Hypoglycemia Medical Directive

Question 1

Hypoglycemia MD

What are the indications for the hypoglycemia MD?

Answer 1

Suspected hypoglycemia.

Question 2

Hypoglycemia MD

What are the conditions for dextrose administration?

Answer 2

Age: ≥2 years
LOA: Altered
Other: Hypoglycemia

Question 3

Hypoglycemia MD

What are the conditions for glucagon administration?

Answer 3

LOA: Altered
Other: Hypoglycemia

Question 4

Hypoglycemia MD

What are the contraindications to dextrose administration?

Answer 4

Allergy or sensitivity to dextrose.

Question 5

Hypoglycemia MD

What are the contraindications to glucagon administration?

Answer 5

Allergy or sensitivity to glucagon.
Pheochromocytoma.

Question 6

Hypoglycemia MD

What is the dosing information for D10?

Answer 6

Route: IV
Dose: 0.2 g/kg (2 ml/kg)
Max single dose: 25 g (250 ml)
Dosing interval: 10 min.
Max # of doses: 2

Question 7

Hypoglycemia MD

What is the dosing information for D50?

Answer 7

Route: IV
Dose: 0.5 g/kg (1 ml/kg)
Max single dose: 25 g (50 ml)
Dosing interval: 10 min
Max # of doses: 2

Question 8

Hypoglycemia MD

What should dextrose administration be titrated to?

Answer 8

A LOA where the patient can safely consume complex carbohydrates.

Question 9

Hypoglycemia MD

What is the dose of glucagon for patients <25 kg?

Answer 9

Route: IM
Dose: 0.5 mg
Dosing interval: 20 min
Max # of doses: 2

Question 10

Hypoglycemia MD

What is the dose of glucagon for patients ≥ 25 kg?

Answer 10

Route: IM
Dose: 1 mg
Dosing interval: 20 min
Max # of doses: 2