EMT Basic Medications (Drug Box) Flashcards
Activated Charcoal (Action)
adsorbs toxic substances from the GI tract
Activated Charcoal (Indication)
most oral poisoning and medication overdoses
Activated Charcoal (Contraindications)
patient is comatose; ingestions of corrosives, causetics, and petroleum distillates
Activate Charcoal (Routes)
PO
Activated Charcoal (Interactions)
bonds with and generally inactivates whatever it is mixed with
Activated Charcoal (Adult dose)
1-2 g/kg
Activated Charcoal (Special Considerations)
pregnancy class C; mix thoroughly before administration
Aspirin (Action)
prevents formation of thromboxane A2
Aspirin (Indications)
acute chest pain
Aspirin (Contraindications)
active ulcer disease; asthma
Aspirin (Route)
PO
Aspirin (Side Effects)
Bronchospasm; anaphylaxis; wheezing in allergic patients; prolonged hemorrhage
Activated Charcoal (Side Effects)
Can induce fatal form of pneumonitis if aspirated
Aspirin (Interactions)
use with caution in patients allergic to NSAIDs
Aspirin (Adult Dose)
162-324 mg
Aspirin (Special Considerations)
pregnancy class D
Albuterol (Action)
selective beta-2 agonist
Albuterol (indications)
bronchospasm
Albuterol (Contraindications)
tachycardia; dysrhythmias
Albuterol (Routes)
Inhaled
Albuterol (Side Effects)
headache; fatigue; tachycardia
Albuterol (Interactions)
beta-blockers may block pulmonary effects
Albuterol (Adult Dose)
2.5 - 5 mg in 3 mL NS (each)
Albuterol (Special Considerations)
pregnancy class C; coach patient on proper breathing during administration
Epinephrine (1:1,000) Epipen (Action)
alpha and beta agonist
Epinephrine (1:1,000) [Epi-pen] (Indications)
allergic reaction; anaphylaxis
Epinephrine (1:1,000) [Epi-pen] (Contraindications)
none in the emergency setting
Epinephrine (1:1,000) [Epi-pen] (Routes)
IM
Epinephrine (1:1,000) [Epi-pen] (Side Effects)
hypertension; tachycardia
Epinephrine (1:1,000) [Epi-pen] (Interactions)
potentiates other alpha and beta agonists
Epinephrine (1:1,000) [Epi-pen] (Adult dose)
0.3 - 0.5 mg
Epinephrine (1:1,000) [Epi-pen] (Special Considerations)
Pregnancy class C; contraindicated in patients in active labor
Naloxone (Action)
competetive inhibition at narcotic receptor sites
Naloxone (Indications)
opiate overdose with respiratory depression / arrest
Naloxone (Contraindications)
use caution in patients with narcotic-dependence
Naloxone (Routes)
IM, IV, IO, IN
Naloxone (Interactions)
incompatible with bisulfite and alkaline solutions
Naloxone (Adult Dose)
0.4 - 2 mg q 5 minutes (up to 10 mg total)
Naloxone (Special Considerations)
Pregnancy class C; beware of potential violent behavior
Nitroglycerin (Action)
vasodilator (smooth muscle relaxant)
Nitroglycerin (Indications)
acute chest pain; HTN; pulmonary edema
Nitroglycerin (Contraindications)
hypotension; head injury; pericardial tamponade
Nitroglycerin (Routes)
SL
Nitroglycerin (Side Effects)
headache; weakness; dizziness; hypotension
Nitroglycerin (Interaction)
additive with other vasodilators
Nitroglycerin (Adult Dose)
0.4 mg q 3 - 5 minutes (up to 3 doses)
Nitroglycerin (Special Considerations)
Pregnancy class C; ensure vascular access is established prior to administration
Oral Glucose (Action)
Absorbed into GI tract and spread systemically providing increase in circulation blood glucose levels
Oral Glucose (Indications)
conscious patients with suspected hypoglycemia
Oral Glucose (Contraindications)
decreased LOC; N/V
Oral Glucose (Routes)
PO
Oral Glucose (Side Effects)
N/V
Oral Glucose (Interactions)
None
Oral Glucose (Adult Dose)
25 g
Oral Glucose (Special Considerations)
must be swallowed, not absorbed subligually or buccally; check BGL prior to and at least 10 minutes after administration
Oxygen (Action)
reverses hypoxemia
Oxygen (Indication)
hypoxemia
Oxygen (Contraindications)
certain patients with COPD will not tolerate oxygen concentration over 35%; hyperventilation
Oxygen (Routes)
Inhaled
Oxygen (Side Effects)
decreased LOC (COPD patients); decreased respiratory drive (COPD patients)
Oxygen (Interactions)
None
Oxygen (Adult Dose)
100 % 10-15 lpm (NRB); 100% 1-6 lpm (NC)
Oxygen (Special Considerations)
Supports combustion