Which dextrose dose is used for newborns in need of IV glucose support?

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Multiple Choice

Which dextrose dose is used for newborns in need of IV glucose support?

Neonates needing IV glucose support are treated with a dose of about 0.5 g of dextrose per kilogram. To deliver this safely through a peripheral IV, a diluted solution is used. A 10% dextrose solution provides 0.1 g of dextrose per milliliter, so giving 5 mL per kilogram supplies 0.5 g/kg. This achieves the target dose while staying less caustic to the vein than more concentrated solutions. Other concentrations could also deliver 0.5 g/kg, but they require much smaller volumes and carry a higher risk of tissue injury if the IV leaks. So using D10 at 5 mL/kg is the safest, effective approach for newborns.

Neonates needing IV glucose support are treated with a dose of about 0.5 g of dextrose per kilogram. To deliver this safely through a peripheral IV, a diluted solution is used. A 10% dextrose solution provides 0.1 g of dextrose per milliliter, so giving 5 mL per kilogram supplies 0.5 g/kg. This achieves the target dose while staying less caustic to the vein than more concentrated solutions. Other concentrations could also deliver 0.5 g/kg, but they require much smaller volumes and carry a higher risk of tissue injury if the IV leaks. So using D10 at 5 mL/kg is the safest, effective approach for newborns.

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