Altered Mental Status – PED
P608
IF blood glucose is < 70 mg/dl:
- If dysrhythmia present, proceed to appropriate protocol
- For shock, push 20 ml/kg 0.9%NaCl IV/IO (max 1 L)
- If glucose ≤70, administer 1 ml/kg D50W IV/IO push; If child ≤3 y.o. or ≤ 15 kg, instead push 2 ml/kg of D25 IV/IO (D25 is made by mixing D50 1:1 with 0.9% NaCl)
- If no IV, Glucagon 1 mg for ≥6 y.o. or 0.5 mg for children ≤5 y.o.
IF blood glucose is > 400 mg/dl or glucometer reads “HIGH”:
- Give fluid bolus of 20 ml/Kg not to exceed 1000 ml IV/IO during transport if no evidence of pulmonary edema
- Place patient on monitor for possibility of dysrhythmia