BLS Pharmacology

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Anonymous
ID:
211599
Filename:
BLS Pharmacology
Updated:
2013-04-05 12:20:34
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EMT BLS Pharmacology Acetaminophen Charcoal Albuterol Aspirin Epinephrine Nitro Nitroglycerin Glucose Oxygen Indications Effects Precations Contraindications Dosage
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Pharmacology information required for EMT-B BLS drugs.
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  1. ACETAMINOPHEN - Indications
    Patients over 3 with mild to moderate discomfort.
  2. ACETAMINOPHEN - Precautions
    Does not eliminate need to transport
  3. ACETAMINOPHEN - Contraindications
    • 1. Head Injury
    • 2. Hypotension
    • 3. Previous dosage in last 4 hours (many cold medicines)
    • 4. Inability to swallow pills
    • 5. Respitory Distress
    • 6. Persistent Vomitting
    • 7. Known or suspected liver disease or current alcohol ingestion
    • 8. Allergy to acetaminophen
  4. ACETAMINOPHEN - Dosage
    • 3-5 years: 160mg
    • 6-9 years: 2 doses of 160mg
    • 10+ years: 4 doses of 160mg
    • Consult significantly under/overweight
  5. ACTIVATED CHARCOAL (without sorbitol) - Indications
    Poisioning by mouth
  6. ACTIVATED CHARCOAL (without sorbitol) - Adverse Effects
    May indirectly induce vomitting and cause nausea
  7. ACTIVATED CHARCOAL (without sorbitol) - Precautions
    Does not absorb all drugs and toxic substances
  8. ACTIVATED CHARCOAL (without sorbitol) - Contraindications
    • 1. Altered Mental Status
    • 2. Patients who have received an emetic (vommited)
  9. ACTIVATED CHARCOAL (without sorbitol) - Dosage
    1 gram/kg
  10. ALBUTEROL (PROVENTIL, VENTOLIN) - Indications
    • 1. Respitory Distress
    • 2. Bronchospasm/Wheezing with:
    •     a. Asthma
    •     b. Chronic Bronchitis
    •     c. Emphsema
    •     d. Allergic Reactions (anaphylaxis)
  11. ALBUTEROL (PROVENTIL, VENTOLIN) - Adverse Effects
    • 1. Tachycardia / Palpitations
    • 2. Hypertension
    • 3. Angina
    • 4. Nervousness / Anxiety
    • 5. Tremors
    • 6. Dizziness
    • 7. Headache
    • 8. Sweating
    • 9. Nausea / Vomitting
    • 10. Sore Throat
  12. ALBUTEROL (PROVENTIL, VENTOLIN) - Precautions
    • 1. May cause severe brochospasm from repeated excessive use.
    • 2. Patient must have his/her own phsician-prescribed hand-held aerosol inhaler.
  13. ALBUTEROL (PROVENTIL, VENTOLIN) - Contraindications
    Inhaler not prescribed for the patient.
  14. ALBUTEROL (PROVENTIL, VENTOLIN) - Dosage
    • Patient may receive a maximum of 2 doses (4 puffs) over a 30-minute period.
    • Additional doses require consult.
  15. ASPIRIN - Pharmacology
    • 1. Platelet Inhibitor
    • 2. Anti-Inflammatory
  16. ASPIRIN - Pharmacokinetics
    Blocks platelet aggregation
  17. ASPIRIN - Indications
    Chest Pain with acute myocardial infarction suspected.
  18. ASPIRIN - Contraindications
    Known hypersensitivity.
  19. ASPIRIN - Adverse Effects
    • 1. Heartburn
    • 2. Nausea / Vomitting
    • 3. Wheezing
  20. ASPIRIN - Precautions
    GI Bleeding and upset
  21. ASPIRIN - Dosage
    4x 81mg or 1x 325mg chewable
  22. EPINEPHRINE AUTO-INJECTOR - Indications
    • 1. Moderate to severe allergic reaction with respitory distress or mild allergic reaction with history of life-threatening allergic reaction.
    • 2. Pediatric patients with severe asthma.
  23. EPINEPHRINE AUTO-INJECTOR - Adverse Effects
    • 1. Tachycardia / Palpitations
    • 2. Angina
    • 3. Headache
    • 4. Nausea / Vomitting
    • 5. Dizziness
    • 6. Hypertension
    • 7. Nervousness / Anxiety
    • 8. Tremors
  24. EPINEPHRINE AUTO-INJECTOR - Precautions
    Unless in severe allergic reaction or severe asthma, medical consultation must be obtained before administering to pregnant, cardiac or adult asthma patients.
  25. EPINEPHRINE AUTO-INJECTOR - Contraindications
    None in presence of anaphylaxis.
  26. EPINEPHRINE AUTO-INJECTOR - Dosage
    • Adult: 0.3mg IM
    • Pediatric (3 and under): 0.15mg IM
  27. NITROGLYCERIN - Indications
    • 1. Patient must have own prescribed sublingual nitroglycerin.
    • 2. Chest Pain
  28. NITROGLYCERIN - Adverse Effects
    • 1. Hypotension
    • 2. Headache
    • 3. Dizziness
    • 4. Tachycardia
  29. NITROGLYCERIN - Precautions
    • 1. Reassess blood pressure before and after administration.
    • 2. Consult for repeated doses if systolic blood pressure drops more than 20mmHg after a dose.
  30. NITROGLYCERIN - Contraindications
    • 1. Blood pressure below 90mmHg systolic.
    • 2. Heart rate less than 60 bpm
    • 3. Medication is not prescribed to the patient
    • 4. Pediatric patient under 12
    • 5. Any Pulmonary Artery Hypertension or Erectile Dysfunction taken within 48 hours
    •     a. Adcirca
    •     b. Revatio
    •     c. Viagra
    •     d. Levitra
    •     e. Cialis
  31. NITROGLYCERIN - Dosage
    • One tablet or spray sublingually
    •     a. Repeat 3-5 min if chest pain persists
    •     b. Maximum of three doses (from patient and EMT) per incident. Consult for additional.
  32. ORAL GLUCOSE - Indications
    • 1. Altered mental status with known diabetic history.
    • 2. Unconscious for an unknown reason.
  33. ORAL GLUCOSE - Precautions
    Patients without gag reflex may aspirate.
  34. ORAL GLUCOSE - Dosage
    10g-15g of paste between gum and cheek. Consider additional doses after 10min. May split doses up for pediatric.
  35. OXYGEN - Indications
    All medical and trauma patients.
  36. OXYGEN - Adverse Effects
    High concentration reduces respitory drive in some COPD patients.
  37. OXYGEN - Precautions
    • 1. Never withhold oxygen from those who need it.
    • 2. Oxygen should be given with caution to patients with COPD (monitor).
    • 3. simple or partial rebreather face masks must be supplied with a minimum of 6 Lpm.
    • 4. Non-Rebreather face masks must be supplied with a minimum of 12 Lpm.
  38. OXYGEN - Dosage
    12-15 Lpm with Non-Rebreather Mask or 2-6 Lpm via nasal cannula

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