Treatment

Whenever possible, if the clinical condition allows, children should be treated with oral glucose loading. Clearly this should not occur in children unable to protect their airways. Common methods include orange juice with 2 tsp of sugar added per glass, maple syrup, honey (in older children), and, in mild cases, nondiet soda. Sucrose and fructose should not be given to any child suspected of having hereditary fructose intolerance. Lactose should not be given to children suspected of having galactosemia. Once the glucose concentration is back to the normal range, these children should be given a meal containing complex carbohydrates, proteins, and fats. This is presuming that inborn errors of metabolism have been ruled out.

When oral treatment is not an option, the intravenous route should be used ( Table 125-4). Boluses of 0.25 to 0.5 g/kg are most commonly used. This is equivalent to

2.5 to 5 mL/kg 10% D/W, 1 to 2 mL/kg 25% D/W, or 0.5 to l mL/kg 50% D/W. If no response is seen within 5 min, this should be repeated and a bedside glucose checked. If the glucose remains <50 mg/dL and three boluses have been given, the clinician should consider using one of the alternative agents listed below. The proper choice should be based upon the clinical and historical findings.

ati4fH*iicJ!.rmik>ri ,r r,-.J rv UMUktklU yu» h.

I n^H tain i lip ii^v I 1 1 k-'- H -. LH- L-1 ir-:' rlh-HuJ

(■ T-n l.r U^dH feMd J..M IJJLr ., M ,. luDt U'ù. |l

■ pul 4hi :: m VM ^-Lj IV. TJ. .,-Hrj w i>» iv-c . TT yj____

ivLiiw m Nu'i

The Ketosis Plan Diet

The Ketosis Plan Diet

Top Low Carb Internet Guru Speaks Out. An Open Letter To Anyone Who Wants To Lose Up To 20 Pounds In 30 Days The 'Low Carb' Way. 30-Day Low Carb Diet 'Ketosis Plan' has already helped scores of people lose their excess pounds and inches faster and easier than they ever thought possible. Why not find out what 30-Day Low Carb Diet 'Ketosis Plan' can do for you by trying it out for yourself.

Get My Free Ebook


Post a comment