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Glucagon & Pitocin
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What is the generic name for Glucagon?
Glucagon
What is the brand name for Glucagon?
Glucagon
What is the class for Glucagon?
Pancreatic hormone
What is the mecahnism of action for Glucagon?
Converts liver glycogen to glucose raising serum glucose levels
Reverses effects of hypoglycemia
Smooth muscle relaxant
Cardiac inatrope
What are the indications and field use for Glucagon?
Hypoglycemia if IV unattainable
Why?
Raises blood sugar levels by converting glycogen to glucose
Trapped food bolus in esophagus
Why?
Smooth muscle relaxant may allow food to pass to stomach
Beta-Blocker OD
Why?
Positive cardiac inotrope
Doseage for Glucagon?
All hytpoglycemic doses are IM. Other indications may be given IV.
Adult:
Hypoglycemia
Glucagon 1mg IM
Smooth muscle relaxant/Beta-blocker OD
Per agency or patch with medical control
Contraindications for Glucagon?
Known hypersensitivity / allergy
Pheocromocytoma
Insulinoma
Drug interactions for Glucagon?
None
Side effects for Glucagon?
Palpitations
Nausea/Vomiting
Hypotension/Tachycardia
Onset of action for Glucagon?
8-10 minutes
Allow time to work before considering request for second dose
AZ Drug Box Supply for Glucagon?
4 x Box of 1mg glucagon powder in vial & 1cc diluting solution in vial or preloaded syringe
Generic name for Pitocin?
Oxytocin
Brand name for Pitocin?
Pitocin
Syntocin
Class for Pitocin?
Pituitary hormone
Mechanism of action for Pitocin?
Oxytocin receptor agonist
Increases force & frequency of urinary contractions
Indications and field use for Pitocin?
Postpartem hemorrhage AFTER delivery of placenta and twins/triplets if any
Why
Stimulates uterus to contract which slows bleeding
Dosage for Pitocin?
All dosages via IV infusion or IM
Adult
Infusion
Pitocin 10 units added to 10000cc LR infused at rate necessary to control bleeding
IM
10 units IM
Contraindications for Pitocin?
Known hypersensitivity/allergy
Baby/Babies have not yet delivered
Placenta has not yet delivered
Drug interactions for Pitocin?
None
Side effects for Pitocin?
Seizures
Nausea/Vomiting
Anaphylaxis
Tachycardia
Clotting disorders
Hypertension
Electrolyte disturbances
Dysrhythmias
If used before delivery of baby or placenta
Uterine rupture
Uterine spasm
Uterine laceration
Uterine fetal damage
Hypotension
Onset of Action for Pitocin?
Seconds
Peak Effect for Pitocin?
Variable
Duration of action for Pitocin?
For 1 hour after use discontinued
AZ Drug box supply for Pitocin?
2 x 10 units in 1cc vial, ampule or Tubex syringe
Author
cjl410
ID
175623
Card Set
Glucagon & Pitocin
Description
Phoenix College Paramedic 2012 2013 Drug Profiles - Glucagon & Pitocin
Updated
2012-10-05T00:30:32Z
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