Card Set Information
What are the five steps for preparing to administer medications?
Complete a primary assessment - administer high-flow O2
Verbalize the criteria for assisting patients with medications
Verbalize the indications
Verbalize the contraindications
What three things should be part of the primary assessment when preparing to administer an MDI?
administer high-flow O2
assess rate, rhythm, and quality of breathing
auscultate breath sounds
What are the four criteria for assisting patients with medication?
prescribed by a doctor
prescribed for the patient
What are the four indications for assisting a patient with an MDI?
shortness of breath
What are the two contraindications for assisting a patient with an MDI?
patient has taken the maximum dose
patient is unable to follow instructions
What are the key steps for assisting a patient with an MDI?
Treat with high-flow O2 before and after administration of the MDI
DICE the medication
Remove the mouthpiece cover and shake inhaler vigorously
Instruct the patient to breath out normally
Position the inhaler
Instruct patient to take a slow, deep breath on command
Depress inhaler and instruct patient to continue inhaling
Instruct patient to hold breath as long as comfortable up to 10 seconds and breath out slowing through pursed lips
Reassess after three minutes
Are EMTs allowed to assist with all inhalers?
No. Only brochodilaters.
What does DICE mean?
How long does it take for an brochodilator to take effect? How long does it last?
What is involved with reassessment of a patient after administration of an MDI?
Rate, rhythm, and quality of breathing
Auscultate breath sounds
What is the maximum amount of time a patient should be reassessed after administration of an MDI?
What are the indications for assisting a patient with an epinephrine auto-injector?
Severe anaphylaxis with symptoms of either shock and/or respiratory distress
What are the contraindications for administration of epinephrine?
Patient does not meet indication or criteria for administration. There are no absolute contraindications.
What are the key steps for assisting a patient with an an epinephrine auto-injector?
DICE the medication
Remove clothing from the injection site - upper outer thigh
Swab injection site with alcohol
Remove cap and push pen into injection site
Hold in place for 10 seconds
Remove pen and place in biohazard
Massage injection site with alcohol swab for 10 seconds
How long does epinephrine take to start working and how long does it last?
up to 20 minutes
What is an additional step that must be taken before administering nitroglycerin?
secondary assessment being sure to take a BP
At what BP do you not administer nitroglycerin?
What are the two indications for assisting a patient with nitroglycerin?
Systolic BP >100
What are the five contraindications for administration of nitroglycerin?
Patient does not meet the indications
Patient has already taken three doses
Last dose was < 5 minutes ago
Systolic BP < 100
ED drugs withing 48-72 hours
Do you shake the container before administering nitroglycerin?
Where should nitroglycerin be placed in the mouth?
What are the key steps in administering nitroglycerin?
DICE the drug
Be sure to wear gloves
Place tablet under tongue and allow to dissolve - do not swallow until 10 seconds after it dissolves
Deliver one spray under tongue if it's a spray
How long after administration of nitroglycerin should another BP be taken?
What should the patient not do with the spray form of nitroglycerin?
Where should glucose paste be administered?
between cheek and gum