What is the pediatric D10 and GLUCAGON dose and when should you give it during the seizure protocol?

• A. D10 2.5 mL/kg IV/IO max 12.5 g; Glucagon 0.5 mg IM for no IV access; You should give D10 and Glucagon when BgL <60 mg/dL
• B. D10 5 mL/kg IV/IO max 25 g; Glucagon 0.5 mg IM for no IV access; You should give D10 and Glucagon when BgL <60 mg/dL
• C. D10 5 mL/kg IV/IO max 25 g; Glucagon 1 mg IM; You should give D10 and Glucagon when BgL <60 mg/dL
• D. D10 10 mL/kg IV/IO max 50 g; Glucagon 0.5 mg IM; You should give D10 and Glucagon when BgL <60 mg/dL

Answer: (B)

In pediatric seizure care, quickly correcting hypoglycemia is essential because low blood sugar can cause or worsen seizures and is a reversible cause you can treat right away. The standard approach is weight-based and route-dependent: give dextrose through IV/IO as D10 at 5 mL/kg, with a maximum of 25 g, to raise glucose rapidly while avoiding excessive fluid. If IV access is not available, use glucagon 0.5 mg IM to provide a glucose source without needing IV access. You should administer both dextrose and glucagon when the blood glucose is below 60 mg/dL, as this threshold indicates hypoglycemia requiring prompt treatment. After administration, monitor the patient and recheck glucose to ensure adequacy of response.