What is the role of dextrose in the treatment of acute pediatric adrenal insufficiency (Addison disease)?

Updated: Dec 07, 2018
  • Author: Kimberly Tafuri, DO; Chief Editor: Sasigarn A Bowden, MD  more...
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Answer

Dextrose must be provided. If the patient is hypoglycemic, 2 mL/kg of 25% dextrose in water (D25W) or 4 mL/kg 10% dextrose in water (D10W) should correct hypoglycemia. Provide 5% dextrose in water (D5W) to prevent initial or further hypoglycemia.


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