– Treatment of hypoglycaemia
Forms and strengths, route of administration
– 250 ml and 500 ml bottles or bags
– 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.
– If ready-made 10% glucose solution is not available: add 10 ml of 50% glucose solution per 100 ml of 5% glucose solution to obtain a 10% glucose solution.
– 10% glucose solution may be used as vehicle for administration of the loading dose of IV quinine in order to prevent hypoglycaemia. The following doses are administered in 5% glucose solution.
– Nutritional value: 400 kcal/litre.
– Storage: below 25 °C