Which of the following represents the correct weight-based dextrose dose and solution for a pediatric patient (not a newborn) during hypoglycemia?

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Multiple Choice

Which of the following represents the correct weight-based dextrose dose and solution for a pediatric patient (not a newborn) during hypoglycemia?

Dextrose dosing in pediatric hypoglycemia targets 0.5 g of dextrose per kilogram of body weight. Using a concentrated solution minimizes fluid volume while delivering that dose. D25 provides 25 g per 100 mL, which is 0.25 g/mL. At 2 mL/kg, you administer 0.5 g/kg (0.25 g/mL × 2 mL/kg). For a non-newborn child, this dose and volume achieve the needed 0.5 g/kg efficiently and safely. Other options either deliver too little or too much dextrose per kilogram or use a volume/concern appropriate for newborns (for example, D10 at 5 mL/kg would be more volume than needed in an older child). Hence, 2 mL/kg of D25 is the correct choice.

Dextrose dosing in pediatric hypoglycemia targets 0.5 g of dextrose per kilogram of body weight. Using a concentrated solution minimizes fluid volume while delivering that dose. D25 provides 25 g per 100 mL, which is 0.25 g/mL. At 2 mL/kg, you administer 0.5 g/kg (0.25 g/mL × 2 mL/kg). For a non-newborn child, this dose and volume achieve the needed 0.5 g/kg efficiently and safely.

Other options either deliver too little or too much dextrose per kilogram or use a volume/concern appropriate for newborns (for example, D10 at 5 mL/kg would be more volume than needed in an older child). Hence, 2 mL/kg of D25 is the correct choice.

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