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8 Cards in this Set
- Front
- Back
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Glucose |
Indications -patient altered mental status with aknown history of diabetes mellitus Medical direction or standing protocols authorized Administration
Contradiction unconsciousness known diabetic who has not taking insulin for days unable to swallow
Actions increases blood sugar
Dosage 1 tube |
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Activated charcoal |
Indications- poisoning by mouth Medical direction or standing protocols authorized Administration
Contradiction- altered mental status, ingestion of acids or alkalis , unable to swallow
Actions- absorbs binds, certain poisons and prevents them from being absorbed in the body
Side effects- black stools some patients typically those who have ingested poisons that cause nausea vomit if the patient vomits repeat the dose once
Dosage- adult and children Grand activated per kilogram of body weight usual adult dose 25 - 50 kilograms usual pediatric dose 12 1/2 kilograms to 25 kilograms |
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Oxygen |
Indication- hypoxia medical direction or standing protocols authorize the Administration
Contradiction- none when used in the prehospital setting
Actions- increases the oxygen concentration in the alveoli which subsequently will increase the oxygen saturation available for hemoglobin Side effects- prolong Administration of high flow non-humidified oxygen may result in drying of the mucous membrane and salting an irritation and possibly nosebleeds Dosage- 15 liters per minute by non-rebreather 1 - 6 liters per minute buy nasal cannula |
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Aspirin |
Indication all of the following must be met- patient complains of chest pain, medical direction or standing protocols authorizes the administration Contradictions- unable to swallow patient has a history of asthma patient has known bleeding disorder GI ulcer or history of recent bleeding Medical control Nature's benefit outweighs risk for the following- patient is taking medication to prevent clotting example Coumadin, pregnancy ,recent surgery Actions- prevents blood from clotting as quickly leading to increased travel after MI Side effects- nausea vomiting bleeding heartburn if patient is allergic can cause bronchospasm and wheezing Dosage- 162 - 324 milligrams to and swallow orally |
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Narcan |
Indications- suspected narcotic overdose, coma of unknown cause, medical direction or standing programs authorizes the administration Contradictions- patient is breathing adequately and able to maintain own airway Actions- reverses the effects of Narcotics including depressed level of Consciousness and respiratory depression Side effects- May precipitate withdrawal in patients depending on narcotics Dosage-.4 - 2. Milligrams intranasal |
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Nitroglycerin |
Indications- all the following must be met patient, complains of chest pain, medication is prescribed for the patient by a physician Contradictions- the patient has hypertension or a systolic blood pressure below 90 to 100 Patient has a head injury ,the patient patient is already taking the maximum prescribed dose Viagra or other erectile dysfunction drug use within the last 48 to 72 hours , outdated Actions- relaxes blood vessels, decreases workload of the heart Side effects- hypotension , headache pulse rate changes Dosage-.4 milligram dose repeat in 5 minutes if no relief stolid blood pressure remains above 100 and have authorized by medical Direction up to a maximum of three doses |
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Epinephrine auto-injector |
Indication all must be met- patient exhibits allergic reaction which includes either respiratory distress and or shock, Medication is prescribed for this patient by a physician Medical direction or standing protocols authorizes the administration Contradictions- as long as not outdated done when used in a life-threatening situation Actions- dilate the bronchioles constrict blood vessels Side effects- increases heart rate, excitability anxiety ,vomiting ,nausea headache ,dizziness, chest pain ,pallor Dosage- adult 1 auto injector .3 milligrams Infant and child one infant child auto-injector .15 milligrams |
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Prescribed inhaler |
Indication the following must be met- patient exhibits symptoms of respiratory emergency Medication is prescribed for this patient by a physician Medical direction or standing protocols authorizes the Administration Contradictions - the patient is unable to use device such as a priest mental status The patient has already taken the maximum prescribed dose Outdated not room temperature Actions- dilates the bronchioles Side effects- increases pulse rate, Tremors ,nervousness Dosage- number of Inhalations based on medical directors order or standing orders |
