What is a common glucose approach for a pediatric patient with suspected hypoglycemia?

• A. If conscious and able to swallow, administer oral glucose; if not, transport for IV dextrose.
• B. Administer IV dextrose to all cases regardless of consciousness
• C. Use sublingual tablets only
• D. Wait for symptoms to develop before acting

Answer: (A)

Prompt glucose replacement in a child hinges on using the quickest, safest route they can tolerate. If the child is conscious and able to swallow, give oral glucose right away. This approach is fast, easy, and avoids delays from obtaining IV access. If the child cannot swallow or is unresponsive, you need IV access and administer dextrose intravenously to rapidly raise blood glucose, since the oral route can’t be used safely. Do not give anything by mouth when airway protection isn’t assured. Sublingual tablets alone aren’t reliably dosed in kids, and waiting for symptoms to worsen would miss the window to prevent harm. Monitor closely and transport as needed after starting treatment.