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Field medications · Adult & pediatric guidance · ALS

Oral glucose

Adult and pediatric use depends on a safe swallow, intact airway reflexes, and the matching product.

OCEMS source summary · Updated 2026-09-16

Check before giving

  • Do not administer to an unresponsive patient, a patient who cannot swallow, or one without a gag reflex.
  • Monitor for gagging, choking, drooling, or uncontrolled coughing and support the airway as needed.

Use in OCEMS

  • Used for hypoglycemia when the patient can safely take an oral preparation.
  • ALS and BLS source thresholds differ slightly; choose the applicable standing order rather than treating every glucose-related document as identical.

Adult / adolescent

Indication / routeDose & limits
ALS hypoglycemiaI-15 lists glucose at or below 60 mg/dL, or 61–80 with symptoms. Give an oral product as tolerated only if airway reflexes are intact.
BLS gel / pasteSO-B-003: small portions between cheek and gum on each side, until the tube is empty.
BLS solution / tabletsSmall amounts of solution until the product is given, or two chewable tablets per SO-B-003.

Pediatric

  • Pediatric condition orders permit oral glucose only when tolerated and airway reflexes are intact; use their glucose threshold.
  • SO-B-003 specifies one tablet for children younger than 12 instead of the two-tablet amount. It does not specify grams per tablet; use the exact product, not an invented gram conversion.

Pediatric dose by age / weight

  • SO-B-003 tablet pathway: the patient must tolerate oral administration and have intact airway reflexes. Tablet strength is not supplied by that source; verify the actual product.
Age / weightDose basisAmount
Child younger than 12; any weightFixed tablet count1 tablet; do not invent a gram dose
Age 12 or older; any weightUse the applicable SO-B-003 product instructionsSee the oral-glucose source and adult/adolescent section

Preparation & reassessment

  • Confirm the medication is intended for oral administration. Concentrations and package sizes vary.
  • BLS: ensure ALS is responding/present; reassess mental status and vital signs at 5 minutes and every 5 minutes until ALS arrival. Record product and amount.