5 • 716 Ratings
🗓️ 15 October 2020
⏱️ 13 minutes
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0:00.0 | Hey all, welcome back to the Real Life Pharmacology podcast. |
0:04.0 | I am your host, Eric Christensen, and I thank you so much for listening today. |
0:08.3 | Always remember, go to real-life pharmacology.com and hit the subscribe button |
0:13.4 | and get your free 31-page PDF on the top 200 drugs. |
0:18.6 | It's a study guide that I put together and is absolutely free to you, |
0:23.4 | simply for following the podcast. We email you when we've got new podcast, new content |
0:29.6 | available there. So with that said, let's get into the drug of the day today, and I am going to cover glucagon. |
0:40.2 | So glucagon has a couple of different brand names, glucagen, as well as boxemi. |
0:46.3 | And the glucogen is an injection, and the boxemia is a newer agent that is actually nasal administration of glucagon. What's glucagon used for? |
0:59.2 | There's a couple of oddball things that it can be used off-label for an alternative to epinephrine |
1:06.2 | in an anaphylaxis type situation, beta blocker and calcium channel blocker overdose. |
1:12.6 | But by far, the most common use that I've seen in clinical practice is for the management of hypoglycemia. |
1:21.6 | So hypoglycemia is generally defined as a blood sugar of less than 70 milligrams per deciliter. |
1:31.5 | With that said, you may have patients experiencing symptoms sometimes, you know, a little bit higher than that, for example. |
1:40.8 | Think about some of those, you know, symptoms of hypoglycemia. |
1:45.6 | It could be sweating, could be dizziness, shakiness, excessive hunger, obviously that makes sense, fatigue, |
1:54.7 | maybe some little bit of nausea and vomiting potentially in more serious cases. |
2:00.7 | But we don't always give glucagon for hypoglycemium. |
2:06.2 | We really reserve that glucagon for situations where we're concerned about oral intake. |
2:14.0 | So if patients are unconscious, for example, or if they have an altered consciousness |
2:20.6 | where maybe we're concerned about them choking or aspirating if we try to do oral intake. So |
2:28.2 | that's more of the situation where we're going to use glucagon. If we have hypoglycemia and |
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