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ACETAMINOPHEN - Indications
Patients over 3 with mild to moderate discomfort.
ACETAMINOPHEN - Precautions
Does not eliminate need to transport
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
ACETAMINOPHEN - Dosage
- 3-5 years: 160mg
- 6-9 years: 2 doses of 160mg
- 10+ years: 4 doses of 160mg
- Consult significantly under/overweight
ACTIVATED CHARCOAL (without sorbitol) - Indications
Poisioning by mouth
ACTIVATED CHARCOAL (without sorbitol) - Adverse Effects
May indirectly induce vomitting and cause nausea
ACTIVATED CHARCOAL (without sorbitol) - Precautions
Does not absorb all drugs and toxic substances
ACTIVATED CHARCOAL (without sorbitol) - Contraindications
- 1. Altered Mental Status
- 2. Patients who have received an emetic (vommited)
ACTIVATED CHARCOAL (without sorbitol) - Dosage
ALBUTEROL (PROVENTIL, VENTOLIN) - Indications
- 1. Respitory Distress
- 2. Bronchospasm/Wheezing with:
- a. Asthma
- b. Chronic Bronchitis
- c. Emphsema
- d. Allergic Reactions (anaphylaxis)
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
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.
ALBUTEROL (PROVENTIL, VENTOLIN) - Contraindications
Inhaler not prescribed for the patient.
ALBUTEROL (PROVENTIL, VENTOLIN) - Dosage
- Patient may receive a maximum of 2 doses (4 puffs) over a 30-minute period.
- Additional doses require consult.
ASPIRIN - Pharmacology
- 1. Platelet Inhibitor
- 2. Anti-Inflammatory
ASPIRIN - Pharmacokinetics
Blocks platelet aggregation
ASPIRIN - Indications
Chest Pain with acute myocardial infarction suspected.
ASPIRIN - Contraindications
ASPIRIN - Adverse Effects
- 1. Heartburn
- 2. Nausea / Vomitting
- 3. Wheezing
ASPIRIN - Precautions
GI Bleeding and upset
ASPIRIN - Dosage
4x 81mg or 1x 325mg chewable
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.
EPINEPHRINE AUTO-INJECTOR - Adverse Effects
- 1. Tachycardia / Palpitations
- 2. Angina
- 3. Headache
- 4. Nausea / Vomitting
- 5. Dizziness
- 6. Hypertension
- 7. Nervousness / Anxiety
- 8. Tremors
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.
EPINEPHRINE AUTO-INJECTOR - Contraindications
None in presence of anaphylaxis.
EPINEPHRINE AUTO-INJECTOR - Dosage
- Adult: 0.3mg IM
- Pediatric (3 and under): 0.15mg IM
NITROGLYCERIN - Indications
- 1. Patient must have own prescribed sublingual nitroglycerin.
- 2. Chest Pain
NITROGLYCERIN - Adverse Effects
- 1. Hypotension
- 2. Headache
- 3. Dizziness
- 4. Tachycardia
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.
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
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.
ORAL GLUCOSE - Indications
- 1. Altered mental status with known diabetic history.
- 2. Unconscious for an unknown reason.
ORAL GLUCOSE - Precautions
Patients without gag reflex may aspirate.
ORAL GLUCOSE - Dosage
10g-15g of paste between gum and cheek. Consider additional doses after 10min. May split doses up for pediatric.
OXYGEN - Indications
All medical and trauma patients.
OXYGEN - Adverse Effects
High concentration reduces respitory drive in some COPD patients.
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.
OXYGEN - Dosage
12-15 Lpm with Non-Rebreather Mask or 2-6 Lpm via nasal cannula