Check before giving

Do not give oral glucose to a patient without an intact swallow/airway reflex.
If an unconscious hypoglycemic patient cannot receive IV dextrose and fails to respond to IM glucagon, check the source’s IO dextrose exception.

Use in OCEMS

A hypoglycemia option when IV dextrose cannot be given because IV access cannot be established.
Use the glucose threshold from the patient’s applicable condition order and continue airway/ventilation support.

Indication / route	Dose & limits
Hypoglycemia without IV access	1 mg IM once. I-15 covers glucose at or below 60 mg/dL or below 80 with symptoms suggesting hypoglycemia.

SO-P-065 lists 0.5 mg IM when IV access cannot be established for glucose below 60 mg/dL. The pediatric seizure, shock, and poisoning orders also list 0.5 mg.
The pediatric dose in these OCEMS standing orders is not the adult 1 mg dose. Consult the appropriate pediatric condition order for its threshold.

SO-P-065: hypoglycemia below 60 mg/dL when IV access cannot be established. Other pediatric orders have their own glucose thresholds.

Weight	Pediatric dose	Volume / route
Any eligible pediatric weight	0.5 mg — fixed dose	0.5 mL IM when reconstituted to 1 mg/mL

The inventory includes a 1 mg vial with diluent. Reconstitute the supplied product according to its labeling and verify the resulting concentration.
Reassess glucose and consciousness, maintain airway support, and document the clinical response.