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60 terms

EMT Pharmacology

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Glucose: Indication
Change of mental status and a history of diabetes
Glucose: Contra-indication
Unconscious, unable to swallow; suspected stroke
Glucose: Medical Control Type
Standing order; obtain blood glucose level and on-line medical control if suspected stroke
Glucose: Action
Raises blood sugar
Glucose: Form
Gel, tablet
Glucose: Dosage
"1 Tube" or dose until patient regains mental status (2 tubes max dose)
Epinephrine: Indication
Severe allergic reaction: Stridor, Bronchospasm, severe abdominal pain, respiratory distress, tachycardia, shock (systolic<90), observe for edema of lips, face, tongue, generalized urticaria
Epinephrine: Contra-indication
None
Epinephrine: Medical Control Type
Standing order unless patient is older than 65 or younger than 5 yrs old
Epinephrine: Action
Bronchodilator, vasoconstrictor
Epinephrine: Form
Liquid
Epinephrine: Dosage
0.3 mg adult; 0.15 mg child (max dose of 2 five min. apart)
Activated Charcoal: Indication
Poisoning
Activated Charcoal: Contra-indication
Unconscious; unable to swallow; ingestion of hydrocarbon, petroleum distillate, corrosive substances, or heavy metals
Activated Charcoal: Medical Control Type
On-line
Activated Charcoal: Action
Adsorbs and binds poisons (Sorbitol = laxative)
Activated Charcoal: Form
Suspension
Activated Charcoal: Dosage
Adult 25-50 g; Child 12.5-25 g (1g per kg)
Pralidoxime (Mark I): Indication
Severe organophosphate poisoning characterized by muscle twitching, respiratory depression, and paralysis; Cholinergic syndrome symptoms
Pralidoxime (Mark I): Contra-indication
Non-organophosphate poisoning source
Pralidoxime (Mark I): Medical Control Type
Standing Order
Pralidoxime (Mark I): Action
Cholinesterate reactivator, deactivates acetylcholine
Pralidoxime (Mark I): Form
Liquid
Pralidoxime (Mark I): Dosage
One to Three kits (each kit = 1 dose), depnending on severity; 600 mg; less for peds.
Atropine (Mark I): Indication
Severe organophosphate poisoning characterized by muscle twitching, respiratory depression, and paralysis; Cholinergic syndrome symptoms
Atropine (Mark I): Contra-indication
Non-organophosphate poisoning source
Atropine (Mark I): Medical Control Type
Standing Order
Atropine (Mark I): Action
Blocks acetylcholine receptors, increases HR
Atropine (Mark I): Form
Liquid
Atropine (Mark 1): Dosage
One to Three kits depending on severity; 2 mg; less for peds
Nasal Naloxone: Indication
Significant respiratory depression and indications of opiate use such as AMS, pinpoint pupils, admission of heroin or methodone use by patient or bystanders, drug paraphernalia, or needle track marks
Nasal Naloxone: contra-indication
Allergy, Age less than 14 yrs old, patient is breathing adequately, recent seizures or trauma, cardiac arrest, nasal trauma or obstruction. Use caution with narcotic-dependent patients who may experience withdrawal.
Nasal Naloxone: Medical Control Type
Standing Order
Nasal Naloxone: Form
Mist
Nasal Naloxone: Dosage
2.0 mg
Nasal Naloxone: action
opiod receptor competitive agonist
Inhalers (albuterol): indications
slight wheezing and/or mild cough, able to move air without difficulty, prescription
Inhalers (albuterol): contraindications
Unconscious; unable to physically use device, maximum dose reached prior to arrival, device not prescribed to patient
Inhalers (albuterol): medical control
standing order
Inhalers (albuterol): action
bronchodilator
Inhalers (albuterol): form
powder/mist
Inhalers (albuterol): dosage
as prescribed (patient's medication)
Nebulizer (albuterol): indication
signs of respiratory compromise, diagnosis of reactive airway disease (RAD), current prescription for a rescue inhaler or nebulizer
Nebulizer (albuterol): contraindication
Younger than six months, known history of cardiac disease (past MI or angina)
Nebulizer (albuterol): Medical Control
standing order
Nebulizer (albuterol): action
bronchodilator
Nebulizer (albuterol): form
mist
Nebulizer (albuterol): dosage
Adult: 2.5mg in 3ml saline; Ped: 2.5 mg in 5ml saline; over 5 to 15 min.
Acetylsalicylic acid (aspirin): indications
chest pain
Acetylsalicylic acid (aspirin): contra- indications
unconscious, unable to swallow, allergic to aspirin, GI bleeding
Acetylsalicylic acid (aspirin): medical control
standing order
Acetylsalicylic acid (aspirin): action
anticoagulant; analgesic
Acetylsalicylic acid (aspirin): form
tablet
Acetylsalicylic acid (aspirin): dosage
162-325 mg
nitroglycerin: indications
chest pain, prescription
nitroglycerin: contraindications
systolic blood press under 10-0, intracranial bleeding or head injury
nitroglycerin: medical control
standing order, unless patient has taken Viagra or similar drug (online medical control if within past 48 hours)
nitroglycerin: action
vasodilator
nitroglycerin: form
tablet, spray
nitroglycerin: dosage
1 tablet or 1 spray (0.4 mg) up to three times 4 min apart