What is the recommended treatment for a hypoglycemic patient without IV access?

For a hypoglycemic patient without IV access, administering glucagon intramuscularly is a recommended treatment because it is an effective way to rapidly increase blood glucose levels. Glucagon stimulates the liver to release stored glucose into the bloodstream, making it particularly useful in emergencies where the patient is unable to consume food or drink due to altered mental status or unconsciousness.

While glucagon is effective in treating hypoglycemia, it is important to note that glucose can also be given orally if the patient is conscious and able to swallow. However, in cases where IV access is not available and the patient is not able to take glucose orally, glucagon becomes the preferred method of treatment.

Epinephrine is not indicated for treating hypoglycemia; rather, it is used for severe allergic reactions or anaphylaxis. Immediate transport to the hospital is indeed important for further management, but it does not address the urgent need to correct the hypoglycemic state in the moment. Therefore, administration of glucagon is the best immediate intervention when IV access cannot be obtained.