ECare - Chapter 16 (General Pharmacology) Flashcards
six drugs that EMTs can administer
aspirin, oral glucose, oxygen, prescribed bronchodilator inhalers, nitroglycerin, and epinephrine auto injectors
what type of patients should receive aspirin
patients with chest pain of a suspected cardiac origin
what does aspirin do
reduces blood’s ability to clot
what type of patients should receive oral glucose
patients who are conscious, have altered mental status (brain has low levels of sugar), and history of diabetes
what type of patients should receive oxygen
patients who are hypoxic
when to give activated charcoal
if patient is poisoned or has an overdose
what does charcoal do
absorb some poisons
side effects of cronchodilators
increased heart rate and jitteriness
which patients carry nitroglycerin
those with recurrent chest pain or a history of heart attack
what does nitroglycerin do?
dilates that coronary vessels, supplying the heart muscle with blood
when is nitroglycerin taken?
when patient begins to have chest pain with cardiac in origin
a patient taking nitroglycerin should not take this medication
ED medication
side effects of nitroglycerin
drop in blood pressure
what does epinephrine do?
constrict blood vessels and relax airway passages
when is epinephrine used?
allergic reaction
side effects of epinephrine
increased heart rate and blood pressure
medication used with asthma attacks
albuterol (inhaler or SVN). it dilates the airway
what is anaphylaxis
life-threatening response of the immune system. starts with overreaction to an antigen leading to release of histamine causing vasodilation, shock, and bronchoconstriction
medication used to treat anaphylaxis
epinephrine auto-injector
atomizer
device attached to end of syringe that atomizes medication (turns it into droplets)
indication
signs/circumstances where it is appropriate to give drug
untoward effects
effects that are unexpected and harmful
parenteral
route of medication administration that doesn’t use the GI tract
enteral
route of medication administration that uses GI tract
five rights
- do you have the right patient?
- is it the right time?
- is this the right medication?
- is this the right dose?
- is this the right route of administration>
intraosseous
injection into the bone marrow cavity
if patient is in shock, which route of administration shouldn’t be used?
sublingual and intramuscular
medications patients often take
analgesics, antidysrhythmics, anticonvulsants, antihypertensives, bronchodilators, antidiabetics, antidepressants
using a heparin or saline lock to give fluids/meds via a vein
catheter is placed into the vein and small cap is placed over end of catheter. caps has a port to give meds. no bag.
using an IV bag to give fluids/meds via a vein
tubing connects bag to needle/catheter
drip chamber
near fluid bag. micro drip is used when minimal flow of fluid is needed. macro drip is used when higher flow is needed
flow regulator
located below drip chamber. device can be pushed up or down to start, stop, control rate of flow
drug/needle port
below flow regulator. injection of medication is located here
KVO rate
30 drops/min for micro drip or 10 drops/min for macro drip