EMT-Basic Meds

Question 1

Acetaminophen

Answer 1

-only liquid
-1000 mg PO
Peds
-15 mg/kilo
-max 1000mg

-pain and fever control

Protocol
7,46,72

Question 2

Albuterol

Answer 2

Beta antagonist
Adult
-5 mg, nebulized, WITH SCRIPT ONLY
-3 doses ONLY
-6-8 lpm o2

PEDS

• 2.5mg, nebulized, 3 doses ONLY
• with SCRIPT ONLY
• MAX DOSE OF 7.5
• 6-8 lpm o2

Protocol

• 24-adult allergic reaction
• 26-asthma, COPD
• 56-peds allergic reaction
• 61-peds respiratory distress

-respiratory distress with bronchospasm

Question 3

Aspirin

Answer 3

324 mg (4x81) PO
325 mg (1x325) PO

Protocol
-14-chest pain and STEMI

-antiplatelet drug for use in cardiac chest pain

NO PEDS!!!

Question 4

Diphenhydramine(Benadryl)

Answer 4

ADULT
-50mg PO

PEDS

• 1mg/kilo PO
• max dose of 50mg
• DO NOT GIVE IN INFANTS LESS THAN 3 MONTHS

Protocol

• 6-behavioral
• 24-adult allergic reaction
• 56-pediatric allergic reaction

-antihistamine for control of allergic reactions

Question 5

Epinephrine

Answer 5

ADULT

• ALLERGIC REACTION
• 0.3mg IM(intramuscular)
• may repeat in 5 minutes at 0.3mg IM, if needed
• COPD/ASTHMA
• 0.3mg IM
• NO REPEAT ALLOWED

PEDS

• ALLERGIC REACTION
• 0.01mg/kilo IM
• MAX SINGLE DOSE 0.3mg
• may repeat in 5 minutes if needed
• RESPIRATORY DISTRESS
• 0.01mg/kg IM
• MAX SINGLE DOSE 0.3mg)
• NO REPEAT ALLOWED

PROTOCOLS-

• 12-adult bradycardia
• 15-adult CHF/pulmonary edema
• 19-post resuscitation
• 20-induced hypothermia
• 24-allergic reaction/anaphylaxis
• 26-adult COPD/asthma
• 30-adult hypotension
• 31-adult OD/toxic ingestion
• 48-peds asystole/PEA
• 49-peds bradycardia
• 51-peds CHF
• 54-peds post reauscitation
• 56-peds allergic reaction
• 60-peds OD/toxic ingestion
• 61-peds respiratory distress

Question 6

Glucose, oral

Answer 6

ADULT

• one tube
• repeat if needed

PEDS

• one tube
• repeat if needed
• consider pt’s ability to swallow and follow directions based on age

PROTOCOL

• 27-adult diabetic
• 58-peds diabetic

-use in conscious hypoglycemic patients

Question 7

NARCAN(naloxone)

Answer 7

ADULTS

• 0.4-4mg IM or IN
• titrated to pt’s respiratory effort

PEDS

• 0.1mg/kilo IM or IN
• MAX TOTAL DOSE 2mg
• titrated to pt’s respiratory effort

PROTOCOL

• 31-overdose/toxic ingestion
• 60-peds OD/toxic ingestion

-natcotic antogonist

Question 8

Nitroglycerin

Answer 8

ADULT

• 0.4mg SL(under tongue)
• ONLY IF PRESCRIBED
• repeat every 5 minutes as needed
• no max dose
• ONLY IF BP IS ABOVE 90 systolic
• no viagra!

PEDS
-med control only

PROTOCOL

• 14-chest pain and STEMI
• 15-adult CHF/pulmonary edema
• 51-peds CHF

-vasodilator used in anginal syndromes and CHF

Question 9

OXYGEN

Answer 9

ADULTS/PEDS

• 1-4 LPM via nasal cannula
• 6-15 lpm via NRB mask
• 15 lpm via BVM/ETT/BIAD

multiple protocols
-Goal of SpO2-94-99%