IV Dextrose
Intravenous dextrose is a sterile, nonpyrogenic solution of dextrose in water for injection. It is used to restore blood glucose levels in acute hypoglycemia and to provide fluid and parenteral calorie replenishment.
Dosage by Body Weight
Dosage is highly individualized and must be adjusted based on the patient's age, weight, clinical status, and blood glucose level. For acute pediatric hypoglycemia, Dextrose 10% (D10W) at a dose of 2 mL/kg is standard practice. Must be administered intravenously under medical supervision.
- Body Weight
- Below 5 kg
- Dose
- 6 to 8 mL of D10W (approx. 2 mL/kg)
- Frequency
- Single dose, reassess immediately
- Tracking Notes
- Administer slowly. Monitor blood glucose closely to avoid hyperosmolality and rebound hypoglycemia.
- Body Weight
- 5-7 kg
- Dose
- 10 to 14 mL of D10W (approx. 2 mL/kg)
- Frequency
- Single dose, reassess immediately
- Tracking Notes
- Ensure secure IV access to prevent extravasation. Monitor infusion site closely.
- Body Weight
- 8-10 kg
- Dose
- 16 to 20 mL of D10W (approx. 2 mL/kg)
- Frequency
- Single dose, reassess immediately
- Tracking Notes
- Check blood glucose level 15 minutes after completion of the bolus infusion.
- Body Weight
- 11-15 kg
- Dose
- 22 to 30 mL of D10W (approx. 2 mL/kg)
- Frequency
- Single dose, reassess immediately
- Tracking Notes
- Follow up with maintenance fluid containing dextrose as clinically indicated.
- Body Weight
- 16-20 kg
- Dose
- 32 to 40 mL of D10W (approx. 2 mL/kg)
- Frequency
- Single dose, reassess immediately
- Tracking Notes
- Adjust subsequent infusion rates based on response and target glycemic levels.
| Body Weight | Dose | Frequency | Tracking Notes |
|---|---|---|---|
| Below 5 kg | 6 to 8 mL of D10W (approx. 2 mL/kg) | Single dose, reassess immediately | Administer slowly. Monitor blood glucose closely to avoid hyperosmolality and rebound hypoglycemia. |
| 5-7 kg | 10 to 14 mL of D10W (approx. 2 mL/kg) | Single dose, reassess immediately | Ensure secure IV access to prevent extravasation. Monitor infusion site closely. |
| 8-10 kg | 16 to 20 mL of D10W (approx. 2 mL/kg) | Single dose, reassess immediately | Check blood glucose level 15 minutes after completion of the bolus infusion. |
| 11-15 kg | 22 to 30 mL of D10W (approx. 2 mL/kg) | Single dose, reassess immediately | Follow up with maintenance fluid containing dextrose as clinically indicated. |
| 16-20 kg | 32 to 40 mL of D10W (approx. 2 mL/kg) | Single dose, reassess immediately | Adjust subsequent infusion rates based on response and target glycemic levels. |
Formulation
Purpose
Used for fluid resuscitation, calorie replenishment, and the rapid treatment of severe hypoglycemia.
Generic Name
Dextrose (D-glucose)Branded Drug Names
IV Dextrose is listed as a generic drug name. Common branded medicines that may contain the same active ingredient include:
Scheduled Drug
No. This medicine is generally not treated as a scheduled/prescription-only drug in common consumer references, but local rules may vary.