Hypoglycemia

Guidelines:

This protocol will be applied to pediatric patients who are experiencing critically low blood glucose.

Standards:

  1. Obtain IV access.
  2. Blood glucose testing using Accu-Check.
  3. Reassess blood glucose 15 mins after treatment using Accu-Check.
  4. Repeat glucose if needed
Age/Wt Normal Range Critical Low Treatment
Neonate < 1month 40 - 99 mg/dl < 40 mg/dL D10% 5 ml/kg
< 45 kg 70 - 99 mg/dl < 50 mg/dL D25% 2-4ml/kg
> 45 kg 70 - 99 mg/dl ≤ 70 mg/dL D50% 1-2ml/kg  

Citations/References:

  1. American Diabetes Association (2010). Standards of Medical Care in Diabetes. Diabetes Care.33:S11-S61.
  2. Green, G., Harris, I., Lin, G., & Moylan, K. (2004). Washington Manual of Medical Therapeutics. (31st ed.) Lippincott, Williams, & Wilkins.

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