CPG - A0702 - Hypoglycaemia

Question 1

what is the median return to normal conscious state after dextrose administration

Answer 1

5 - 15 mins.

When considering additional doses, reassess conscious state and BGL

Question 2

what do you consider if BGL is back to normal but pt still unconscious?

Answer 2

sepsis, head injury, trauma

Question 3

What do you do if the patients BGL is 4-11?

Answer 3

consider

• stroke
• seizure
• hypovolaemia

Question 4

What do you do if the BGL is <4 but pt responds to commands?

Answer 4

Glucose 15g oral

If inadequate response after 15mins:
- consider repeat glucose 15g oral (max 30mg)
- Dextrose IV
or
- Glucagon IM

Question 5

What do you do if the BGL is <4 but pt not respomding

Answer 5

IV cannula Large vein
- confirm patency

• > dextrose 10% 15g (150ml) IV
• > > NS 10ml flush

If GCS or BGL not returned to normal after 5-10 mins:
- Dextrose 10% 10g (100ml) titrated to effect

If unable to insert IV:
- Glucagon 1 IU IM

Question 6

What is the Paediatric treatment for BGL <4 but responding to commands?

Answer 6

Glucose 15g oral
- repeat 15 min max of 30mg

• Glucagon IM

Question 7

What is the Paediatric treatment for BGL <4 but NOT responding to commands?

Answer 7

<25 kg = Glucagon 0.5 IU (0.5mL) IM

> 25kg = Glucagon 1 IU (1mL) IM