Hypoglycaemia, hospital treatment of

Blood glucose < 2.5 mmol/L

1st Line:

• If IV access not available or if Glucagon not already been given at home or in ambulance
• Give Glucagon IM (>5yr 1mg, <5yr 0.5mg)
• NB: likely to cause vomiting

2nd Line:

• IV bolus dose 2ml/kg 10% Dextrose
  and
• Start 10% Dextrose infusion at 6ml/kg/hr

3rd Line:

• Further IV bolus dose 2ml/kg 10% Dextrose

4th Line:

• Change infusion to 20% Dextrose

Blood glucose 2.5 - 4.0 mmol/L

• Oral glucose unless vomiting
• when IV glucose as above

Blood glucose >4.0 mmol/L - normal (no Rx req.)

• If coma persists, monitor blood glucose frequently and infuse glucose as required
• Restlessness may be due to a full bladder
• Consider other causes of decreased consciousness