For neonates, what is the recommended treatment for hypoglycemia?

The recommended treatment for hypoglycemia in neonates is to administer 2 cc/kg of D10 (10% dextrose). This choice is effective because D10 provides a concentrated source of glucose that can quickly raise the blood sugar levels in neonates who are particularly vulnerable to the effects of hypoglycemia. Neonates have limited glycogen stores and can experience rapid depletion, making it crucial to provide an appropriate amount of glucose quickly.

Using D10 also minimizes the risk of fluid overload compared to higher concentrations of dextrose solutions, and it allows for a safe and effective increase in blood glucose without causing hyperglycemia. The volume of 2 cc/kg is a balance that ensures the neonate receives adequate glucose while not overloading their small circulatory system. This careful consideration is essential in critical care scenarios involving neonates, where precise dosing and fluid management are key to successful treatment outcomes.

Other options, while they involve dextrose solutions, either provide too high a concentration for safe administration in a neonate or do not reflect the clinical guidelines for treating hypoglycemia. This makes 2 cc/kg of D10 the correct and recommended approach.