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Glucagon
glucagon
| Question | Answer |
|---|---|
| GENERIC NAME | None |
| BRAND NAME | Glucagon |
| CLASS | Hyperglycemic agent, pancreatic hormone, insulin antagonist |
| MECHANISM OF ACTION | Increases blood glucose level by stimulating glycogenolysis. Unknown mechanism of stabilizing cardiac rhythm in beta blocker overdose. Minimal positive inotropic and chronotropic effect. Decreases GI motility and secretions. |
| INDICATIONS | ALOC why hypoglycemia is suspected. May be used as an inotropic agent in beta blocker overdose. |
| CONTRAINDICATIONS | Hyperglycemia, hypersensitivity |
| ADVERSE REACTIONS | N/V tachycardia, hypertension |
| NOTES ON ADMINISTRATION | Pregnancy category C. should always be used in conjunction with 50% dextrose whenever possible. |
| INCOMPATABILITIES/DRUG INTERACTIONS | Incompatible in solution with most other substances. No significant drug interactions with other emergency medications. |
| DOSE/ROUTE, Adult, Hypoglycemia | 0.5-1mg IM. May repeat in 7-10 minutes. |
| Adult, Calcium channel blocker or beta blocker overdose | 3mg initially,followed by an infusion at 3mg/hr as necessary. |
| Pediatric, hypoglycemia | 0.5-1mg IM. |
| Pediatric, calcium channel blocker and beta blocker overdose | Not recommended. |
| ONSET OF ACTION | 1 minute |
| PEAK EFFECTS | 30 minutes |
| DURATION OF ACTION | Variable |
| AZ DRUG BOX SUPPLY RANGE | 2mg. |