Chapter 18 - General Pharmacology Flashcards

1
Q

What are the six rights?

A

Right Patient
Right Medication
Right Dose
Right Time
Right Route
Right Documentation

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2
Q

Pharmacodynamics

A

Study of effects of meds on the body

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3
Q

Pharmacokinetics

A

Study of absorption and elimination in the body

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4
Q

What are the medications an EMT can administer?

A

Aspirin
Oral Glucose
Activated Charcoal
Oxygen
Narcan
Epi Pen
Albuterol

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5
Q

What are the medications an EMT can assist with?

A

Inhaler
Nitroglycerin
Epi Pen

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6
Q

Aspirin Dose

A

4: 81mg tablets (324mg total)

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7
Q

Aspirin Route

A

Chewed/PO

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8
Q

Aspirin MoA

A

Prevents further aggregation of platelets

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9
Q

Aspirin Indications

A

Cardiac nature chest pain/discomfort

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10
Q

Aspirin Contraindications

A

Asthma, recent trauma, GI bleeding, use in children

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11
Q

Aspirin Side Effects

A

GI Upset, N/V, Heart Burn

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12
Q

Aspirin Medical Command

A

Not Required

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13
Q

Oral Glucose Dose

A

15 grams (1 single dose tube)

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14
Q

Oral Glucose Route

A

Buccual

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15
Q

Oral Glucose MoA

A

Increases blood sugar level

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16
Q

Oral Glucose Indications

A

AMS with a history of diabetes, suspected hypoglycemia

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17
Q

Oral Glucose Contraindications

A

Unable to follow simple commands, unable to protect airway

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18
Q

Oral Glucose Side Effects

A

Possible hyperglycemia

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19
Q

Oral Glucose Medical Command

A

Not required

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20
Q

Activated Charcoal Dose

A

Adult 25-50grams Child 12.5-25grams

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21
Q

Activated Charcoal Route

A

Oral

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22
Q

Activated Charcoal MoA

A

Binds to ingested particulate

23
Q

Activated Charcoal Indications

A

Ingestion of poison/toxin

24
Q

Activated Charcoal Contraindications

A

unable to swallow, protect the airway, or follow simple commands. Ingestion of caustic substance. Exposure to toxin/poison via means other than ingestion.

25
Activated Charcoal Side Effects
Vomiting, black/tar stool a few days post administration
26
Activated Charcoal Medical Command
Must contact prior to administration
27
Bronchodilator Inhaler and Albuterol Treatment Dose
Inhaler: 1 Rx dose Albuterol Treatment: 2.5mg
28
Bronchodilator Inhaler and Albuterol Treatment Route
Inhalation
29
Bronchodilator Inhaler and Albuterol Treatment MoA
Causes bronchodilator, allowing air to more easily pass through airway structures
30
Bronchodilator Inhaler and Albuterol Treatment Indications
Respiratory Distress with signs of broncho-constriction, wheezing
31
Bronchodilator Inhaler and Albuterol Treatment Contraindications
Broncho-constriction not the suspected cause of respiratory distress
32
Bronchodilator Inhaler and Albuterol Treatment Side Effects
Increased HR, anxiety, shaking, nervousness
33
Bronchodilator Inhaler and Albuterol Treatment Medical Command
Must call after the first administration for any subsequent administrations
34
Nitroglycerin Dose
0.4mg
35
Nitroglycerin Route
Sublingual
36
Nitroglycerin MoA
Dilate coronary arteries, reducing the workload of the heart, thereby reducing oxygen demand
37
Nitroglycerin Indications
Patient is having chest pain as suspect to cardiac issues
38
Nitroglycerin Contra indications
Non-cardiac chest pain, erectile dysfunction drug use in last 24-48hrs, systolic BP < 100, recent dosing
39
Nitroglycerin Side Effects
Light headedness, fainting, drop in BP, anxiety, increased HR
40
Nitroglycerin Medical Command
Must call after the first administration for any subsequent administrations
41
Naloxone (Narcan) Dose
2mg
42
Naloxone (Narcan) Route
Intranasal
43
Naloxone (Narcan) MoA
Reverses the effects of narcotics, including depressed level of consciousness and respiratory depression
44
Naloxone (Narcan) Indications
Suspected narcotic overdose, coma of an unknown cause
45
Naloxone (Narcan) Contra indications
Patient breathing adequately and able to maintain own airway
46
Naloxone (Narcan) Side Effects
May precipitate withdrawal in patients dependent on narcotics
47
Naloxone (Narcan) Medical Command
Not required
48
Epinephrine Auto-Injectors Dose
0.3 for Adults, 0.15 for children
49
Epinephrine Auto-Injectors Route
Intramuscular (IM)
50
Epinephrine Auto-Injectors Indications
Severe allergic reaction with signs of AMS or respiratory compromise
51
Epinephrine Auto-Injectors Contra indications
Mild allergic reaction, none in true emergency setting
52
Epinephrine Auto-Injectors Side Effects
Increased HR, anxiety, shaking, nervousness, headache, numbness in extremities
53
Epinephrine Auto-Injectors Medical Command
Must call after first administration for any subsequent administrations