Glucagon Flashcards
Repetition Rate of glucagon
Never Repete… 1 dose MAX
inclusion glucagon and insta
CBGM under 4.0 mmol
route insta
orally
route glugacon
IM injection
what are the exclusion P.O…. can you still give glucagon?
trauma, post-seizure, stroke… glucagon ASAP
exclusion glucagon
Latex allergy
repetition rate of insta
if CBGM still under 4: q.15 mins
insta repetition max
none.. .give until “will be sick”
O2 level in MED16
depends on SPO2
exclusion insta
none
side effects of glucagon
nausea, vomiting, increased heart rate
med16 is?
hypoglycémie
If Pt. is alert and able PO, do you give glucagon?
no, try insta first
Therapeutic effects of glucagon
temporary increase of glucose level … 30 mins MAX… and relieve temporarily the signs and symptoms
comment faire un mélange sucré pour remplacé insta?
1/2 tasse de jus sucrée
OU
1 verre d’eau et 3 cuilleres a soupe de sucre
dosage glucagon
pt. ≥ 25kg: 1mg
pt. <25kg: 0.5 mg (env. 8ans)
glucagon repetition max
only once
glucagon repetition rate
none
dosage insta and DEX4
insta: 24g de glucides
DEX4: 15g
apres 2X insta or juice, pas d’amelioration, what happens?
give glucagon then transport
apres glucagon, do you give insta?
YES!!! if able PO and conscious enough
bcs glucagon will stop working soon
how often do you verify CBGM?
q. 10 mins
if PR or family gave glucagon already what happens?
- take glycemie upon arrival,
- take another one 10 mins after administration of their glucagon.
- give YOUR glucagon 15 mins after 1st one (from PR or Family) if criterias are still present
signs and symptomes for a CBGM
faiblesse, diaphorèse, tremblements, faim
ordre de prio
jus, insta/DEX4 , glucagon
if after 2 doses of insta/DEX4, pt has no improvement, go to glucagon… BUT he is allergic to latex!!
what do you do then?
transport!!!
***insta or not??
In which protocol do you give glucagon?
MED.16
s’il y a un besoin d’intuber, quelle est l’ordre de la séquence à suivre?
intubation avant meds puisque le glucagon ne ramènera pas le pt. a un état de conscience normal puisque la perte de conscience est dû à un hypoventilation (COMBITUBE et ventilation est alors mieux!!)
(souce: QR2018)
can you do a transport non-urgent in med16?
no. too much risk to go back in hypoglycemia!
urgent or immediat only!
how does the glucagon works in the body?
le glycogène du foie se transforme en glucose et est ensuite relâché dans le système vasculaire afin d’augmenter le niveau de glycémie.
