Which dose of oral glucose is used for pediatric hypoglycemia in children over 2 years old?

• A. Oral Glucose: 15 g (> 2 y/o)
• B. D10: 5 ml/kg IV/IO
• C. Glucagon: 0.5 mg IM
• D. Zofran: 0.1 mg/kg IV/IO/PO

Answer: (A)

For pediatric hypoglycemia in a child over two years old, the preferred quick-acting rescue therapy is an oral glucose dose of 15 grams. This amount provides a rapid rise in blood sugar through easily administered forms like glucose tablets, gel, or a small sugary drink, and is suited for a child who is awake and able to swallow. If the child cannot take oral glucose safely—such as being unconscious, vomiting, or unable to swallow—alternative routes are used: intravenous dextrose (typically D10 at about 5 mL/kg) or, if IV access isn’t available, glucagon 0.5 mg IM. Zofran is an antiemetic and does not treat hypoglycemia.