In a Neonate with asymptomatic hypoglycemia immediate treatment should include which of the following ?: (A) 100 mg/kg Dextrose, (B) 2 mg/kg 10% Dextrose, (C) 2 ml/kg 25% Dextrose, (D) 4 ml/kg 25% Dextrose
Answer is A. A plasma glucose level of less than 30 mg/dL (1.65 mmol/L) in the first 24 hours of life and less than 45 mg/dL (2.5 mmol/L) thereafter constitutes hypoglycemia in the newborn. Patients with hypoglycemia may be asymptomatic or may present with severe central nervous system (CNS) and cardiopulmonary disturbances. Reference: GHAI Essential pediatrics, 8th edition