NOTE: 1000 micrograms = 1 mg = 1 unit
Information on intranasal glucagon (for hypoglycemia management in 4 years and older ONLY):
Intranasal Glucagon (Baqsimi®) Staff Education Material
Intranasal Glucagon IWK Poster
Go to Atlantic Canada Poison Centre Antidote Kit for information on antidote administration
Antidote
Go to Atlantic Canada Poison Centre Antidote Kit for information on antidote dosingSevere hypoglycemia
Go to clinical order set IWK_TRHY “Treatment for Hypoglycemia in Children and Youth with Diabetes"Patients less than 4 years of age AND less than 20 kg
0.5 mg IM (preferred)/Subcutaneous oncePatients less than 4 years of age AND 20 kg and greater
1 mg IM (preferred)/Subcutaneous oncePatients 4 years and older
3 mg (1 actuation) intranasal once . If no response after 15 minutes, may repeat dose using a new device. NOTE: inhalation not necessary.Anaphylaxis in Emergency Department (Refractory)
Go to clinical order set IWK ANED20 to 30 micrograms/kg (maximum 1 mg/dose) IV/IO x 1, followed by 5 to 10 micrograms/minute as continuous infusion (IV/IO)