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1. Emt Medications
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Prescribed Inhaler (Bronchodilator) Oxygen Oral Glucose Agents Activated Charcoal Nitrogylcerin Epinephriine
Medication
Generic Name: Albutrol (Proventil,Ventolin), Isotharine (Bronkosol) Metaproternol (Alupent) Type of Drug: Adrenergic Beta2Agonist
Generic Name: Oxygen Trade Name: Oxygen Type of Drug: Atomospheric Gas
Generic name: Oral Glucose Trade Name: Glutose, Insta-Glucose, Isulin reaction Type of Drug: Nutrient
Generic Name: Activated Charcoal Trade Name: Charcola, Arm-a-Char, Charcoaide, Insta-Char Type of Drug: Absorbent
Generic Name: Nitroglycerin Trade Name: Nitrostat, Nitro-bid, Nitro Dur, Nitrol, Tridil Type of Drug: Anti Anginal
Generic Name: Ephinephrine Trade name: Adenalin Type of Drug: Sympathomimetic
Indication
Pt exhibits S/S of Respiratory Distress Pt has Physician Prescribed hand-held inhaler, and EMT-B has specific authorization by medical Direction
Hpoxemia, Ischemic Chest Pain, Respiratory Distress, Carbon Monoxide Poisoning
Pts with altered mental status with a known history of diabetes controlled by medication Poisoning by Mouth
Pt exhibts S/S of chest pain, Pt has physican prescribed nitroglycerinetablets or spray, and EMT-B has specific authorization by medical direction
Pt exhibiting the assessment findings of an allergic reaction with Respiratory Distress/Hypoperfusion, Pt has prescribed epinephrine autoinjector, EMT-B has authorization by medical direction
Contraindications
Inability of Pt to use the device, Inhaler not prescribed for the Pt, No permission from medical Direction, Pt already met the maxium prescribed does PROFOUND TACHYCARDIA None
Unconciousness, Inability to swallow GAG REFLEX
Altered mental Status, Ingestion of acids or alkalis, Inability to swallow
Hypotension (B/P < 100mmHg systolic), head injury or altered mental status, Infants and Children, Pt met max prescribed dose, Pt does not have their own prescribed Nitroglycerin ANY SEXUAL ENHANCING DRUGS!
Hypertension, narrow angle glaucoma, Pulmonaryedema,(No contraindications when used in a life threatening situation)
FormHand-held Mettered Dose Inhaler Gas Gel
Pre-mixed in water, frequently available in plastic bottles containing 12.5 grams activated charcoal Sublingual Tablet or spray
Liquid adminstered via a pre-filled needle and syringe system
Dosage
Based on medical direction Albutorol (1 spray = 90 micrograms 2 sprays = 180 micrograms
Low Concntration: NC 1-6 L/min High Concentration: NRBM 10-15 L/min
One tube (10-20 G), repeat every 10 minutes if necessary
1gram activated charcoal/kg of body weight, Adult dose - 25-50grams, Child dose - 12.5-25grams
1 dose (1 tablet or 1 Spray) every 3 to 5 minutes for a total of 3 sprays Each dose (.4) with a max of 1.2
Adult - 1 autoinjector (0.3mg) Pediatric - 1 infant/child autoinjector (0.15mg)
Actions
Dilates bronchioles, reducing airway resistance
Supports cellur life and function as it binds to hemoglobin and is trasported through the body Increases blood sugar
Binds to certain poisons and prevents their absorption in the gastointestinal tract
relaxes blood vessels, decreasing workload of the heart
Dilates the bronchioles and constricts blood vessels
Side Effects
Increased pulse rate, tremors, nervousness, headache, Tachycardia
High flow O2 may cause respiratory depression in Pts with CO2 poisoning. O2 supports combusion
None (When given Properly), May be aspirated by a pt without a gag reflex
Constipation,diarrhea, black stools. Large doses may cause Vomiting (if this occures, contact medical direction for orders to repeat dose)
Hypotension, headaches, dizziness, flushing,syncope
Increased heart rate, pallor, dizziness,chest pain, headache, N/V, excitability, anxiousness