10 Drugs in Ambulance
Help!
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| 10 Medications | O2, Oral Glucose, Aspiring, Nitroglycerin, Epinephrine Auto, Epinephrine Syringe, Albuterol Inhaler, Albuterol Nebulizer, Activated Charcoal, Naloxone
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| DICAASM | Dosage, Indications, Contraindications, Administration, Action, Side Effect, Medical Direction?
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| O2 Dosage | Nasal Canula 2-6 L/min, Non-rebreather mask 12-15 L/Min, BVM with reservoir 15L/min
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| O2 Indications | hypoxia, suspected hypoxia
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| O2 Contraindications | OSat above 99%, Possible combustion in unsafe environment, No significant respiratory depression in COPD
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| O2 Administration | Inhalation, Ventilation
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| O2 Actions | *Reverses Hypoxia * Increases arterial oxygen *Increases hemoglobin saturation *Increases tissue oxygenation
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| O2 Side Effects | Rare respiratory depression, dry oxygen can irritate mucus membranes
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| O2 Medical Direction? | No. Administer Med
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| Oral Glucose Dosage | One tube (15gm-30gm carbohydrates)
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| Oral Glucose Indications | * Patients with altered mental status * History of Diabetes Mellitus
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| Oral Glucose Contraindications | *Unconsciousness * Known Diabetic * Not taken insulin for days *Unable to swallow
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| Oral Glucose Administration | *Place an on-tongue depressor between cheek and gum, *or patient self-administer between cheek and gum
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| Oral Glucose Actions | Increases Blood Sugar
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| Oral Glucose Side Affects | *None when given properly *May be aspirated by the patient without a gag reflex
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| Oral Glucose Medical Direction? | No. Administer Med
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| Asprin Dosage | 162-324mg or (325mg Adult ASA) (2 to 4 - 81mg chewable tablets)
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| Asprin Indications | *Chest Pain * Not already taking clotting prevention meds * Able to swallow w/o endangering airway
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| Asprin Contraindications | *Allergic to Asprin * History of asthma * GI ulcer or bleeding disorder *Patient unable to swallow
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| Asprin Administration | chew + swallow tablets
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| Asprin Actions | prevents blood from clotting as quickly
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| Asprin Side Effects | Nausea, Bleeding, Vomiting, Heartburn, If allergic/bronchospasm, wheezing
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| Asprin Medical Direction? | OR standing order permits admin, Administer Med, YES to Test
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| Nitroglycerin (prescription required) Dosage | 0.4mg tablet or 0.4mg spray, up to 3 doses
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| Nitroglycerin Indications | Patient has: chest pains, history of cardiac problems, prescription for nitroglycerin
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| Nitroglycerin Contraindications | Hypotension (systolic < 90), ED meds withing 24-48hrs, Head Injury, Already taken maximum dosage
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| Nitroglycerin Administration | Sublingual, (dissolve under tongue w/o chewing)
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| Nitroglycerin Actions | Dilates Blood Vessels, Decreases workload on the heart
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| Nitroglycerin Side Effects | *Hypotension - Pulse rate changes * Burning sensation under tongue
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| Nitroglycerin Medical Direction? | OR standing order permits ASSIST with med, YES to TEST
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| Epinephrine Auto-Injector (prescription required) Dosage | Adult: 0.3mg
Child: 0.15mg
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| Epinephrine Auto-Injector Indications | *Experiencing severe allergic reaction *Medication prescribed * Medical Direction
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| Epinephrine Auto-Injector Contraindications | No contraindications when using in a life-threatening situation
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| Epinephrine Auto-Injector Administration | Intramuscular (IM) Thigh from auto-injector
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| Epinephrine Auto-Injector Actions | Dilates Bronchioles, Constricts blood vessels
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| Epinephrine Auto-Injector Side Effects | Vomiting, Pallor, Dizziness, Chest Pain, Increased HR, Nausea, Headache, Excitability, Anxiety
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| Epinephrine Auto-Injector Medical Direction? | OR allows, Administer Med, YES to TEST
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| Albuterol Inhaler (Prescription Required) Dosage | 90-180mcg for ALL, (1-2 puffs) prescribed inhalations
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| Albuterol Inhaler Indications | respiratory emergency - patient has inhaler - medical direction
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| Albuterol Inhaler Contraindications | patient unable to take, medicine not prescribed, patient already taken max dose
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| Albuterol Inhaler Administration | inhaled by hand-held meter-dosed inhaler with/w.o spacer
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| Albuterol Inhaler Actions | Dilates air passages for easier breathing
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| Albuterol Inhaler Side-Effects | Increase HR, jitteriness, nervousness
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| Albuterol Inhaler Medical Direction? | OR standing order allows administration, YES to TEST
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| Albuterol Nebulizer (prescription required) Dosage | 2.5mg, 3.0mL Saline administered in Nebulizer
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| Albuterol Nebulizer Indications | - Pt has bronchial asthma or COPD - Pt doesn't have inhaler - Medical Direction
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| Albuterol Nebulizer Contraindications | unable to take, not prescribed, already max dosage
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| Albuterol Nebulizer Administration | inhaled, breaths normally through nebulizer
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| Albuterol Nebulizer Actions | Dilates air passages for easier breathing
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| Albuterol Nebulizer Side-Effects | Increased HR, jitteriness, nervousness
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| Albuterol Nebulizer Medical Direction? | OR standing order allows administration, YES for TEST
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| Epinephrine SI Dosage | Adults: 0.3 mg
Children: 0.15 mg
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| Epinephrine SI Indications | Experiencing severe allergic reaction - medical direction
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| Epinephrine SI Contraindications | None when using in life-threatening situations
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| Epinephrine SI Administration | IM, 1cc syringe, 1 inch safety, 23gauge
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| Epinephrine SI | Dilates Bronchioles, Constricts Blood Vessels
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| Epinephrine SI Side-Effects | Headache, Dizziness, vomiting, pallor, chest pain, HR, nausea, Excitibility, Anxiety,
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| Epinephrine SI Medical Direction? | Oregon allows administration, YES to TEST
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| Activated Charcoal Dose | Adult 25-50g
Child 12.5-25g
(1g/kg of patient body weight)
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| Activated Charcoal Indications | poisoning by mouth
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| Activated Charcoal Contraindications | altered mental status, ingested acids/alkalis, cant swallow
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| Activated Charcoal Administration | oral
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| Activated Charcoal Actions | Binds to certain poisons and prevents them from being absorbed
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| Activated Charcoal Side-Effects | black stool, may vomit, if so repeat dose
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| Activated Charcoal Medical Direction? | Oregon Standing Order allows Administer Med, YES for TEST
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