Glucose 10% = Dextrose 10%

Indications

Treatment of hypoglycaemia.

Forms and strengths

250 ml and 500 ml bottles or bags.

Composition

10% hypertonic glucose solution (100 mg of glucose/ml) for slow IV injection or IV infusion.

Dose and duration

Check blood glucose level 15 minutes after injection. If blood glucose level is still under 3.3 mmol/l or under 60 mg/dl, administer a second dose or give oral glucose according to the patient's clinical condition.

• Conscious child: 10 ml/kg by oral route or nasogastric tube.
• Child with impaired consciousness: 2 ml/kg by slow IV injection over 2 to 3 minutes.

Contra-indications, adverse effects, precautions

• Do not administer by IM or SC route.
• If ready-made 10% glucose solution is not available: remove 100 ml of 5% glucose from a 500 ml bottle or bag, then add 50 ml of 50% glucose to the remaining 400 ml of 5% glucose to obtain 450 ml of 10% glucose solution.
• Nutritional value: 400 kcal/litre.
• Also comes in a premixed solution of 10% glucose and 0.18% sodium chloride for maintenance IV fluid therapy in sick neonates.