UNCONTROLLED WHEN PRINTED
 Introduction
  • Rapidly absorbed from oral/buccal mucosa to increase blood glucose concentration
  • Onset 2-5 minutes; duration 12-25 minutes
  • Contains 15 g glucose

Pharmacology Review

 Indications

Demonstrated hypoglycaemia in:

  • Altered conscious state in a known diabetic.
  • Altered conscious state of unknown medical cause, where blood glucose level is below 4 mmol/L.
 Contraindications
  • Nil
 Precautions / Notes
  • Have patient's airway patent and in lateral position if unconscious.
  • Always consider patient’s airway when administering gel.
  • Even if fully recovered, patients should be encouraged to be transported to a medical facility to ensure effective follow up and review.
  • Will liquefy over 30°C, however it is still useable.
 Preparation
Preparation
 Management
 Weight-based Calculations
 
Clear
 kg 
Mode: 
Weight: 
Cefazolin for fractures/prophylaxis
Presentation: /mL
Calculated dose:  in

Adult:

  • Squeeze contents of tube (or as much as practical) into lower cheek pouch over gums/cheek and externally massage cheek.
  • Repeat after 10 minutes if still altered consciousness or deteriorating.

Child:

  • Administer small amounts of oral glucose gel into lower cheek pouch over gums/cheek and externally massage cheek.
  • Repeat after 10 minutes if still altered consciousness or deteriorating.
  • Do not delay transport.

Neonate/Infant:

  • Process for buccal administration of oral glucose gel:
    • Wearing a clean glove, gently dry the infant's buccal mucosa with gauze/pad.
    • Place a small amount of oral glucose gel onto gloved finger and gently massage into the infants buccal mucosa.
    • DO NOT administer the gel directly from the tube into the infants mouth.
    • Use only a portion of the tube, titrate to effect.
  • Repeat as necessary after 10 minutes if still altered consciousness or deteriorating.
  • Do not delay transport.
 Special Considerations
  • Airway obstruction
Presentation
  • 15g glucose gel in tube
Glucogel
Settings
Current mode:
Extended Care:
Colour assist:

References
References

Document Control


Directorate
Clinical Services

Responsible Manager
Head of Clinical Services

Version

Issue Date

Expiry Date

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