What are the two treatments we utilize for hypoglycemia?

What are the two treatments we utilize for hypoglycemia?

• A. D10: 100 ml IV/IO (10 gm) & Glucagon 0.5 mg IM
• B. D10: 250 ml IV/IO (25 gm) & Glucagon 1 mg IM
• C. D10: 250 ml IV/IO (25 gm) & Epinephrine 0.3 mg IM
• D. D10: 500 ml IV/IO (50 gm) & Glucagon 1 mg IM

Answer: (B)

When treating hypoglycemia in the EMS setting, the goal is to raise blood glucose quickly. The two standard approaches you use are intravenous dextrose and intramuscular glucagon. Administering D10 as a bolus (250 ml, which is 25 g of glucose) delivers glucose directly into the bloodstream for a rapid rise in blood sugar and improves mental status within minutes. If IV access isn’t available, giving glucagon intramuscularly at 1 mg stimulates the liver to release stored glucose, providing a rescue mechanism with a slower onset but crucial when IV access can’t be established. This combination covers both routes: fast IV glucose when access is present, and an IM rescue when it isn’t. The other options either use inappropriate doses or medications (like epinephrine) not indicated for hypoglycemia, or recommend too large a dextrose dose.

When treating hypoglycemia in the EMS setting, the goal is to raise blood glucose quickly. The two standard approaches you use are intravenous dextrose and intramuscular glucagon. Administering D10 as a bolus (250 ml, which is 25 g of glucose) delivers glucose directly into the bloodstream for a rapid rise in blood sugar and improves mental status within minutes. If IV access isn’t available, giving glucagon intramuscularly at 1 mg stimulates the liver to release stored glucose, providing a rescue mechanism with a slower onset but crucial when IV access can’t be established. This combination covers both routes: fast IV glucose when access is present, and an IM rescue when it isn’t. The other options either use inappropriate doses or medications (like epinephrine) not indicated for hypoglycemia, or recommend too large a dextrose dose.