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 / route
Dose & limits
ALS hypoglycemia
I-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 / paste
SO-B-003: small portions between cheek and gum on each side, until the tube is empty.
BLS solution / tablets
Small 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 / weight
Dose basis
Amount
Child younger than 12; any weight
Fixed tablet count
1 tablet; do not invent a gram dose
Age 12 or older; any weight
Use the applicable SO-B-003 product instructions
See 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.