glucagon.txt

Card Set Information

Author:
papeirce
ID:
76977
Filename:
glucagon.txt
Updated:
2011-04-03 13:43:18
Tags:
paramedic medications drugs prehospital glucagon
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Description:
Prehospital Medication Flashcards for Paramedic School - Massachusetts and Rhode Island
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  1. Glucagon

    Trade Name
    GlucaGen
  2. Glucagon

    Class
    • Hyperglycemic agent
    • Pancreatic Hormone
    • Insulin Antagonist
  3. Glucagon

    Mechanism of Action
    • Increases blood glucose by stimulating glycogenesis.
    • Unknown mechanism of stabilizing cardiac rhythm in beta-blocker overdose
    • Minimal positive inotrope and chronotrope
    • Decreases GI motility and secretions
  4. Glucagon

    Indications
    • Altered level of consciousness when hypoglycemia is suspected
    • May be used as inotropic agent in beta-blocker overdose
  5. Glucagon

    Contraindications
    • Hyperglycemia
    • Hypersensitivity
  6. Glucagon

    Adverse Reactions
    • Nausea
    • Vomiting
    • Tachycardia
    • Hypertension
  7. Glucagon

    Drug Interactions
    • Incompatible in solution with most other substances
    • No significant drug interactions with other emergency medications
  8. Glucagon

    How Supplied
    • 1 mg ampules
    • (requires reconstitution with diluent provided)
  9. Glucagon

    Dosage and Administration
    Adult
    0.5 -1 mg IM, SC, or slow IV; may repeat q 20 minutes PRN
  10. Glucagon

    Dosage and Administration
    Pediatric
    • 0.03 -0.1 mg / kg / dose
    • (not to exceed 1 mg) q 20 min. IM, IO, SC, Slow IV
  11. Glucagon

    Duration of Action
    • Onset: I minute
    • Peak effect: 30 minutes
    • Duration: Variable (generally 9-17 minutes)
  12. Glucagon

    Special Considerations
    • Pregnancy safety: Category C
    • Ineffective if glycogen stores depleted
    • Should always be used in conjunction with 50% dextrose whenever possible
    • If patient does not respond to second dose glucagon, 50% dextrose must be administered

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