Steps to Administer Baqsimi During Hypoglycemia
Baqsimi is a nasal spray glucagon device for severe hypoglycemia in adults and children 4 years and older when impaired consciousness prevents oral carbs. Each device delivers one 3 mg dose.[1]
1. Check the device: Confirm it's not damaged, the nozzle cover is in place, and it's not expired. Peel off the white tab to remove the red safety guard.
2. Position the person: Place them on their side in the recovery position to prevent choking if they vomit.
3. Insert nozzle: Hold the device with thumb on the plunger and fingers on the edges. Place nozzle tip snugly into one nostril, aiming slightly toward the back of the nose (don't inhale or block the other nostril).
4. Press firmly: Push the plunger all the way in with one quick motion to release the spray. You may hear a click or see mist. Don't shake or prime the device.
5. After administration: Throw away the used device (it can't be reused). Turn the person onto their side and monitor breathing/airway. Call emergency services immediately, as symptoms may not improve for 15 minutes.
What Happens After Dosing and Timeline
Glucagon raises blood glucose within 10-20 minutes in most cases. Retest blood sugar every 15 minutes. If no response after 15 minutes, give a second dose from a new device if available, then call 911.[1][2]
Common Mistakes to Avoid
- Don't use if person can swallow carbs safely.
- Avoid blocking both nostrils or inhaling during spray.
- Don't reuse or repurpose the single-use device.
- Skip if hypersensitivity to glucagon known.
Storage and Shelf Life
Store at 36-77°F (2-25°C) in its pouch, away from heat/freezing. Expires 3 years from manufacture; check date on box.[1]
Who Shouldn't Use It and When to Call 911
Avoid in pheochromocytoma, insulinoma, or post-gastric surgery patients due to risks like hypertension or nausea. Always seek emergency help after use, even if recovery starts—hypoglycemia can recur.[2]
[1]: Baqsimi Prescribing Information (FDA)
[2]: Eli Lilly Baqsimi Instructions