Name: GLUCAGON HCL (GlucagonR)
Classification: exogenous hormone
  • increases blood glucose concentrations by converting hepatic glycogen to glucose
  • produces relaxation of the smooth muscle of the stomach, duodenum, small bowel and colon; used in diagnostic tests requiring a hypotonic state
  • has inotropic and chronotropic effects, possibly by stimulating the release of catecholamines; can be used to counteract the symptoms of beta blocker overdose
Dose:
  • 1 mg = 1 unit
  • for severe hypoglycemia or termination of insulin shock:  0.5-1 mgIM, SC or IV q 5-25 minutes to a maximum of 3 doses
  • as a diagnostic aid: 1-2 mg IM or 0.25-2 mg IV depending on desired onset of action and desired duration of effect
  • for beta blocker overdose: 
    • bolus dose of 3-10 mg q10min as required
    • infusion at 1-5 mg/hr, titrated to patient response
Administration: IV Infusion:
dilute in D5W for a final concentration of 0.1mg/ml
  • use provided diluent only if dose <2 mg and for intermitten injection; otherwise use sterile water for injection, then dilute further with D5W if reuired.
Adverse Effects:
  • nausea, vomiting
  • hypokalemia
  • increased HR, BP
Caution:
  • in patients with pheochromocytoma as may induce sudden release of large amounts of catecholamines from the tumour
  • in patients with insulinoma as may induce tumour to release insulin, precipitating hypoglycemia
Drug Interactions:
  • glucagon + epinephrine = increased and prolonged hyperglycemic effect of glucagon
Monitoring Therapy:
  • serum glucose
  • HR
  • BP
  • serum electrolytes
  • CCTC Protocol:
    • May be administered by IM, SC or by IV infusion by an approved nurse in CCTC. 
    • Continuous infusion must be administered via an infusion pump. 


    Lynne Kelly, Pharmacist, CCTC
    Brenda Morgan, Clinical Nurse Specialist, CCTC
    Last Update: August 7, 2006

    LHSCHealth Professionals

    Last Updated March 24, 2009 | © 2007, LHSC, London Ontario Canada