Neonatal Hypoglycemia: GIR Engine

Active newborn hypoglycemia titration tool.

Date of Birth

Time of Birth

Current GIR

--mg/kg/min

IV rate: -- mL/hr · D10W · wt -- kg

Pro Tip: Central Access & Dextrose Limits

If the current peripheral Glucose Infusion Rate (GIR) is insufficient to maintain euglycemia, remember that peripheral IV access is strictly capped at a maximum concentration of D12.5W to prevent tissue sclerosis. If the infant requires higher dextrose concentrations or fluid restriction, immediately evaluate for central umbilical line access (UVC) to safely escalate therapy.

Gestational Age

weeks

Weight

Fluid Volume

mL/kg/day≈ -- mL/hr

Dextrose

Target Escalation

Target GIR

5.0mg/kg/min

2468101214

Required Pump Rate

Δ --

Verify central vs peripheral access limits before increasing dextrose concentration.

For clinical decision support only. Confirm all values and dosing against institutional protocols.