Indications
Treatment of severe hypoglycaemia
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Drug reference
Treatment of severe hypoglycaemia
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May cause: vein irritation; severe tissue damage (necrosis) in the event of extravasation. The solution is viscous: use a large vein and a large calibre needle.
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50% hypertonic glucose solution in 50 ml vial (500 mg/ml), for slow IV injection (3 to 5 minutes). NEVER BY IM OR SC INJECTION.
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Adult: 1 ml/kg by slow IV injection Check blood glucose level 15 minutes after injection. If blood glucose level is still < 3.3 mmol/litre or < 60 mg/dl, administer a second dose or give oral glucose, according to the patient's clinical condition.
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50% glucose solution is too viscous, concentrated and irritant to be used in children. In children use 10% glucose solution. If ready-made 10% glucose solution is not available: add 10 ml of 50% glucose per 100 ml of 5% glucose to obtain a 10% glucose solution. The dose of 10% glucose to be administered is 2 ml/kg by slow IV injection.
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Below 25° C
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1 ml/kg by slow IV injection
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