Oxygen & Aspirin

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Oxygen & Aspirin
2012-09-16 19:17:15
Phoenix College Paramedic 2012 2013 Drug Profiles Oxygen Aspirin

Phoenix College Paramedic 2012 2013 Drug Profiles - Oxygen & Aspirin
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  1. Mechanism of Action for Oxygen
    • Rapidly diffuses across alveolar walls
    • Binds to hemoglobin in RBC
    • Reverses effects of hypoxemia in brain, heart, other body tissues
    • Increases arterial oxygen tension
    • Necessary for breakdown of glucose into ATP
  2. Indications and field use of Oxygen:
    Systemic or local hypoxemia is present

    Dyspnea, respiratory arrest, chest pain, shock, cardiopulmonary arrest, unconsciousness, submersion, toxic inhallations, stroke, head injury, seizures, critical patient
  3. Contraindications of Oxygen:
    None in prehospital
  4. Adverse reactions of Oxygen:
    None in prehospital
  5. Incompatibilities / Drug Interactions of Oxygen:
    None in prehospital
  6. Adult and Pediatric Dosage of Oxygen:
    • Nasal Cannula - 1-6 (LPM)
    • Simple Face Mask - 8-10 
    • Non-Rebreather 10-15
    • Bag Valve Mask 15
  7. Routes of Administration of Oxygen:
    • Nasal Cannula
    • Simple Face Mask
    • Non-Rebreather
    • Bag Valve Mask
  8. Onset of Action of Oxygen:
  9. Peak Effects of Oxygen:
  10. Duration of Action of Oxygen:
  11. Dosage Forms / Packaging of Oxygen:
    Steel or aluminum gree canisters with pressure of 2,000-2,200psi.

    High pressure is reduced with a regulator
  12. Special Notes on Oxygen:
    COPD - may experience respiratory depression with high flow because their systems are regulated with hypoxic drive.  If already on a low flow upon arrive, mirror that amount, or provide 2LPM.
  13. Generic name for Aspirin:
    Acetylsalicylic Acid, Aspirin
  14. Brand names for Aspirin:
    Aspirin, Bayer, Bufferin, Anacin, Children's flavored chewable aspirin
  15. Class for Aspirin:
    • Analgesic
    • Anti-Thrombotic
    • Anti-Pyretic
    • Anti-Inflamatory
  16. What is the class of Oxygen:
    Natural gas
  17. What is the mechanism of Action for Aspirin:
    • Blocks Thromoxane 2
    • Decreased platelet aggregation and thrombus formation
    • Use in management of MI
  18. Indications and Field Use of Aspirin:
    • Chest pain
    • Signs/Symptoms or MI
    • ECG suggestive of MI
    • Unstable angina
  19. Contraindications of Aspirin:
    • Bleeding ulcer
    • Hemorrhagic state
    • Hemophilia
    • Known allergies to salicylates
    • Childern or adolescents
  20. Adverse Reations to Aspirin:
    • Caution with history of asthma
    • Anaphylactic reactions in sensitive patients
    • Rare - gastrointestinal irritation and bleeding
  21. Incompatibilities / Drug Interactions with Aspirin:
    Not applicable with single dose
  22. Adult Dosage with Aspirin:
    Cardiac: 325 (4 x 81mg pediatric chewable tabs), chew or swallow
  23. Pediatric Dosage for Aspirin:
    Not indicated for prehospital
  24. Routes of Administration for Aspirin:
  25. Onset of Action for Aspirin:
    20-30 minutes
  26. Peak Effects of Aspirin:
    2-3 hours
  27. Duration of Action of Aspirin:
    4-6 hours
  28. Dosage Forms / Packaging of Aspirin:
    81 - 325 mg individually packaged
  29. AZ Drug Box Supply Range for Aspirin:
    Paramedic - 50-100 tablets
  30. Special Notes for Aspirin:
    • Baby aspirin is heat and light sensitive
    • Odor like vinegar is degredation