Chapter 18 - General Pharmacology Flashcards

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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
Q

Activated Charcoal Side Effects

A

Vomiting, black/tar stool a few days post administration

26
Q

Activated Charcoal Medical Command

A

Must contact prior to administration

27
Q

Bronchodilator Inhaler and Albuterol Treatment Dose

A

Inhaler: 1 Rx dose
Albuterol Treatment: 2.5mg

28
Q

Bronchodilator Inhaler and Albuterol Treatment Route

A

Inhalation

29
Q

Bronchodilator Inhaler and Albuterol Treatment MoA

A

Causes bronchodilator, allowing air to more easily pass through airway structures

30
Q

Bronchodilator Inhaler and Albuterol Treatment Indications

A

Respiratory Distress with signs of broncho-constriction, wheezing

31
Q

Bronchodilator Inhaler and Albuterol Treatment Contraindications

A

Broncho-constriction not the suspected cause of respiratory distress

32
Q

Bronchodilator Inhaler and Albuterol Treatment Side Effects

A

Increased HR, anxiety, shaking, nervousness

33
Q

Bronchodilator Inhaler and Albuterol Treatment Medical Command

A

Must call after the first administration for any subsequent administrations

34
Q

Nitroglycerin Dose

A

0.4mg

35
Q

Nitroglycerin Route

A

Sublingual

36
Q

Nitroglycerin MoA

A

Dilate coronary arteries, reducing the workload of the heart, thereby reducing oxygen demand

37
Q

Nitroglycerin Indications

A

Patient is having chest pain as suspect to cardiac issues

38
Q

Nitroglycerin Contra indications

A

Non-cardiac chest pain, erectile dysfunction drug use in last 24-48hrs, systolic BP < 100, recent dosing

39
Q

Nitroglycerin Side Effects

A

Light headedness, fainting, drop in BP, anxiety, increased HR

40
Q

Nitroglycerin Medical Command

A

Must call after the first administration for any subsequent administrations

41
Q

Naloxone (Narcan) Dose

A

2mg

42
Q

Naloxone (Narcan) Route

A

Intranasal

43
Q

Naloxone (Narcan) MoA

A

Reverses the effects of narcotics, including depressed level of consciousness and respiratory depression

44
Q

Naloxone (Narcan) Indications

A

Suspected narcotic overdose, coma of an unknown cause

45
Q

Naloxone (Narcan) Contra indications

A

Patient breathing adequately and able to maintain own airway

46
Q

Naloxone (Narcan) Side Effects

A

May precipitate withdrawal in patients dependent on narcotics

47
Q

Naloxone (Narcan) Medical Command

A

Not required

48
Q

Epinephrine Auto-Injectors Dose

A

0.3 for Adults, 0.15 for children

49
Q

Epinephrine Auto-Injectors Route

A

Intramuscular (IM)

50
Q

Epinephrine Auto-Injectors Indications

A

Severe allergic reaction with signs of AMS or respiratory compromise

51
Q

Epinephrine Auto-Injectors Contra indications

A

Mild allergic reaction, none in true emergency setting

52
Q

Epinephrine Auto-Injectors Side Effects

A

Increased HR, anxiety, shaking, nervousness, headache, numbness in extremities

53
Q

Epinephrine Auto-Injectors Medical Command

A

Must call after first administration for any subsequent administrations