Medications

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Author:
jessjohnson0617
ID:
220336
Filename:
Medications
Updated:
2013-05-20 16:51:16
Tags:
Thurston County EMT
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Description:
everything to do with meds per Thurston County Protocols
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  1. What is another name for activated charcoal
    actidose
  2. what class of drug is activated charcoal?
    antidote
  3. what are the indications for the use of activated charcoal
    treatment of pt who has ingested poisons by mouth, when recommended by the WA poison center
  4. what are the contraindications for the use of activated charcoal?
    absent gag, unconscious patient, potential sedation from suspected OD
  5. what are the precautions/adverse reactions for activated charcoal?
    does not absord iron, lithium, inorganic ions, ethanol, methanol, or cyanide
  6. what are the suggested dosages for activated charcoal?
    • abult: 50 g PO/NG
    • peds: less than 12 y/o - 1g/kg
  7. What are the other names for albuterol?
    proventil and ventolin
  8. what class of drug is albuterol?
    adrenergic beta 2 agonist
  9. what are the indications for the use of albuterol
    • treatment of moderate to severe bronchospasm
    • repeat treatments as needed for symptoms of respiratory distress
    • s/s of hyperkalemia
  10. What are the contraindications for the use of albuterol?
    there are none
  11. what are the precautions/adverse reactions to the use of albuterol?
    arrythmias, tachycardia, severe chest discomfort
  12. What are the suggested dosages for albuterol?
    • adult: nebulized initial dose - 5 mg, repeat as needed, MDI via BiPAP - 5 puffs, repeat as necessary up to 20 puffs, nebulized - 10 mg added to 1 ml of sterile saline (hyperkalemia dose)
    • pediatric: nebulized - 2.5 mg in 2.5 ml of saline is less than 2 y/o; otherwise use adult dose
  13. What are the indications for assisting the pt with an MDI spacer?
    • pt believes symptoms are related to asthma or COPD
    • SOB following epinephrine admin for allergic reaction
  14. What class of drug is aspirin?
    anti-platelet, non-narcotic analgesic, non-steroidal anti-inflammatory, antipyretic
  15. what are the indications for the use of aspirin?
    s/s of acute coronary syndrome
  16. what are the contraindications for the use of aspirin?
    • allergic to aspirin
    • pt has taken aspirin just prior to EMS arrival
  17. what are the suggested dosages for aspirin?
    325 mg PO chewed (4 tablets)
  18. What class of drug is epinephrine?
    adrenergenic
  19. what are the indications for the use of epinephrine?
    • pt is displaying s/s of anaphylaxis - respiratory distress OR shock OR difficulty swallowing (throat edema) and consents to treatment
    • epi-pen jr is indicated in pts less than 66lbs/30kg
  20. what are the precations/adverse reactions to the use of epinephrine
    • increased blood pressure
    • tachycardia
    • may cause cardiac ischemia in elderly or pt with known coronary artery disease
  21. what is the suggested dosages for epinephrine?
    • adult: 0.3 mg epi-pen
    • peds: 0.15 mg epi-pen jr
  22. What are the other names for glucose?
    • Glutose
    • Insta-glucose
  23. What class of drug is glucose?
    caloric
  24. what are the indications for the use of glucose?
    pt with an altered or decreased mental status with a history of diabetes
  25. what are the contraindications for the use of glucose?
    unconscious, known diabetic who has not taken meds for days, pt unable to swallow
  26. what are the precautions/adverse reactions  for the use of glucose?
    use caution to prevent aspiration of the glucose paste
  27. What are the suggested dosages for glucose?
    • adult: one tube
    • peds: one tube
  28. What should the emt do after administering glucose?
    ensure pt is able to maintain a continued oral intake of carbs with a balances protein
  29. What are the other names for Nitroglycerin?
    nitrotab, nitrostat
  30. what class of drug is nitroglycerin?
    vasodilator, anti-anginal
  31. What are the indications for the use of nitroglycerin?
    • chest discomfort from ACS
    • symptoms similar to previous cardiac event
  32. What are the contraindications for the use of nitroglycerin?
    • pts taking viagra, levitra, cialis within the last 48 hours
    • severe bradycardia (HR less than 50/min)
    • tachycardia (HR greater than 100/min)
    • BP less than 100 systolic
  33. What is the suggested dosage for nitroglycerin?
    0.4 mg every 3 mins until pain relief
  34. What class of drug is 02?
    oxidizer
  35. what are the indications for the use of oxygen?
    • pts with s/s of shock
    • respiratory distress
    • respiratory arrest
  36. What are the suggested dosages for oxygen?
    • 2-4lpm via nasal cannula
    • 8-15lpm via non-rebreather mask
    • 15-25lpm via bag valve mask

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