Medications Flashcards
Indications for naloxone (narcan)
Respiratory Depression or
Arrest
+ Known or
Suspected
Opiate
Overdose
Indications for albuterol (mdi/nebulizer)
Respiratory
Distress with Signs of
Bronchospasm
Indications for epinephrine
Known or
Suspected
Anaphylaxis (multisystemic) w/: Respiratory Distress, Airway Problem, Shock
Indications for glucose
Altered
Mental Status with
History of Diabetes or
Hypoglycemia
Indications for nitroglycerin
Atraumatic
Chest Pain with
Cardiac History
Indications for aspirin
Atraumatic
Chest Pain
Indications for activated charcoal
Ingested poison
Contra-indications for naloxone(narcan)
Medication Expired or
Discolored, Pt. Allergic
Cautions: Cardiac Conditions, Brain Injury or Poly-
Substance Overdose
Contra-indications for albuterol(mdi/nebulizer)
Medication Expired or
Discolored (SVN),
Pt. Allergic, Max. Dose already taken,
LOC insufficient
Contra-indications for epinephrine
Medication Expired or
Discolored,
Caution:
Cardiac Conditions,
Hypertension
Contra-indications for glucose
Medication Expired or
PT. LOC
Insufficient (unable to maintain airway)
Contra-indications for nitroglycerin
Med. Expired, Pt.
Allergic, Max.
Dose already taken, insufficient
LOC, Systolic BP
<100, ED Med use w/in 72 Hrs., Head Injury
Contra-indications for aspirin
Med. Expired, Pt.
Allergic, Max. Dose already taken, LOC insufficient, <19 y/o, Pregnant, Bleeding/ Disorder, AAA
Cautions: Asthma, Liver Damage
Contra-indications for activated charcoal
Any Solvent, Acid or Base
Must contact poison control
Dose for naloxone(narcan)
(IN) = 0.2 mg in
0.2 ml
(IM) = 0.4 mg
Med Direction if
Pt <5 y/o- or to exceed Single Dose
Dose for albuterol (mdi/nebulizer)
Ask Pt:
How Many Puffs = 1 Dose? &
How Many Doses
Prescribed?
2 Puffs per Dose &
2 Doses is Usual
EMT max. = 2 Doses
2.5mg
Dose for epinephrine
Adult: 0.3 mg
Child (<4 y/o):
0.15 mg
Med Direction to exceed Single Dose.
Can give 10 min after bystander Dose.
Dose for glucose
1 Tube
EMT max. = 2 Doses
Dose for nitroglycerin
1 Pill or
1 Spray
Min. 5 minute interval between doses, max 3 doses per Episode
Dose for aspirin
Max. 325 mg in 24 Hours, Non-Coated
Pills or Powder
81 mg pills x4
162 mg pills x2
325 mg pill x1
Dose for activated charcoal
1 g per kg of Pf. Weight up to
Child max. 25 g
Adult max. 50 g
Route for naloxone(narcan)
Intranasal
(usual for EMT) or
Intramuscular
1 mg per Nare, via Atomizer
Route for albuterol
Inhalation
Route for epinephrine
Intramuscular at
Lateral
Mid-Thigh
Route for glucose
Oral (Buccal)
Dispense onto longue Depressor,
Place between Cheek & Teeth
Route for nitroglycerin
Sublingual
Route for aspirin
Oral (must be
Chewed)
Give No or
Very Little Water
Route for activated charcoal
Ingestion
Suspension,
Use Opaque Vessel and Straw
Action for naloxone (narcan)
Opiate
Antagonist (Blocker)
Action for albuterol
Bronchodilator
Action for epinephrine
Bronchodilator and
Vasoconstrictor
Action for glucose
Increases
Blood Glucose
Level
Action for nitroglycerin
Vasodilator (Reduces
Workload on Heart)
Action for aspirin
Platelet
Aggregation
Inhibitor (Reduces Clotting)
Action for activated charcoal
Binds to Poison (Prevents
Absorption as
Substance
Passes Through
Digestive System)
Side effects for naloxone (narcan)
Agitation/ Combativeness, Tachycardia/ V-Fib/Arrest,
HTN, Seizures, N/V/Abd.Cramps,
Dyspnea,
Pulmonary Edema
Side effects for albuterol
Anxiety, Tremors,
Palpitations, Headache, Dry Mouth, Sore Throat, Epitaxis,
N/V/ Dyspepsia,
HTN, Paradoxical
Bronchospasm
Side effects for epinephrine
Anxiety, Tremors,
Headache, N/V, HTN,
Tachicardia, Chest Pain, Arrythmias
Side effects for glucose
Nausea/Vomiting
Side effects for nitroglycerin
“Burning” under tongue, Headache, Lightheadedness, Flushing, N/V,
Hypotension, Bradycardia, Cardiovascular collapse
Side effects for aspirin
Nausea/Vomiting, Gastric Irrittion,
Increased
Bleeding
Side effects for activated charcoal
Nausea/Vomiting,
Black Stools