Glucose - Oral - Adult (BLS, LALS, ALS): Indication is an adult with blood glucose less than 80 mg/dL. Dose: one tube for patients with an intact gag reflex. What is the recommended dose form?

• A. Two tubes
• B. One tube
• C. No glucose
• D. IV dextrose

Answer: (B)

The key idea is choosing the appropriate dose form for treating hypoglycemia in an alert adult with an intact gag reflex. When someone can protect their airway, oral glucose in gel form is used because it is absorbed quickly through the buccal/mucosal tissues and doesn't require IV access. The protocol specifies one tube for adults with an intact gag reflex, so the correct dose form is one tube of oral glucose gel. Giving two tubes isn’t necessary and isn’t supported by the standard order. No glucose would leave the patient hypoglycemic, and IV dextrose is reserved for cases where the patient cannot take oral glucose or cannot swallow, not when oral administration is possible.