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7 Cards in this Set

  • Front
  • Back

Therapeutic Affects

1) Relieve severe allergic reactions


2) Constricts Blood Vessels and dialate’s bronchioles


Indications

1) Patients w S&S of severe allergic reaction showing signs of uticaria, respiratory distress and hypotension)


2) Medication is prescribed for this patient


3) Medical Direction authorizes use on/offline

Contraindications

None where used in life threatening situations

Side Effects

1) Tachycardia / excitability


2) chest pain/ headache


3) dizziness / pallor


4) nausea/ vomiting

Procedure steps 1-8

1) take standard precautions


2) perform primary; Loc, C/C ABC’s, expose, rapid scan, deciding transport


3) invstg. C/C


4) obtain SAMPLE / OPQRSTI


5) obtain Vitals; PUP./LS/RR/BP/S.C/ HR/ BGL/ P.O / CAP REFILL


6) perform focused physical; DCAP-BLS-TIC (deformities, contusions, abrasions, punctures penetrations, burns, lacerations, swelling, tenderness, instability, crepitus)


7) determine pt has OWN epi & protocols allow


8) 6 rights; pt, medication, route , dose, date, time (pmrddd)

Procedures steps 9-14

9) Confirm epi dose; peds: 0.15 mg, adults: 0.3 mg


10) explain procedure, instruct not to move


11) remove safety cap from epi, 90* angle insert into lateral thigh midway between hip and knee


13) push into thigh until injector makes activation click- hold to thigh for 10 sec. to discharge completely


14) remove epi placing directly into the SHARPS CONTAINER

Procedure 15-17

15) reassess after 5 mins, its condition and vitals


16) Document mess; Dart: Dose, action, route, time and pts response+\-


17) monitor condition; if improves: continue oxygenation, monitoring vitals and transport


Worsens: continue oxygenation, contact medical control/ protocols online or offline in regards to another dose of epi