Oral Glucose

Question 1

Oral glucose trade name

Answer 1

Insta-glucose, monogel

Question 2

How is oral glucose supplied?

Answer 2

25g/tube

Question 3

Actions (Pharmacodynamics) - Oral glucose

Answer 3

A monosaccharide that is given orally and is readily absorbed in the intestine.

Question 4

Indications - Oral glucose

Answer 4

Hypoglycemia in patients who are alert, are able to follow commands & can swallow

Question 5

Dosage - Oral glucose

Answer 5

Adult/Pediatric – 25 g orally (may repeat in 5 minutes if necessary); to a maximum of 50 g (Administer the entire contents of tube (25g) slowly and intermittently while patient swallows).

Question 6

Contraindications - Oral glucose

Answer 6

❑ Any patient who is not alert
❑ Any patient unable to follow commands
❑ Any patient who lacks a gag reflex

Question 7

Precautions - Oral glucose

Answer 7

May cause nausea or the patient may gag when administered

Question 8

Does oral glucose absorb sublingually or buccally?

Answer 8

NO

Question 9

After the hypoglycemia is corrected with administration of oral glucose, what must be given next?

Answer 9

Other carbohydrates must be given to prevent relapse after hypoglycemia is corrected. I.E Make your patient a peanut butter sandwich.

Question 10

When is the maximal clinical effect of oral glucose?

Answer 10

The maximal clinical effect is 50 min