Hypoglycemia Medical Directive

LOW BLOOD SUGAR I NEED SUGAR

Indications

Suspected hypoglycemia

Medications

• Dextrose

• Glucagon

Dextrose Conditions

• = or > 2 years

• Altered LOA

• Hypoglycemia

Glucagon Conditions

• = or > 4 years for IN powder

• Altered LOA

• Hypoglycemia

Dextrose Contraindications

Allergy or sensitivity to dextrose

Glucagon Contraindications

• Allergy or Sensitivity to Glucagon

• Pheochromocytoma

Glucagon IM Dose > 25kg

• 0.5mg

• 0.5 max

Glucagon IM Dose < 25kg

1mg

Glucagon IN Dose (= or > 4 years)

• 3mg

• 3mg max

Glucagon Dosing Interval

20 mins

Glucagon Max # of Doses

2

Glucagon Clinical Considerations

• If pt responds to glucagon they may recieve oral glucose or other simple carbohydrates

• If only mild signs or symptoms are exhibited the pt may receive oral glucose or other simple carbohydrates

• If pt initiates a informed refusal of transport a final set of vitals + blood glucometry must be attempted and documented

• IN glucagon is a powder that is supplied in a commercially available single-dose intranasal device