emt-basic curriculum module 4

State of WisconsinEMT-Basic: A Practice BasedApproach to EMS Educationg) Actions - increases blood sugarh) Side effects - none when given properly. May beaspirated by the patient without a gag reflex.i) Re-assessment strategies - if patient losesconsciousness or seizes, remove tongue depressor frommouth2. Glucagona) Medication Name(1) Generic - glucagon(2) Trade - Glucagonb) Indications – unresponsive patients with a known historyof diabetes controlled by medicationc) Contraindications(1) allergy to drugd) Medication form – powdered tablet, reconstituted in 1mlof diluente) Dosage – 1mg/mlf) Administration(1) Contact medical control(2) Report assessment findings including signs andsymptoms of hypoglycemia and blood glucosemeasurement(3) Report prior interventions(4) Request implementation of glucagon protocol(5) Confirm orders from medical control(6) Obtain consent and explain procedure, if possible(7) Confirm right patient(8) Reconstitute glucagon(a) Inspect package and both vials insuringright medication, dose and expiration date(b) Remove “flip-off” seals from vials(c) Wipe rubber stoppers with alcohol prep-pad(d) Using sterile 3 ml IM syringe, removeneedle protector from syringe(e) Draw plunger back to 1ml (cc) mark(f)(syringe now contains 1ml of air)Pierce the center of the stopper of the vialcontaining the diluting solution with theneedle of the syringe(g) Turn the vial upside down and inject the 1ml of air from the syringe into the vial (thisprocedure makes it easier to withdraw fluidfrom vial)(h)Keeping the tip of the needle in the diluent,withdraw fluid from vial into the syringeModule 4-46