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emt pharm > glucagon > Flashcards

glucagon Flashcards

1
Q

what is Glucagon

A

endogenous hormone

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2
Q

what is the action of Glucagon

A

stimulates glycogenolysis ( splitting of glycogen into glucose) in the liver

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3
Q

indications for Glucagon

A

hypoglycemia , where;

  • No iv access
  • unable to swallow glucose or food
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4
Q

contra indications to Glucagon

A

Known severe allergy

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5
Q

Glucagon cautions?

A

None

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6
Q

use of Glucagon in pregnancy or breast feeding

A

safe

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7
Q

Adult dose of Glucagon

A

Adult or child

greater than or equal to 5 years old

1Mg IM

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8
Q

Glucagon dose for child less than 5years

A

0.5mg IM

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9
Q

What steps for drawing up and adminstering Glucagon

A
  1. Drug check the vial with partner
  2. push the contents of the glass syringe into the powder vial
  3. shake the vial with syringe attached
  4. withdraw the dose back into syringe
  5. swab the lateral thigh or lateral upper arm
  6. perform IM adminstration
  7. discard the entire syringe and needle with out re capping
  8. Document time and drug
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10
Q

what is the preferred IM adminstartion site

A

Laterla thigh

or Lateraly upper arm

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11
Q

adverse affects of IM Glucagon

A

none

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12
Q

Onset time for IM Glucagon

A

5 - 10 minutes

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13
Q

Glucagon: duration of effect

A

15 - 60 mins

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14
Q

Glucagon: usual preparation

A

1mg powder in vial

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15
Q

Glucagon: pharmacokinetics

A

excreted unchanged via bile and urine

( no problem with hepatic or renal impairment)

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16
Q

Glucagon: interactions

A

none

17
Q

Glucagon: relies on what to be effective

A

glycogen stores - none it wont work

may not be effective in ;

  • sepsis
  • young child
  • non diabetic
  • after strenous activity
  • patient not eaten more than 12 hours
  • suffering fromn adrenal insufficiency
  • chronic hypoglycemia
  • alcohol induced hypoglycemia
18
Q

Glucagon: following adminstration ensure the patient ,,,

A

eats some complex caoh

19
Q

what affect does Glucagon have on the tone and motility of GI smooth muscle

A

reduces the tone - not recommend in oesophageal obstruction

20
Q

which ATP may adminster Glucagon

A

EMT

para

ICP

emt pharm (3 decks)

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