What is the pediatric D10 and GLUCAGON dose and when should you give it during the seizure protocol?

What is the pediatric D10 and GLUCAGON dose and when should you give it during the seizure protocol?

• A. D10 2.5 mL/kg IV/IO max 12.5 g; Glucagon 0.5 mg IM for no IV access; You should give D10 and Glucagon when BgL <60 mg/dL
• B. D10 5 mL/kg IV/IO max 25 g; Glucagon 0.5 mg IM for no IV access; You should give D10 and Glucagon when BgL <60 mg/dL
• C. D10 5 mL/kg IV/IO max 25 g; Glucagon 1 mg IM; You should give D10 and Glucagon when BgL <60 mg/dL
• D. D10 10 mL/kg IV/IO max 50 g; Glucagon 0.5 mg IM; You should give D10 and Glucagon when BgL <60 mg/dL

Answer: (B)

In pediatric seizure care, quickly correcting hypoglycemia is essential because low blood sugar can cause or worsen seizures and is a reversible cause you can treat right away. The standard approach is weight-based and route-dependent: give dextrose through IV/IO as D10 at 5 mL/kg, with a maximum of 25 g, to raise glucose rapidly while avoiding excessive fluid. If IV access is not available, use glucagon 0.5 mg IM to provide a glucose source without needing IV access. You should administer both dextrose and glucagon when the blood glucose is below 60 mg/dL, as this threshold indicates hypoglycemia requiring prompt treatment. After administration, monitor the patient and recheck glucose to ensure adequacy of response.

In pediatric seizure care, quickly correcting hypoglycemia is essential because low blood sugar can cause or worsen seizures and is a reversible cause you can treat right away. The standard approach is weight-based and route-dependent: give dextrose through IV/IO as D10 at 5 mL/kg, with a maximum of 25 g, to raise glucose rapidly while avoiding excessive fluid. If IV access is not available, use glucagon 0.5 mg IM to provide a glucose source without needing IV access. You should administer both dextrose and glucagon when the blood glucose is below 60 mg/dL, as this threshold indicates hypoglycemia requiring prompt treatment. After administration, monitor the patient and recheck glucose to ensure adequacy of response.