PATIENT INSTRUCTIONS FOR INTRANASAL(IN) GLUCAGON:
| Why do I need to use it? | · Glucagon should be used to raise glucose levels that are dangerously low.
· Glucagon raises the glucose by stimulating the release of glycogen from the liver and muscles. |
| When do I need to use it? | · In the event that your child has a severely low glucose level, and is unconscious, cannot swallow, or is seizing.
· IN Glucagon can be given even with a runny or congested nose. · Available for anyone 4 years and older. · Do not remove the shrink wrap until it’s being used. |
| How to dose / administer it? | · Remove the shrink wrap by pulling on the red stripe
· Open the lid and remove the device from the tube. · Hold device between fingers and thumb. · Gently insert tip into nostril until fingers touch the outside of the nose. · Push plunger firmly all the way. · Administration is complete when green line disappears. |
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| What to expect after its administration? | · Turn the person to the side in case of vomiting.
· CALL 911 if not responsive in 15 minutes. · If the child does not respond within 15 minutes, another dose may be given; wait for emergency help. |
| · When the child is alert, encourage food intake as soon as possible.
§ ½ cup juice/regular soda § 1 tube glucose gel · When fully awake give a larger snack regardless of the blood sugar. § 1 package cheese or peanut butter crackers § ½ sandwich + ½ cup milk |
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| · Check the child’s glucose level at least 4-6 times in the next 24 hrs.
· Watch for ‘rebound highs’ and more low glucose levels. · Eat all meals and snacks as normal and target glucose of 150-200 mg/dl over the next 2-3 days to replenish liver glycogen stores. · Call your provider’s office to report Nasal Glucagon use, for dose adjustments and to get a new prescription. · Watch for side effects from the glucagon, upset stomach, nausea or vomiting. · If necessary, follow the “Clear Ketones” guidelines in your diabetes packet. |
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| THROW AWAY GLUCAGON CONTAINER AFTER ITS USE. | |
FOR URGENT CALLS, please call your Diabetes Clinic Emergency On-Call Number