Glucagon

Question 1

Repetition Rate of glucagon

Answer 1

Never Repete… 1 dose MAX

Question 2

inclusion glucagon and insta

Answer 2

CBGM under 4.0 mmol

Question 3

route insta

Answer 3

orally

Question 4

route glugacon

Answer 4

IM injection

Question 5

what are the exclusion P.O…. can you still give glucagon?

Answer 5

trauma, post-seizure, stroke… glucagon ASAP

Question 6

exclusion glucagon

Answer 6

Latex allergy

Question 7

repetition rate of insta

Answer 7

if CBGM still under 4: q.15 mins

Question 8

insta repetition max

Answer 8

none.. .give until “will be sick”

Question 9

O2 level in MED16

Answer 9

depends on SPO2

Question 10

exclusion insta

Answer 10

none

Question 11

side effects of glucagon

Answer 11

nausea, vomiting, increased heart rate

Question 12

med16 is?

Answer 12

hypoglycémie

Question 13

If Pt. is alert and able PO, do you give glucagon?

Answer 13

no, try insta first

Question 14

Therapeutic effects of glucagon

Answer 14

temporary increase of glucose level … 30 mins MAX… and relieve temporarily the signs and symptoms

Question 15

comment faire un mélange sucré pour remplacé insta?

Answer 15

1/2 tasse de jus sucrée
OU
1 verre d’eau et 3 cuilleres a soupe de sucre

Question 16

dosage glucagon

Answer 16

pt. ≥ 25kg: 1mg

pt. <25kg: 0.5 mg (env. 8ans)

Question 17

glucagon repetition max

Answer 17

only once

Question 18

glucagon repetition rate

Answer 18

none

Question 19

dosage insta and DEX4

Answer 19

insta: 24g de glucides
DEX4: 15g

Question 20

apres 2X insta or juice, pas d’amelioration, what happens?

Answer 20

give glucagon then transport

Question 21

apres glucagon, do you give insta?

Answer 21

YES!!! if able PO and conscious enough

bcs glucagon will stop working soon

Question 22

how often do you verify CBGM?

Answer 22

q. 10 mins

Question 23

if PR or family gave glucagon already what happens?

Answer 23

• 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

Question 24

signs and symptomes for a CBGM

Answer 24

faiblesse, diaphorèse, tremblements, faim

Question 25

ordre de prio

Answer 25

jus, insta/DEX4 , glucagon

Question 26

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?

Answer 26

transport!!!

***insta or not??

Question 27

In which protocol do you give glucagon?

Answer 27

MED.16

Question 28

s’il y a un besoin d’intuber, quelle est l’ordre de la séquence à suivre?

Answer 28

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)

Question 29

can you do a transport non-urgent in med16?

Answer 29

no. too much risk to go back in hypoglycemia!

urgent or immediat only!

Question 30

how does the glucagon works in the body?

Answer 30

le glycogène du foie se transforme en glucose et est ensuite relâché dans le système vasculaire afin d’augmenter le niveau de glycémie.