Indications:
- Altered mental status or seizure caused by hypoglycemia – hypoglycemia is defined as:
- Adult:
- Diabetics = POC glucose analysis less than 110 mg/dL or symptomatic
- Non-diabetics = POC glucose analysis less than 80 mg/dL
- Pediatric:
- Term and Preterm Newborn = POC glucose analysis less than 45 mg/dL
- Diabetics = POC glucose analysis less than 70 mg/dL or symptomatic
- Non-diabetics = POC glucose analysis less than 70 mg/dL
- Coma of unknown cause
Contraindications: None
Precautions:
- For IV administration, use the antecubital fossa, if possible, to reduce the risk of infiltration
- During administration, continuously monitor IV/IO site for patency and signs/symptoms of infiltration
- Contact BioTel (prior to drug administration) for hypoglycemia in the patient with head trauma or suspected increased intracranial pressure
- Recheck POC glucose analysis 10 – 15 minutes after administration
Side Effects: Tissue necrosis with infiltration
Adult Dose: 25 grams to 50 grams - standing order
Pediatric Dose:
Newly born infant up to 30 days of age (0.2 g/kg) – standing order, as D10:
- Newly born infant under 30 days of age: Discard 40 mL from one 50 mL pre-filled syringe & replace with 40 mL of Normal Saline: administer 2 mL/kg of D10 solution
Infant 31 days up to 1 year of age (0.5 g/kg) – standing order, as D10:
- 31 days to 1 year of age: Discard 40 mL from one 50 mL pre-filled syringe & replace with 40 mL of Normal Saline: administer 5 mL/kg of D10 solution
Child 1 to 13 years of age (0.5 g/kg) – standing order, as D25:
- 1 year to 13 years of age: Discard 25 mL from one 50 mL pre-filled syringe & replace with 25 mL of Normal Saline: administer 2 mL/kg of D25 solution
Route: IV or IO, slow push (to prevent infiltration)
Drug Action: Increases blood glucose level
Class: Carbohydrate
Onset: 1 minute
Duration: Depends on the degree of hypoglycemia