EMR - Day #5 Flashcards
What is ASA (aspirin)
A platelet inhibitor
What does it mean to assist a patient with medication?
Assisting a patient with medication means to help them with their own medication.
What does administrating medication mean?
Administrating medication is when you give a patient medication from your kit.
Should abdominal problems be treated as an RTC?
Yes they should be.
What can affect the ways that meds work?
Age
Body mass
Gender
Environment
Time administrated
Genetics
Pathological state
Psychological factors
What are the six rights of medications?
- Time
- Route
- Amount
- Medication
- Patient
- Documentation
What must happen before you administer medication? (Exceptions are O2 and ASA)
You must do a primary survey, secondary survey, make sure indications of need for medication are met, rule out contraindications and consider cautions, six rights
What is a myocardial infarction?
A heart attack.
What is the dose of ASA?
The dose of ASA is 162mg (2x 81mg)
What are the contraindications of ASA?
A - asthma
A - allergy
P - paediatric w/viral symptoms
D - dose not more than 162mg in 12 hours
A - acute bleed
What are the cautions of ASA?
Pregnancy, recent internal bleeding (3 months), anticoagulants, recent surgery and bleeding disorders.
What is nitroglycerin?
Nitroglycerin is a vasodilator. Meaning it makes vessels bigger reducing work load on the heart
What is the dosage of nitro?
0.4mg which can be given up to three times, call EPOS if still in pain afterwards
How is ASA administered?
Orally, patient should chew for faster affect.
How is Nitro administered?
Place tablet under the tongue or spray under tongue
What are the contraindications of nitro?
Make sure systolic BP is over 110
Make sure patient is not on any type of sexual enhancement drugs, within 24hrs (cialis 48hrs)
Make sure patient isn’t allergic
Ask if have prescription for nitro
HR is between 50-150bpm
Cautions of nitro
Can cause hypotension
How often should you give nitro?
Every three minutes up to three times
Why do patients given nitro need to be seated and strapped into cot?
Nitro is a vasodilator, which can cause hypotension, making the patient at risk for falling after taking it.
When should you give O2 to a patient?
Only five O2 to a patient if they aren’t breathing or are SOB.
What are signs and symptoms of circulatory emergencies?
Chest pain (cardiac in nature)
SOB
Fast/ irregular pulse
Sweating
Pale/grey/blue
Anxiety
What happens when R side of heart fails?
Causes back up of blood flow leading to swelling of lower extremities, increased urination
What happens when the left side of the heart backs up?
Back up of blood flow into the lungs, SOB when laying down, wheezing/coughing, foamy sputum and blood coming out of mouth
When should you not admin. O2?
You should not admin. O2 of the patient has a blood O2 level of 95 percent or higher, unless they have a serious trauma.
