2016 Trumbull Protocol Book

Glucagon

Glucagon

Action

Onset

Promotes glycolysis in the liver

Patient response within 15 minutes

Indications Hypoglycemia (Adult and Ped) Beta Blocker Overdose (Adult and Ped) Adult Dose Hypoglycemia: 1 mg IM Beta Blocker Overdose: 1-10 mg IVP

Pediatric Dose Hypoglycemia: 0.05 mg/kg IM, maximum 1 mg Beta Blocker Overdose: 0.05 mg/kg IVP, maximum 10 mg

Contraindications Hypersensitivity, hyperglycemia, allergies to beef or porcine proteins, insulinoma

Adverse Reactions Nausea, vomiting, especially in doses above 1 mg or rapid injection. Increase in blood pressure and pulse rate may occur. Allergic reactions are rare but may occur. Precautions Use caution in patients with diabetic patients who have coronary artery disease. Glucagon can cause hypertension. Considerations Patients who receive glucagon IV for the purpose of beta blocker overdose should be given ondansetron immediately afterward to manage vomiting. Do not mix with saline.

204

EMR

EMT

AEMT

Paramedic

Extended