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20 Cards in this Set
- Front
- Back
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Entonox indicators |
Extremity injury Shoulder or clavicle injury (if pneumothorax ruled out) Hip or pelvis injury (if stable) Burn patients (stable/ no inhalation injury) Chest pains which are cardiac in nature |
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Entonox Contradictions |
Decompression sickness Inability to comply with instructions Inability to self administer Suspected Inhalation injury Suspected pneumothorax or air embolism Patient has taken nitroglycerin in last 5 minutes Enclosed space with no ventilation |
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Entonox cautions |
Chronic obstructive pulmonary disease Facial injuries Distended abdomen Depressant drugs Shock |
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Entonox procedure |
Obtain permission Explain procedure Effects Analgesic (pain relieving) Pain may not disappear Possible side effects Auscultate chest Invert cylinder Record cylinder pressure Have patient self administer Monitor patient Record time administer/ remaining pressure
Discontinue if change in vitals or nausea/vomiting |
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FLAPS TWELVE |
Feel Look Auscultate Percuss Sides and back Trachea Wounds Emphysema Larynx Veins Evaluate |
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Sager splint |
Indicators Mid shaft femur fracture (open or closed) Contraindicated Cannot be placed supine Fracture at pelvis Compound fracture with exposed bone fragments Facture at ankle or foot Fracture at distal or proximal end of the femur Patient is to small Boot cannot be removed |
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Kendrick Traction Device |
Indicators Mid shaft femur fracture (open or closed) Contraindicated Cannot be placed supine Fracture at pelvis Compound fracture with exposed bone fragments Facture at ankle or foot Fracture at distal or proximal end of the femur |
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Ventolin (Salbutamol) indications / contraindications |
Indications Severe shortness of breath and/or expiratory wheezing Prescribed Ventolin (or equivalent) Contraindications Patients with known sensitivity or allergy to Ventolin |
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Ventolin procedure |
Take initial vitals & auscultate chest Ask Is this similar to your previous asthma attacks? How is it different? Are you usually relieved with your puffer? Have you ever been hospitalised or intubated for this condition? Position of comfort / oxygen 6 rights of medication Shake and Prime inhaler Have patient exhale fully and as they slowly inhale press down on the inhaler once Have patient hold breath for 10 second If required administer a second dose after 1-2 minutes If symptoms recur administer 2 doses every 15 minutes until EMS arrives |
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Nitroglycerin Indications / Contradictions |
Indications For cardiac chest pain Patients with angina or heart problems Patients who have been prescribed nitroglycerine Contraindications Known allergy to nitroglycerin Low blood pressure (systolic less than 90mmHg or no radial pulse) Other significant traumatic injury (vasodilator - can cause shock) Vasodilating drugs in last 48 hours (Viagra / Cialis Within 5 minutes of taking entonox |
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Nitroglycerin procedure |
Position of comfort / oxygen Check vitals Ask questions (happensed before? Worse? Does Nitro work? 6 rights of medication Explain procedure Prime pump
Administer one spray into mouth under tongue Maximum of 3 doses total (0,5,10 minutes) provided vitals are stable Monitor vitals / record
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Aspirin (ASA) indications / contraindications |
Indications ASA may be used when chest pain is considered cardiac in nature Contraindications ASA allergy Unable to chew or swallow Traumatic injuries (prevents clotting) Patient with bleeding disorder Patient taking blood thinning medications Asthmatic Signs and symptoms indicate a possible stroke |
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Aspirin (ASA) procedure |
Position of comfort & oxygen Check vitals Have patient chew and swallow tablets Monitor vitals and document
Recommended dose Two 81mg chewable tablets One 325mg tablet with a sip of water |
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Epinephrine - indications / contraindications |
Indications Patient with a history of anaphylaxis is experiencing an anaphylactic reaction Patient has been prescribed an EpiPen or equivalent Contraindications Use extreme caution of patient has heart disease |
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Epinephrine procedure |
Position of comfort / oxygen Take vitals (unless critical intervention) Explain how it will be administered 6 rights of medication Do not use of solution is not clear and colorless or contains particles or is expired Inject only in outer thigh Hold for 5-10 seconds & massage area Monitor vitals document
If problem persists after 10-15 minutes administer a second dose (no more unless direct medical supervision)
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Benadryl or Reactine - indications / contraindications |
Indications Real or potential exposure to a known allergen Experiencing an allergic reaction Contraindications Reactine Known sensitivity to reactine Patient unable to swallow Benadryl Known sensitivity to benadryl Patient unable to chew or swallow |
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Benadryl or Reactine procedure |
Position of comfort & oxygen Check vitals If patient exposed to allergen or experiencing an allergic reaction Administer a single dose Monitor vitals / document Reactine Child (2-5 years) - 5mg tablet or 1 teaspoon liquid Child (6-12 years) / adult - 10mg tablet Benadryl Child (6-12 years) - 25mg Adult (12+ years) - 50mg |
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Hypoglycemia |
If you suspect hypoglycemia (blood sugar <4) Obtain medical history / medic alert Take Glucometer reading Active EMS Provide fast acting sugar (exception to "nothing by mouth rule if unresponsive") If unresponsive wait 3-4 minutes and repeat Monitor vitals / document |
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Hyperglycemia |
If you suspect hyperglycemia (blood sugar greater 10) Obtain medical history / medic alert Take Glucometer reading Active EMS Monitor vitals / document |
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6 rights of medication |
Right patient Right medication Right dose Right time Right route Right documentation |
