What is the D10 dose for pediatric hypoglycemia?

What is the D10 dose for pediatric hypoglycemia?

• A. 1 ml/kg IV/IO (0.1 gm/kg)
• B. 10 ml/kg IV/IO
• C. 5 ml/kg (0.5 gm/kg) IV/IO (Max 100 ml)
• D. 25 ml/kg IV/IO

Answer: (C)

Dextrose dosing for pediatric hypoglycemia is based on body weight and uses a fixed concentration to deliver a safe amount of sugar quickly. D10 has 10 g of dextrose per 100 mL, which is 0.1 g per mL. To achieve a dose of 0.5 g per kilogram, you give 5 mL per kilogram (5 mL × weight in kg = 0.5 g/kg). That means 0.5 g/kg is delivered with a maximum total of 100 mL to prevent fluid overload and excessive dextrose. For example, a 20 kg child would receive 5 mL/kg × 20 kg = 100 mL. This dosing aligns with standard pediatric hypoglycemia treatment in the field, balancing rapid repletion of glucose with safety. Therefore, the correct approach is 5 mL/kg (0.5 g/kg) IV/IO, with a maximum of 100 mL.

Dextrose dosing for pediatric hypoglycemia is based on body weight and uses a fixed concentration to deliver a safe amount of sugar quickly. D10 has 10 g of dextrose per 100 mL, which is 0.1 g per mL. To achieve a dose of 0.5 g per kilogram, you give 5 mL per kilogram (5 mL × weight in kg = 0.5 g/kg). That means 0.5 g/kg is delivered with a maximum total of 100 mL to prevent fluid overload and excessive dextrose.

For example, a 20 kg child would receive 5 mL/kg × 20 kg = 100 mL. This dosing aligns with standard pediatric hypoglycemia treatment in the field, balancing rapid repletion of glucose with safety. Therefore, the correct approach is 5 mL/kg (0.5 g/kg) IV/IO, with a maximum of 100 mL.