Unit 4 Interventions and Practical Notes Flashcards
A: ... E: .../... I: ... O: ... U: ... T: ... I: ... P: ... S: ...
alcohol epilepsy, endocrine, electrolytes insulin opiates and other drugs uremia (kidney failure) trauma, temperature infection poisoning shock, stroke, seizure, syncope
(aspirin)
indications: …
contraindications: allergy and max dose taken in past .., under age …, .., suspicion of … or …, ../… disorder
atraumatic chest pain; 24 hours; 19; pregnancy; thoracic; AAA; bleeding; active bleeding
(aspirin) action: …–> makes it more difficult for platelets to stick together
Dose/availability: up to … mg in a 4 hr period (… 81 mg tabs); can be obtained from patient, on scene, or from EMS
administration: …–> have patient … non-coated tablets
platelet aggregate inhibitor; 325; 4; oral; chew
(aspirin) side effects:
increased likelihood of …/…, nausea/vomiting, anaphylaxis/angioedema if patient is allergic
bruising; bleeding
(nitroglycerin)
indications: …
contraindications: allergy and max dose within a … min period prior to/during current episode
BP is …
…. drugs taken …-… hrs prior to episode
recent …
cloudy/discolored liquid (spray)
under age …
atraumatic chest pain; 15 less than 100 systolic erectile dysfunction; 24-72 head injury 18
(nitroglycerin) action: ….–> restores to blood flow to the heart and relieves chest pain
dose/availability: … tablets/sprays within a 15 min period, obtained through …
systemic vasodilation; 3; patient prescription
6 rights ... ... ... ... ... ...
patient medication route time dose documentation
(nitroglycerin) administration: …–> take … before administering, reassess … and … after each dose
repeat 1 dose every … mins until max is reached for any one episode
sublingual; vital signs; chest pain (0-10); vital signs; 5
(nitroglycerin) side effects: ... ... ... ... under tongue ... ... .../...
flushing headache hypotension tingling lightheadedness bradycardia dizziness/weakness
(albuterol) indications: dyspnea due to …; patient is alert and physically capable of using neb/inhaler
neb flow rate: …
contraindications: allergy/max dose; patient is …
bronchial spasm; 6-8; unable to use device
(albuterol) action: … –> allows for air exchange
Dose/availability: MDI: according to … or … puffs; Neb: …–> can repeat one full dose if indications remain after … mins
obtained through …, or neb can be from …
bronchiodilator; prescription; 2; one bullet; 5; patient prescription; ems
(albuterol) administration:
MDI:
- use … if available
- coach patient to …, depress MDI while …, hold breath as long as comfortable, then exhale … through pursed lips/nose
- separate puffs with … - … seconds of …
spacer exhale inhaling slowly 30-60; oxygen
(albuterol) administration: Neb: - mouthpiece/mask - assemble and supply ... - coach patient to slowly and deeply inhale mist, ... as long as comfortable and slowly ..
O2; hold breath; exhale
(albuterol) side effects:
- …/…/…
… mouth
- slight increase in …/…
- …
- …
- …
- … irritation
- …
jitters; nervous; tremors dry pulse; BP palpitations nausea headache throat vomiting
(epinephrine) indications: …
contraindications: … or … liquid; no medical contraind.
action: … and … –> addresses both shock and resp. distress
anaphylaxis; discolored; precipitated; vasoconstriction; bronchodilation
(epinephrine) dose/availability –> 1 pen: adult = … mg, child = … mg
may give 2nd pen after at least … mins if patient is still eligible
obtained through … or .. provided
0.3; 0.15; 10; prescription; EMS
(epinephrine) administration: clean injection site make fist around unit pull off ... insert firmly into ... such that unit is ... to thigh hold firmly in thigh for about ... secs massage injection area for ...
activation cap
lateral thigh; perpendicular
3
10 s
(epinephrine) side effects: .../...... .../... ... ... ... ... mouth ... pain ...
anxiety; nervousness tremors nausea; vomiting hypertension headache tachycardia dry chest cardiac arrhythmia
(glucose) indications: … due to suspected …
contraindications: …
actions: raises blood …
altered mental status; hypoglycemia;
inability to swallow
sugar
(glucose) dose/availability: … , followed by meal with complex carbs; obtained through …
administration: …–> use tongue depressor to apply to cheek
no side effects
1 tube (or half for kid); EMS; oral
(naloxone) indications: … due to suspected …
contraindications: allergy/max dose, … or … of liquid
action: …
decreased respiratory drive; opioid overdose; discoloration; precipitation
blocks opioid receptors
(naloxone) dose/availability: auto-injector = … mg, IN spray –> …. mg, 1 in each nare
provided by …
administration: assemble and spray 1 mg into each …
0.4; 2; EMS; nostril
(naloxone) side effects: .../... ... ... ... ... ... ... ... ... BP ... or ... ... ...
agitation; combativeness diaphoresis nausea diarrhea tremors tachycardia seizures dyspnea elevated BP cardiac arrest/ v. fib pulmonary edema abdominal cramps
hypoglycemia:
increased … and …
… skin, … skin, … skin, …
heart rate; bp
moist; pale; cool; sweating
stroke:
usually presents with … blood pressure
skin usually ….
high; normal
anaphylaxis:
… blood pressure
starts with … respiratory rate
low; increased
opioid overdose:
… heartbeat and … BP
…, …, …/… skin
… respiratory rate
slow; low;
pale; blue; cool/clammy
depressed
asthma:
… blood pressure
heart attack:
can present with a ..
high; cool sweat
if both aspirin and nitro are available at the same time, give … first
aspirin
