GLUCAGON ADMINISTRATION

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• GLUCAGON ADMINISTRATION

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Overall goal Optimal student health and
learning
Knowing about glucagon administration is critical
to student success. But just one piece of
comprehensive management plan.
Ketones
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Learning Objectives

• Participants will learn
• What glucagon is
• How glucagon should be stored
• When glucagon is used
• How to administer glucagon

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What is Glucagon?

• Naturally occurring hormone made in the pancreas
• A life-saving, injectable hormone that raises
  blood glucose level
• Treatment for severe hypoglycemia
• Can save a life
• Cannot harm a student

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Glucagon Kit Storage

• Place As designated in DMMP.
• Store at room temperature
• Expiration date Monitor
• After mixing, dispose of any unused portion.

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Emergency Kit Contents

• 1 mg of freeze-dried glucagon (Vial)
• 1 ml of water for reconstitution (Syringe)

Combine immediately before use
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When to Give Glucagon

• If authorized by the students DMMP and if
  student exhibits
• Unconsciousness, unresponsiveness
• Convulsions or seizures
• Inability to safely eat or drink

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Procedure Act Immediately

• Position student safely on side for comfort and
  protection from injury
• Call 911, parents, school nurse as per DMMP

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Preparation

• 1. Flip cap off glass vial containing dry powder
• 2. Remove cap from syringe

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Mixing Solution

• 3. Inject entire fluid in syringe into the bottle
  containing powder
• 4. Shake gently or roll to mix until all powder
  is dissolved and solution is clear.

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Drawing out

• 5. Inspect. Solution should be clear and
  colorless.
• 6. Draw prescribed amount of glucagon back into
  syringe.

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Dosing Injecting

• 7. Clean site if possible
• 8. Inject at 90 into the tissue under cleansed
  area, using the same technique as an insulin
  injection (however, needle is much larger than
  insulin syringe needle)
• buttocks
• thigh
• arm

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After Injecting

• May take 15-20 minutes for student to regain
  consciousness.
• Check blood sugar.
• Give sips of fruit juice or regular soda, once
  student is awake and able to drink.
• Advance diet as tolerated.
• Document as per DMMP

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Don't be surprised if. . .

• Student does not remember being unconscious,
  incoherent or has a headache
• Blood sugar becomes very high (over 200)
• Nausea or vomiting occurs