Unconscious Patient or Altered Sensorium (Pediatric)

Question 1

(Pediatric) Unconscious Patient or Altered Sensorium:

If the patient is unconscious with respiratory depression, what medication should you administer?

Answer 1

Administer naloxone (Narcan) 0.1 mg/kg up to 2.0 mg IV, IM or IN.

Titrate to improve respirations.

Question 2

(Pediatric) Unconscious Patient or Altered Sensorium:

What medication is appropriate for pediatric hypoglycemia (unable to protect the airway)?
What measurement is considered hypoglycemic?

Answer 2

Dextrose 10% (D10)

Less than 60 mg/dL

Question 3

(Pediatric) Unconscious Patient or Altered Sensorium:

You arrive to find an unconscious newborn (0 - 30 days old). Upon assessment, you find the patient is hypoglycemic with a reading below 40 mg/dL. What medication and dose is appropriate for this patient?

Answer 3

If < 40 mg/dl, administer 2.5 ml/kg of Dextrose 10% (D10)

Question 4

(Pediatric) Unconscious Patient or Altered Sensorium:

You arrive to find an unconscious patient, less than 2 years of age (but greater than 30 days old). Upon assessment, you find the patient is hypoglycemic with a reading below 60 mg/dL. What medication and dose is appropriate for this patient?

Answer 4

If < 60 mg/dl, administer 5.0 ml/kg of Dextrose 10% (D10)

Question 5

(Pediatric) Unconscious Patient or Altered Sensorium:

You arrive to find an unconscious patient, greater than 2 years of age. Upon assessment, you find the patient is hypoglycemic with a reading below 60 mg/dL. What medication and dose is appropriate for this patient?

Answer 5

: If < 60 mg/dl, administer 10.0 ml/kg of Dextrose 10% (D10) up to 250 ml.

Question 6

(Pediatric) Unconscious Patient or Altered Sensorium:

What is the minimum acceptable BGL for a newborn patient (0 - 30 days old)? If treatment for hypoglycemia is required, what is the appropriate medication and dose?

Answer 6

40 mg/dL is the minimum acceptable BGL

If < 40 mg/dL, administer 2.5 mL/kg of Dextrose 10% (D10)

Question 7

(Pediatric) Unconscious Patient or Altered Sensorium:

What is the minimum acceptable BGL for a patient less than 2 years of age? If treatment for hypoglycemia is required, what is the appropriate medication and dose?

Answer 7

60 mg/dL is the minimum acceptable BGL

If < 60 mg/dL, administer 5.0 mL/kg of Dextrose 10% (D10)

Question 8

(Pediatric) Unconscious Patient or Altered Sensorium:

What is the minimum acceptable BGL for a pediatric patient greater than 2 years of age? If treatment for hypoglycemia is required, what is the appropriate medication and dose?

Answer 8

60 mg/dL is the minimum acceptable BGL

If < 60 mg/dL, administer 10.0 ml/kg of Dextrose 10% (D10) up to 250 ml.

Question 9

(Pediatric) Unconscious Patient or Altered Sensorium:

If IV access is unsuccessful, what is the appropriate medication and dose for pediatric patients presenting with hypoglycemia?

Answer 9

Glucagon 0.1 mg/kg up to 1.0 mg IM.

Question 10

(Pediatric) Unconscious Patient or Altered Sensorium:

What vital signs must you obtain for all pediatric calls involving an unconscious patient and/or altered sensorium?

Answer 10

1. Cardiac rhythm (with interpretation)
2. Pulse
3. Respirations
4. SpO2
5. Blood pressure
6. Blood Glucose Level (BGL) ***

Question 11

(Pediatric) Unconscious Patient or Altered Sensorium:

When responding to a call for an unconscious pediatric, what is the first priority upon initial patient contact?

Answer 11

Ensure the patient has a patent airway.

If airway is NOT patent, suction airway if needed; secure airway is needed.