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45 Cards in this Set

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Activated Charcoal

Medication Name:
Activated charcoal, SuperChar, InstaChar, Actidose, LiquiChar
Activated Charcoal

Indications:
Patients who have ingested poisons by mouth, administer after receiving orders from medical direction or the poison control center.
Activated Charcoal

Contraindications:
1)altered mental status, 2)swallowed acids or alkalis, 3)unable to swallow
Activated Charcoal

Medication Form:
12.5 grams premixed with water; powdered form should be avoided.
Activated Charcoal

Dosage:
1 gram of activated charcoal per kilogram of body weight; usual adult dosage= 25-50 grams, usual child or infant dose= 12.5-25 grams
Activated Charcoal

Administration:
Consult medical direction; shake container; encourage patient to drink through a straw; record time and response; if patient vomits notify medical control for repeat dose
Activated Charcoal

Actions:
Binds with poisons in the stomach and prevents their absorption into the body
Activated Charcoal

Side Effects:
Blackening of the stools; possible vomiting
Activated Charcoal

Reassessment:
1)Check for abdominal pain or distress upon administration. 2)watch for vomiting; position patient and be prepared to suction
Epinephrine Auto-Injector

Medication Name:
Epipen, Epipen Jr., Adrenaline, Epinephrine
Epinephrine Auto-Injector

Indications:
1)signs and symptoms of severe allergic reaction (anaphylaxis). 2)medication is prescribed to patient. 3)emt-b has received orders from medical direction
Epinephrine Auto-Injector

Contraindications:
none, when used in the life-threatening allergic reaction
Epinephrine Auto-Injector

Medication Form:
Liquid drug contained within an auto-injector
Epinephrine Auto-Injector

Dosage:
auto-injector delivers one single dose. adult dose= .3mg, child and infant dose=.15mg
Epinephrine Auto-Injector

Administration:
push uncapped tip of auto-injector firmly against the lateral aspect of the thigh until the needle is deployed and the medication is delivered. hold for 10 seconds
Epinephrine Auto-Injector

Actions:
mimics the response of the sympathetic nervous system. 1)constricts blood vessels to improve bp. 2)relaxes smooth muscles in the lungs to improve breathing. 3)stimulates the heartbeat. 4)reverses swelling and hives
Epinephrine Auto-Injector

side effects:
increased heart rate, pallor, dizziness, chest pain, headache, nausea and vomiting, excitability and anxiousness
Epinephrine Auto-Injector

reassessment:
1)reassess for decreasing mental status, bp, and increased breathing difficulties. 2)if condition worsens you may have to call medical direction for second dose, treat for hypoperfusion, may need CPR and AED
MDI

Medication Name:
albuterol, metasproterenol, isoetharine, proventil, ventolin, metaprel, alupent, bronkosol, bronkometer
MDI

Indications:
1)signs and symptoms of breathing difficulty. 2)patient has Dr. prescribed MDI. 3)emt-b has approval from medical direction
MDI

Contraindications:
1)not responsive enough to use. 2)MDI is not prescribed to patient. 3)max dose allowed is reached. 4)permission denied by medical direction
MDI

Medication Form:
aerosolized medication in a metered dose inhaler
MDI

Dosage:
each depression of MDI is precise dose. number of times medication can be delivered is determined my medical direction
MDI

administration:
1)ensure medication is patient's and patient is alert; determine number of doses already given. 3)assure MDI is at room temp, and shake for 30 seconds. 4)administer while patient is inhaling; encourage to hold breath
MDI

actions:
beta agonist, relaxes the bronchiole smooth muscles, dilates the lower airway
MDI

side effects:
tachycardia, tremors, shakiness, nervousness, dry mouth
MDI

reassessment:
ongoing; vitals, and question about effect, focused h+p, monitor airway, record and document
Nitro

Medication Name:
nitroglycerine, nitrostat, nitrobid, nitrilingual spray
Nitro

indications:
signs and symptoms of chest pain; physician prescribed nitro; emt-b has approval from medical direction
Nitro

contraindications:
baseline bp below 100 mmHg systolic; suspected head injury; patient has infant of child; 3 doses have already been taken
Nitro

medication form:
tablet or sublingual spray
Nitro

dosage:
one table or one spray under the tongue; may be repeated in 3-5 minutes if 1)patient experiences no relief, 2) bp remains above 100 sys. 3)medical direction gives approval
Nitro

administration:
1)assure medication is patients, bp is above 100 sys., approval from medical direction is given. 2)assure patient his alert; check expiration date; ask patient when he took last dose. 3)place spray or med under tongue; keep mouth closed. 4)reassess bp in 2 min.; record actions
Nitro

actions:
relaxes blood vessels, decreases workload or heart
Nitro

side effects:
vessel dilation may cause headache, drop in bp, pulse rate change
Nitro

reassessment:
1)monitor bp. 2)question patient about effect. 3)obtain approval from medical direction before re-administering. 4)record and document
Oral Glucose

Medication Name:
oral glucose, glutose, insta glucose
Oral Glucose

indication:
1)altered mental status with 2)history of diabetes controlled by medication and 3)ability to swallow
Oral Glucose

contraindications:
1)unconscious 2)unable to swallow
Oral Glucose

medication form:
gel, in toothpaste-type tube
Oral Glucose

dosage:
typical dose is one tube
Oral Glucose

administration:
squeeze or place a portion between cheek and gum
Oral Glucose

action:
increases brain and blood sugar levels
Oral Glucose

side effects:
may cause airway obstruction in patient with gag reflex
Oral Glucose

reassessment:
reassess mental status to determine if the drug has had an effect