Medication 7-384 - Glucagon

CMH EMS & MIH Protocols

Scope of Practice:

• Advanced Emergency Medical Technician
• Registered Nurse
• Paramedic
• Community Paramedic

Route(s):

• IM/SQ, IO, IV,

Pharmacodynamics (class and mechanism of action):

• Other endocrine/metabolism (Converts hepatic glycogen to Glucose).

Pharmacokinetics:

• Half-life: 8-18 minutes.
• Onset time:
• IM: 4-10 minutes.
• IV: Immediate.
• Peak action time:
• IM: 13 minutes.
• IV: 30 minutes.
• Duration of action:
• IM: 12-32 minutes.
• IV: 60-90 minutes.

• Peak	5	10	15	20	25	30	35	40	45	50	55	minutes
  Duration	5	10	15	20	25	30	35	40	45	50	55	minutes

Dosing:

• Refer to specific protocol(s) below for dose(s).

Indications:

• Protocol 2-572 - Hypoglycemia.
• Protocol 2-638 - Overdose / Toxic Ingestion.

Contraindications:

• Pheochromocytoma (adrenal tumor).
• Insulinoma (pancreas tumor).

Pregnancy Risk Factor:

• Category B
• No risk in other studies: Animal reproduction studies have failed to demonstrate a risk to the fetus and there are no adequate and well-controlled studies in pregnant women, or animal studies have shown adverse effects, but adequate and well-controlled studies in pregnant women have failed to demonstrate a risk to the fetus in any trimester.

Potential Incompatibilities:

• NA.

Precautions and Adverse Effects:

• May cause severe rebound Hyperglycemia , hypotension, Nausea, Vomiting, Uticaria, Respiratory Distress, and/or Tachycardia.

Antidote:

• NA.

Controlled Substance Information:

• Not a scheduled drug
• The DEA and FDA have not identified this drug with a schedule classification.
• DEA number: NA.
• Narcotic: No.
• Street names: NA.

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CMH Mobile Integrated Healthcare Mission: "Provide exceptional, compassionate, and patient-centered care by a mobile collaborative team to improve patient experience, improve quality outcomes, and reduce healthcare costs."

Polk, Hickory, Cedar, & St Clair County EMS Protocols is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.