 amp) OR 1 mL/kg
Recheck 5 minutes after dose and repeat dose if low.
Consider glucagon IM/SQ if IV access is not readily available

See Also