GLUCAGON

Question 1

CLASS

Answer 1

PANCREATIC HOROMONE, ANTIHYPOGLYCEMIC AGENT

Question 2

DESCRIPTION

Answer 2

CREATES GLYCOGENOLYSIS & GLYCOGENESIS ONLY IF PANCREAS HAS GLYCOGEN

Question 3

ONSET & DURATION

Answer 3

ONSET- WITHIN 1 MINUTE
DURATION- 60-90 MINUTES

Question 4

INDICATIONS

Answer 4

HYPOGLYCEMIA
-CALIUM CHANNEL BLOCKER OR BETA BLOCKER TOXICITY

Question 5

ADVERSE REACTIONS

Answer 5

TACHYCARDIA, HYPOTENSION, NAUSEA AND VOMITING ( IV USE) URICARTIA

Question 6

DRUG INTERATIONS

Answer 6

-EFFECTS ON ANTICOAGULANTS MAY BE INCREASED IF GIVEN WITH GLUCAGON
-DO NOT MIX WITH SALINE

Question 7

HOW GLUCAGON IS SUPPLIED

Answer 7

DILUTE 1 UNIT (1MG) OF WHITE POWDER IN 1 ML OF DILUTING AGENT

Question 8

DOSAGES

Answer 8

-HYPOGLYCEMIA- 1 MG IM/IN; MAY REPEAT IN 7-10 MINUTES
-CALCIUM CHANNEL BLOCKER TOXICITY- 3-10 MG SLOW IV OVER 3-5 MINUTES

Question 9

SPECIAL CONSIDERATIONS

Answer 9

-PREGNANCY SAFTEY- CATEGORY B
-NOT A FIRST LINE CHOICE FOR HYPOGLYCEMIA
-MAY CAUSE VOMITING AT A HIGHER DOSE
-INEFFECTIVE IF PT DOES NOT RESPOND TO SECOND DOSE

Question 10

CONTRADICTIONS

Answer 10

HYPERSENSITIVITY
PHEOCHROMOCYTOM & INSULINOMA