ACP Nitrous Oxide

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Author:
spy187
ID:
42496
Filename:
ACP Nitrous Oxide
Updated:
2010-10-16 00:58:06
Tags:
EMT Drugs ACP Alberta pre hospital care pharmacology Nitrous Oxide
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Description:
Flash card for all the details about Nitrous Oxide
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  1. Nitrous Oxide
    Trade Name:
    Entonox
  2. Nitrous Oxide
    Class:
    gaseous analgesic/anesthetic
  3. Nitrous Oxide
    Action:
    • Potent analgesic, weak anesthetic at 50% nitrous oxide with 50% oxygen
    • CNS depressant with analgesic properties
  4. Nitrous Oxide
    Indications:
    • Pain of musculoskeletal origin, particularly fractures
    • Burns
    • Suspected ischemic chest pain (BLS)
    • Pregnancy (only in active labor)
  5. Nitrous Oxide
    Contraindications:
    • Unable to follow commands – due to interpretive problem, drugs, alcohol
    • Altered LOC
    • Significant COPD
    • Any traumatic chest injury
    • Any suspicion of pneumothorax, obstructed bowel (abd pain with distension)
    • Decompression sickness (diving in last 48 hours)
    • Pregnancy – except in active labor
  6. Nitrous Oxide
    Adverse effects:
    • Dizziness
    • ALOC
    • Hallucinations
    • N/V
  7. Nitrous Oxide
    Dosage
    (Onset, Duration,Adult Dosage,Pediatric Dosage,Route)
    • Onset: ~50sec
    • Duration: effects last only 2-5 minuets after administration ceases
    • Dosage: (Adult and Ped)Self administrated inhalation until pain is relieved or patient drops the mask.
    • Route: Inhalation by demand valve and mask
  8. Nitrous Oxide
    Interactions/Precautions:
    • Use in well ventilated area
    • Ensure to invert tank three times prior to use
    • Do not use outside if ambient temperature is below minus six degrees Celsius (-6°C).
    • Do not use if frost on the tank
    • Prolonged use can cause hypoxemia- provide supplemental Oxygen

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