50% hypertonic glucose solution in 50 ml vial (500 mg/ml), for slow IV injection (3 to 5 minutes). NEVER BY IM OR SC INJECTION.
Dosage and duration
Adult: 1 ml/kg by slow IV injection
Check blood glucose level 15 minutes after injection. If blood glucose level is still < 3.3 mmol/litre or
< 60 mg/dl, administer a second dose or give oral glucose, according to the patient's clinical condition.
Contra-indications, adverse effects, precautions
May cause:
vein irritation;
severe tissue damage (necrosis) in the event of extravasation.
The solution is viscous: use a large vein and a large calibre needle.
Remarks
50% glucose solution is too viscous, concentrated and irritant to be used in children.
In children use 10% glucose solution. If ready-made 10% glucose solution is not available: add 10 ml of 50% glucose per 100 ml of 5% glucose to obtain a 10% glucose solution.The dose of 10% glucose to be administered is 2 ml/kg by slow IV injection.