Hypoglycaemia

Question 1

Normal BGL for adults and children?

Answer 1

> 3.5mmol/L

Question 2

Normal BGL for neonates?

Answer 2

> 2.5mmol/L

Question 3

Management of Adult Hypoglycaemia?

Answer 3

Oral Carbohydrates / Oral Glucose
- 15g
OR
IM Glucagon 1mg
OR
IV/IO Glucose 10%
-Titrate to GCS and BGL

Question 4

Management of Neonatal Hypoglycaemia (BGL <2.5mmol/L) and stable?

Answer 4

Gently dry buccal mucosa
Oral glucose gel 0.5mL/kg using a 3mL syringe
Gently massage buccal mucosa

Question 5

Management of Paediatric Hypoglycaemia (BGL <3.5mmol/L)?

Answer 5

Oral Carbohydrates / Oral Glucose
-15g
OR
IM Glucagon
- <25kg 0.5mg Glucagon
- >25kg 1mg Glucagon
OR
IV/IO Glucose 10%
-Start at 2mL/kg
-titrate against GCS and BGL
-Follow with Saline 1mL/kg max dose 5mL/kg