ALS PCS: Hypoglycemia Medical Directive

Question 1

INDICATIONS

Answer 1

AGITATION

OR

ALTERED LOA

OR

SEIZURE

OR

SYMPTOMS OF STROKE

Question 2

CONDITIONS (GLUCAGON)

Answer 2

LOA: ALTERED

OTHER: HYPOGLYCEMIA

Question 3

CONTRAINDICATIONS (GLUCAGON)

Answer 3

ALLERGY OR SENSITIVITY

PHEOCHROMOCYTOMA

Question 4

TREATMENT (GLUCAGON)

WEIGHT <25kg

Answer 4

ROUTE: IM

DOSE: 0.5mg

MAX SINGLE DOSE: 0.5mg

DOSING INTERVAL: 20mins

MAX # OF DOSES: 2

Question 5

TREATMENT (GLUCAGON)

WEIGHT ≥25kg

Answer 5

ROUTE: IM

DOSE: 1mg

MAX SINGLE DOSE: 1mg

DOSING INTERVAL: 20mins

MAX # OF DOSES: 2

Question 6

CLINICAL CONSIDERATIONS

Answer 6

IF THE PATIENT RESPONDS TO DEXTROSE OR GLUCAGON, PATIENT MAY RECEIVE ORAL GLUCOSE OR OTHER SIMPLE CHOs

IF ONLY MILD SIGNS OR SYMPTOMS ARE EXHIBITED, PATIENT MAY RECEIVE ORAL GLUCOSE OR OTHER SIMPLE CHOs INSTEAD OF DEXTROSE OR GLUCAGON

IF A PATIENT INITIATES INFORMED REFUSAL OF TRANSPORT, FINAL SET OF VITALS INCLUDING BGL MUST BE ATTEMPTED AND DOCUMENTED

IV ADMINISTRATION OF DEXTROSE APPLIES ONLY TO PCPs AUTHORIZED FOR PCP AUTONOMOUS IV