Severe insulin-induced hypoglycemia during diabetic treatment
Neonate: 0.2 mg/kg IV push, IM or SC. Max 1 mg
Infant, child: 0.025 mg/kg SC, IM or IV 1 h after coma develops; repeat within 20 min prn. For deep coma, 10-50% glucose IV for faster response. When pt responds, give additional carbohydrate immed.
Adolescent, adult: 0.5-1 mg SC, IM, or IV; repeat q 20 mi × 2 doses prn.
Coma from insulin-shock treatment
Adult: 0.5-1 mg SC, IM, or IV 1 h after coma develops, repeat within 25 min prn. For deep coma, glucose 10-50% IV for faster response. When pt responds, give additional carbohydrate immed. |