Cert Endocrinology(SA) Paed Practice Questions - CMSA Sub-specialty Certificate In Endocrinology And Metabolism Paediatric Exam

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A 6-year-old child (weight 20 kg) with Type 1 Diabetes is brought to the emergency department unconscious following a hypoglycaemic seizure at home. IV access cannot be immediately established. What is the most appropriate initial pharmacological treatment?

Oral 15 grams of fast-acting glucose gel rubbed on the buccal mucosa Intramuscular glucagon 0.5 mg (or 3 mg nasal glucagon) Subcutaneous regular insulin 0.1 units/kg Intramuscular hydrocortisone 100 mg

Correct Answer:

Intramuscular glucagon 0.5 mg (or 3 mg nasal glucagon)

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