Glucose Gel

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Glucose Gel

Objectives• During this session we will discuss:• Class• Actions• Indications• Contraindications• Dosing/Routes• How supplied• Precautions• Side effects


• AntihypoglycemicClass:


Actions:• Carbohydrate• Increases serum glucose level


Indications:• Hypoglycemia in awake patients with aGCS of 14-15 and an intact gag reflex


• 25gm orallyDosing/Routes:


How supplied:


Contraindications:• Patients with altered mental status (GCS


Precautions:• Aspiration in patients with impaired airwaystatus


Side effects/adverse reactions:• Aspiration in patients with impaired airwaystatusRef: MWLCEMS Protocol and 2000 Mosby’s Nursing Drug Reference Book


Case StudyYou have been called to a local restaurantwhere you find a person who iscomplaining of dizziness and has a historyof Diabetes. You have obtained a glucoselevel and it is 54. Your patient is consciousand alert and you have decided to giveGlucose Gel. How much do you give?


Answer• 25gm or 1 tube of Glucose Gel as long asthe patient has an intact gag reflex.


Case Study• Your patient now is getting more drowsyand unable to swallow the Glucose Gel.You should now…


Answer• Consider Glucogon IN/IM or Glucose IV.

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