A girl born at 36 weeks weighing 2050 g is three hours old and has fed twice at the breast. She becomes jitter…

Question

A girl born at 36 weeks weighing 2050 g is three hours old and has fed twice at the breast. She becomes jittery with a weak high-pitched cry, and then has an episode lasting 30 seconds in which her eyes deviate to the left and her right arm jerks rhythmically. Her capillary blood glucose is 1.1 mmol/L, confirmed on a laboratory sample sent at the same time. She is afebrile, well perfused and an intravenous cannula has just been sited. Which one of the following should be given now?

Accepted Answer

Glucose 10% 2 mL/kg intravenously

Answer

Buccal 40% dextrose gel

Answer

Glucagon 100 microgram/kg intramuscularly

Answer

Glucose 10% infusion at 60 mL/kg/day

Answer

Immediate breastfeed with recheck in one hour

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