D10 / Normal Saline

ADULT:

Blood Sugar < 60 mg%, 60-80 mg% and Symptomatic, or PEA, Asystole with suspected hypoglycemia

 

25 gm/250 mL IVPB

25 gm/250 mL IO Unconscious

BS < 80 mg%, unable to start IV, no response to IM Glucagon

PEDS:

Blood Sugar < 60 mg%, 60-80 mg% and Symptomatic, or PEA, Asystole with suspected hypoglycemia

 

5 mL/kg D10 IV (max 200 mL)

5 mL/kg D10 IO (max 200 mL) Unconscious

BS < 80mg%, unable to start IV, no response to IM Glucagon

INDICATION:

- BS determination < 60 mg%, or between 60-80 mg% and symptomatic, or suspected hypoglycemia.

- IO - Unconscious and BS less than 60 mg% and unable to start IV and no response to IM Glucagon.

- Known diabetic in Full Arrest SO, no D-Stick needed (Non-Traumatic FA in PEA/Asystole).

 

PROCEDURE:

- 25 gm (D50) can be mixed in a 250 mL bag of NS to create D10.

- Administer wide open, when baseline mental status, reduce to TKO.

- Use saline lock or Piggyback for administration.

 

PEDS PROCEDURE:

- IVPB = calculate amount, draw off excess fluid, leaving only dose in the bag.

- IVP (100mL or less) = withdraw the proper amount in syringe, if available, and give slowly.

 

COMMENTS:

- Monitor IV site for extravasation.

- Piggyback; clamp off main line, connect D10 line, infuse D10, re-open main line after D10 is infused. 

- Consider IV fluid bolus (250-500 mL) for known diabetic with suspected DKA if blood glucose > 400 mg% and no evidence of CHF.

- Use distal port of D-10 line for other medication administration needs followed by flush of NS.

Pediatric D10 Dosing - See I-20 Pediatric Medication Doses

 

Call

M: 949-769-1162

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