GLUCOSE 10% = DEXTROSE 10%

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     Last updated: November 2023 

     

    Prescription under medical supervision

     

    Indications

    • Treatment of hypoglycaemia

    Forms and strengths

    • 250 ml and 500 ml bottles or bags

    Composition

    • 10% hypertonic glucose solution (100 mg of glucose/ml) for slow IV injection or IV infusion

    Dosage and duration

    • Conscious child:10 ml/kg by oral route or nasogastric tube
    • Child with impaired consciousness: 2 ml/kg by slow IV injection (2 to 3 minutes)

    Check blood glucose level 15 minutes after injection. If blood glucose level is still < 3.3 mmol/l or < 60 mg/dl, administer a second dose or give oral glucose, according to the patient's clinical condition.

    Contra-indications, adverse effects, precautions

    • Do not administer by IM or SC route.

    Remarks

    • If ready-made 10% glucose solution is not available: remove 100 ml of 5% glucose from a 500 ml bottle or bag, then add 50 ml of 50% glucose to the remaining 400 ml of 5% glucose to obtain 450 ml of 10% glucose solution.
    • Nutritional value: 400 kcal/litre.
    • Also comes in premixed solution of 10% glucose/0.18% sodium chloride, for maintenance IV fluid therapy in sick neonates.

    Storage

    Below 25 °C