What is the D10 bolus volume for hypoglycemia in a pediatric patient?

What is the D10 bolus volume for hypoglycemia in a pediatric patient?

• A. 5 ml/kg (0.5 gm/kg) IV/IO
• B. 1 ml/kg
• C. 50 ml/kg
• D. 25 ml/kg

Answer: (A)

When a child is hypoglycemic, the goal is to raise blood glucose quickly with a safe, weight-based dose of dextrose. Using D10, a bolus of 5 mL per kilogram delivers 0.5 g of dextrose per kilogram (because D10 has 10 g per 100 mL, so 5 mL contains 0.5 g). This provides enough glucose quickly without risking fluid overload or excessive hyperglycemia in a small child. For example, a 12 kg child would receive 60 mL of D10, delivering about 6 g of dextrose. Dosing smaller amounts per kilogram would likely be insufficient to treat the hypoglycemia, while larger volumes per kilogram could cause complications. Hence, 5 mL/kg (0.5 g/kg) IV/IO is the appropriate bolus dose.

When a child is hypoglycemic, the goal is to raise blood glucose quickly with a safe, weight-based dose of dextrose. Using D10, a bolus of 5 mL per kilogram delivers 0.5 g of dextrose per kilogram (because D10 has 10 g per 100 mL, so 5 mL contains 0.5 g). This provides enough glucose quickly without risking fluid overload or excessive hyperglycemia in a small child. For example, a 12 kg child would receive 60 mL of D10, delivering about 6 g of dextrose. Dosing smaller amounts per kilogram would likely be insufficient to treat the hypoglycemia, while larger volumes per kilogram could cause complications. Hence, 5 mL/kg (0.5 g/kg) IV/IO is the appropriate bolus dose.