Drug Therapy Protocols: Glucose gel

Drug Therapy Protocols: Glucose gel
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Date
October, 2015
Purpose
Scope
Author
To ensure a consistent procedural approach to Glucose gel administration.
Applies to all QAS clinical staff.
Clinical Quality & Patient Safety Unit, QAS
Review date
October, 2017
URL
https://ambulance.qld.gov.au/clinical.html
This work is licensed under the Creative Commons
Attribution-NonCommercial-NoDerivatives 4.0
International License. To view a copy of this license,
visit http://creativecommons.org/licenses/by-nc-nd/4.0/.
Glucose gel
October, 2015
Drug class
Side effects
Hyperglycaemic
UNCONTROLLED WHEN PRINTED
Pharmacology
• Nausea and/or vomiting
Glucose gel is a form of pure glucose that is absorbed quickly in the
intestinal tract after ingestion. It is the principal energy source for body cells especially the brain. [1,2]
• Diarrhoea
Presentation
Metabolism
Glucose is broken down in most tissues and distributed throughout
total body water.[1] UNCONTROLLED WHEN PRINTED
• Tube, 15 g glucose (Glutose 15™)
Indications
• Symptomatic hypoglycaemia (with the ability to self-administer oral glucose)
Onset
Duration
Half-life
≈ 10 minutes
Variable
Not applicable
UNCONTROLLED WHEN PRINTED
Contraindications
• Unconsciousness
• Patients with difficulty swallowing
• Patients < 2 years
Schedule
• Unscheduled.
Routes of administration
CCP
ACP2
P
ACP1
FR
UNCONTROLLED WHEN PRINTED
Per oral (PO)
Precautions
• Nil
Figure 4.14
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Glucose gel
Adult dosages
Symptomatic hypoglycaemia (with the ability to UNCONTROLLED
WHEN
PRINTED
P
CCP
ACP2
FR
ACP1
self-administer oral glucose)
PO
15 g
Repeated once at 15 minutes
if BGL ≤ 4.0 mmol/L. Total maximum dose 30 g.
UNCONTROLLED WHEN PRINTED
Paediatric dosages
Symptomatic hypoglycaemia (with the ability to CCP
ACP2
P
ACP1
self-administer oral glucose)
PO
≥ 2 years – 15 g
Repeated once at 15 minutes
if BGL ≤ 4.0 mmol/L. Total maximum dose 30 g.
FR
UNCONTROLLED WHEN PRINTED
Special notes
UNCONTROLLED WHEN PRINTED
• Patients are to swallow the entire contents of the tube where
possible, to maximise the rise in blood glucose levels.
726
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