hypoglycemia from an insulin overdose
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Glucagon
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GlucaGen
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Hypoglycemia from an insulin overdose
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Gastrointestinal effects (nausea, vomiting)
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Hypotension
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Anaphylaxis
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Turn unconscious clients on their side to prevent aspiration from vomit- ing.
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Monitor for persistent nausea and vomiting.
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Monitor fluid and carbohydrate intake.
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Assess neurologic status throughout treatment
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Monitor for signs of hypoglycemia before and during treatment
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Give IV, IM, or subcutaneously.
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Expect unconscious clients to regain consciousness about 20 min after IV administration.
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Provide food after clients regain consciousness and can swallow.
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Be aware that, for severe hypoglycemia, IV glucose is the treatment of choice because it acts faster than glucagon does.
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Warn client and family that vomiting is common after administration of glucagon
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Explain need to keep client on side until consciousness is regained
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Encourage oral intake when tolerated to prevent another episode of hypoglycemia
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Educate client on signs and symptoms of hypoglycemia and how to prevent severe hypoglycemic event by carrying sugar packets or candy for emergencies.
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Hypoglycemia from starvation (due to the lack of stored glycogen)
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Pheochromocytoma
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Hypersensitivity to sulfites used as preservatives (wine, foods), other drugs related to sulfonamides (acetazolamide, thiazide diuretics, tolbutamide)
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Cardiovascular disorders
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Adrenal insufficiency
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Effects of oral anticoagulants (warfarin) increase.
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Negates effects of insulin
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Phenytoin inhibits glucagon
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