EMT_Ref HO Session 10 2006

EMT_Ref HO Session 10 2006 - General Pharmacology Overview...

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Rev. 12-07 General Pharmacology Overview The importance of medications and the dangers associated with their administration. Medications Carried on the EMS Unit A. Activated Charcoal B. Oral Glucose- C. Oxygen D. Albuterol E. Epi-Auto Injector Medications Prescribed by a Physician These are prescribed medications the patient has in his possession; they are not carried on the EMS unit. (EMT-Bs may assist patients in taking these with approval by medical direction.) A. Prescribed inhaler B. Nitroglycerin- C. Epinephrine- Medication Name Generic VS Trade or Brand Name Medication Form 1. Compressed powders or tablets-nitroglycerin 2. Liquids for injection-epinephrine 3. Gels-oral glucose 4. Suspensions-activated charcoal 5. Fine powder for inhalation-prescribed inhaler 6. Gases-oxygen
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Rev. 12-07 7. Sublingual (under the tongue) spray-nitroglycerin 8. Liquid/vaporized fixed-dose nebulizers Indications The indication for a drug's use includes the most common uses of the drug in treating a specific illness Contraindications Situations in which a drug should not be used because it may cause harm to the patient or offer no effect in improving the patient's condition or illness Dose How much of the drug should be given Actions Desired effects a drug has on the patient and/or his body systems Route Route by which the medication is administered such as oral, sublingual (below the tongue), injectable, or intramuscular Side Effects Any actions of a drug other than those desired. Some side effects may be predictable. EMT-B Proper Use of Assisted Medications in the Field Right patient? Right medication? Right dose? Right route?
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Rev. 12-07 Medication Administration Prescribed inhaler Actions Beta agonist Dilates bronchioles Reduces airway resistance Medication name Indications-meets all of the following criteria Exhibits signs and symptoms of respiratory emergency. Has physician-prescribed hand-held inhaler. Side Effects #Increased pulse rate #Tremors #Nervousness Contraindications The patient is unable to use device. The inhaler is not prescribed for the patient. . The patient has already met maximum prescribed dose prior to EMT-Basic arrival.
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Reassessment Children Patient Assessment: Allergic Reactions What is patient allergic to? What was patient exposed to? How was the patient exposed? What are the signs and symptoms What interventions has patient received? Patient Care - Allergic Reactions Shows signs and symptoms of shock (hypoperfusion) or Complains of respiratory distress When the patient does not have respiratory distress or shock (hypoperfusion): Continue with focused assessment. DO NOT give or assist with epinephrine. Transport and monitor patient
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EMT_Ref HO Session 10 2006 - General Pharmacology Overview...

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