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

• Comes in a individual case for each diabetic
  student
• The medication is pre-measured
• The directions for giving the shot are right
  there for you to review!
• It comes in a vial containing powder that must
  be mixed with the pre-filled syringe

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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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Two Makers of Glucagon

• The Glucagon Emergency Kit from Eli Lilly

• The Glucagon Emergency Kit from Novo Nordisk

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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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Prepare the Glucagon

• Remove vial cap
• Remove needle cover
• Inject contents of syringe into vial held
  upright
• Remove needle from vial. Handle safely
• Swirl vial gently until powder is dissolved and
  liquid is clear

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Fill the Syringe

• Once solution is clear
• Hold vial upside down and withdraw all solution
  into syringe. If the student weighs less than 44
  pounds (about 5 years old), only 1/2 of the
  solution is withdrawn into the syringe
• Remove needle from vial

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Remove the Bubbles

• Hold syringe upright and remove air bubbles by
  tapping syringe and expelling air

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Clean the Skin

• Expose injection site upper, outer area of arm
  or thigh
• Hold syringe safely, use other hand to clean
  injection site with alcohol

Wipe Chosen Site
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Inject the Glucagon
Pinch up skin.

• Pinch up skin/ muscle
• Insert needle straight into skin/muscle of arm or
  thigh
• Push plunger in to inject Glucagon
• Count to 5

Push needle straight in!
Push plunger in.
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Remove the Needle

• Remove needle while pressing gently with alcohol
  wipe or cotton ball at injection site
• DO NOT RECAP THE NEEDLE!
• Massage site for 10 seconds, apply Band-Aid if
  necessary
• Carefully put used syringe back into the Glucagon
  case

Withdraw the needle and wipe the site.
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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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After Administration

• Keep the student on his/her side - this is the
  Recovery Position that keeps them safe
• It may take the student 10-20 minutes to wake up
• Maintain an open airway
• Wait for EMS - hopefully theyve already arrived!

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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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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