Medications Flashcards
Albuterol Sulfate Actions
dilates bronchial smooth muscle
Albuterol Sulfate Indications
bronchospasm caused by asthma or COPD, pulse less than 130 beats/minutes
Albuterol Sulfate Onset/duration
5-15 minutes/2-6 hours
Albuterol Sulfate Side Effects
Dizziness, headache, palpitations, chest pain, anxiety, rapid pulse
Albuterol Sulfate Route
Inhalation
Albuterol Sulfate Contraindications
hypersensitivity to the drugs or its contents
Albuterol Sulfate Dose
- Nebulizer with oxygen aerolsization - 2.5 mg/3ml over 5-10 minutes via nebulizer with 8-10 Ipm oxygen
- Metered dose inhaler - 1 to 2 inhalations
Albuterol Sulfate is supplied via
unit dose plastic vial
Albuterol Sulfate Special Considerations
monitor heart rate closely
Albuterol Sulfate requires medical command order?
yes
Aspirin Actions
Inhibits blood clotting action and platelet aggregation
Aspirin Indications
chest discomfort suggestive of acute coronary syndrome
Aspirin Onset/duration
5 minutes/1-4 hours
Aspirin Side Effects
nausea, vomiting, heartburn, dizziness, tinnitus, bronchospasm, GI bleeding
Aspirin Route
orally
Aspirin Contraindications
male less than 25 years old, female less than 35 years
Aspirin Dose
324 mg (4 tablets)
Aspirin is supplied via
81 mg chewable tablets
Aspirin Special Considerations
use with caution if patient had recent surgery since aspirin can promote bleeding at the surgical site
Aspirin requires medical command?
no
DuoNeb - Combivent Actions
Albuterol - (Adrenergic bronchodilator, bronchial smooth muscle dilator.) Ipratropium Bromide - (Anticholinergic bronchodilator)
DuoNeb - Combivent Indications
Bronchospasm as result of Asthma, COPD, allergic reaction, pulse less than 130 ppm adult
DuoNeb - Combivent Side Effects
dizziness, tachycardia, chest pain, palpitations, anxiety, headache, hypertension
DuoNeb - Combivent Route
inhalation/nebulized
DuoNeb - Combivent Contraindications
hypersensitivity to the drugs or components thereof, pulse rate above 130 ppm. No patient under 12 years of age
DuoNeb - Combivent Dose
Albuterol (2.5 mg), Ipratropium Bromide (.5 mg) in 3 ml NS
DuoNeb - Combivent supplied via
unit dose plastic vial
DuoNeb - Combivent Special Considerations
monitor heart rate, initial dose given per protocol. Second dose per MCP order. For allergic reaction - initial dose requires MCP order.
Epinephrine (EPI-PEN) Actions
bronchodilator, increases heart rate and force of contractions
Epinephrine (EPI-PEN) Indications
anaphylactic shock, severe allergic reactions
Epinephrine (EPI-PEN) Onset/duration
5-15 minutes/1-4 hours
Epinephrine (EPI-PEN) Side Effects
anxiety, palpitations, angina, nausea, vomiting, headache, dizziness
Epinephrine (EPI-PEN) Route
IM
Epinephrine (EPI-PEN) Contraindications
none when used in life-threatening conditions
Epinephrine (EPI-PEN) Dose
adult: 0.3 mg, pediatric 0.15 mg
Epinephrine (EPI-PEN) is supplied via
pre-loaded auto-injectors
Epinephrine (EPI-PEN) Special Considerations
monitor vitals frequently after administration
Epinephrine (EPI-PEN) requires medical command order?
yes
Epinephrine (1:1000) Action
bronchodilator, increases heart rate and force of contractions
Epinephrine (1:1000) Indications
anaphylactic shock, severe allergic reactions
Epinephrine (1:1000) Onset/duration
5-15 minutes/1-4 hours
Epinephrine (1:1000) Side Effects
anxiety, palpitations, angina, nausea, vomiting, headache, dizziness
Epinephrine (1:1000) Route
IM
Epinephrine (1:1000) Contraindications
none when used in life-threatening circumstances
Epinephrine (1:1000) Dose
0.3 mg/ 0.3 ml
Epinephrine (1:1000) is supplied via
1 mg unit dose ampule
Epinephrine (1:1000) Special Considerations
monitor vitals frequently after administration
Epinephrine (1:1000) Requires medical command order?
yes
Narcan (Naloxone) Action
Opioid Antagonist w/o opiate agonist properties
Narcan (Naloxone) Indications
partial reversal of opiate drug effects, opiate overdose
Narcan (Naloxone) Side Effects
fever, Chills, Nausea, Vomiting, Diarrhea, Opiate withdrawal
Narcan (Naloxone) Route
IN via atomizer
Narcan (Naloxone) Contraindications
hypersensitivity to the drug
Narcan (Naloxone) Dose
2.0 mg IN (i mg to be given in each nostril)
Narcan (Naloxone) is supplied via
pre-filled syringe 2.0 mg
Narcan (Naloxone) Special Considerations
administer enough to reverse respiratory depression and avoid full narcotic withdrawal syndrome
Narcone (Naloxone) Requires Medical Command Order?
yes
Nitroglycerin Action
relaxes vascular smooth muscle, causes vasodilation, increases coronary blood flow, and reduces preload
Nitroglycerin Indications
chest discomfort suggestive of acute coronary syndrome
Nitroglycerin Onset/duration
1-3 minutes/.5-1 hour
Nitroglycerin Side Effects
headache, hypotension, nausea, vomiting, rapid pulse
Nitroglycerin Route
sublingually
Nitroglycerin Contraindications
blood pressure less than 100 systolic, head trauma, shock, cerebral edema, and hypersensitivity to the drug. Use of Viagra or Levitra in past 24 hours. Use of Cialis in past 72 hours. 12 lead EKG is diagnosed Inferior Wall MI
Nitroglycerin Dose
0.4 mg
Nitroglycerin is supplied via
0.4 mg tablets or metered dose spray
Nitroglycerin Special Considerations
monitor blood pressure before, during, after administration - only stop if pressure falls below 100 systolic
Nitroglycerin Requires Medical Command Order?
yes
Oral Glucose Action
increase blood sugar
Oral Glucose Indications
hypoglycemia, non-traumatic coma of unknown cause
Oral Glucose Onset/duration
1-3 minutes/unknown
Oral Glucose Side Effects
none known
Oral Glucose Route
buccal/oral
Oral Glucose Contraindications
none if used in emergent setting
Oral Glucose Dose
15 gm
Oral Glucose is supplied via
15 gm gel
Oral Glucose Special Considerations
none
Oral Glucose Requires Medical Command Order?
no
Oxygen Action
oxidizes glucose, reverse hypoxemia
Oxygen Indications
almost all emergency conditions in which hypoxemia is present or may develop
Oxygen Onset/duration
immediate/variable
Oxygen Side Effects
may cause irritation to nasal mucous membranes; in rare cases of COPD, may depress respiratory drive
Oxygen Contraindications
none in the emergency setting
Oxygen Dose
variable, depending on patient need
Oxygen is supplied via
compressed gas
Oxygen Special Considerations
monitor pulse oximetry, especially in medical patients t insure adequate dose
Oxygen Requires Medical Command Order?
no
Tylenol (Acetaminophen) Action
non-narcotic analgesic, antipyretic
Tylenol (Acetaminophen) Indications
fever in pediatric patient > 102F. If acetaminophen has not been given in the last four (4) hours
Tylenol (Acetaminophen) Onset/duration
15-30 min /4-6 hours
Tylenol (Acetaminophen) Route
PO
Tylenol (Acetaminophen) Contraindications
vomiting, known hypersensitivity
Tylenol (Acetaminophen) Dose
15 mg/kg
Tylenol (Acetaminophen) is supplied via
oral solutions
Tylenol (Acetaminophen) Requires Medical Command Order?
BLS requires Med Command Order
Zoran (Odansetron) Action
antiemetic with serotonin blocking agents
Zoran (Odansetron) Indications
nausea and vomiting
Zoran (Odansetron) Side Effects
headache, diarrhea, dizziness
Zoran (Odansetron) Route
oral dissolving tablet
Zoran (Odansetron) Contraindications
hypersensitivity to the drug
Zoran (Odansetron) Dose
4 mg ODT (oral dissolving tablet)
Zoran (Odansetron) is supplied via
unit dose tablet
Zoran (Odansetron) Requires Medical Command Order?
no