Nitroglycerin
This is the class and indication for Nitro.
What is Vasodilator and Cardiac Chest Pain
This is the class and indication for ASA.
What is Anti-platelet aggregate and Cardiac chest pain?
This is the class and indication for EPI.
What is sympathomimetic and anaphylaxis?
This is the class and indication for Albuterol Sulfate.
What are bronchodilator and bronchospasms?
This is the class and indication for Naloxone.
What is an Opioid antagonist and Opioid overdose?
This is the dose of Nitro.
What is 0.4 SL. May repeat every 5 minutes
This is the dose of ASA
What is 81 mg tablets X4 (324mg in total)
This is the dose of Epi
What is
Adults - 0.3mg IM into Lateral thigh muscle.
Peds - 0.15mg IM into Lateral thigh muscle.
This is the dose of Albuterol.
What is 1-2 inhalations; wait 5 min and repeat as necessary?
This is the dose of Naloxone.
What is
*IM (auto Injector) - 0.4mg pre-set; may repeat every 2 min as necessary.
*IN (M.A.D. device) - 1mg per nostril for 2mg total; may repeat every 2 minutes as necessary
These are the absolute contraindications for Nitro.
What are
1. Hypertension 2. ED medication in last 24 hrs.
3. Head Injury 4. Not to be given to children in the pre-hospital setting.
These are the absolute contraindications for Nitro.
What are:
1. Aspirin allergy (hypersensitivity)
2. Active GI bleeding (recent bleeding)
3. Decreased LOC
These are the absolute contraindications for Epi.
What are
Cardiac chest pain
Hypertension
Hypothermia
These are the absolute contraindications for Albuterol.
What are
Cardiac chest chest pain
hypersensitivity
tachycardia (> 150bpm)
These are the absolute contraindications for Albuterol.
What is Naloxone allergy and Hypersensitivity.
The Onset, Peak Effect and Duration of Nitroglycerin
Wat is Immediate, 5-10 minutes, 20-30 minutes
The Route, Onset, Peak Effect, Duration and any notes for ASA
What is Oral (route), 5-30 minutes (onset), 1-2 hours (peak), 4-6 hours (duration).
Notes - Must be able to chew and swallow without compromising the airway.
The Route, Onset, Peak Effect, Duration and any notes for Epi.
What is IM (route), 3-10 min (Onset), 20 min (peak), 20-30 min (Duration)?
The Route, Onset, Peak Effect, Duration and any notes for Albuterol.
What is SVN Onset: 5─15 minutes Peak Effect: 1─1.5 hours Duration: 3─6 hours
The Route, Onset, Peak Effect, Duration and any notes for Naloxone.
What is IM/IN Onset: 2─10 minutes Peak Effect: 2─10 minutes Duration: 20─120 minutes?
Pharmacology and actions of Nitro
Potent Smooth muscle relaxant.
Causes systemic venodilation, decreasing preload
Arterial vasodilation, decrease afterload
Coronary artery vasodilation
Increases blood flow to the myocardium
Decreases myocardial oxygen
Pharmacology and actions of ASA.
What is
1. ASA disrupts platelet function.
2. Works as a mild analgesic and anti-inflammatory
Pharmacology and actions of Epi.
What are
Alpha and beta effects which increases heart rate and blood pressure.
Potent bronchodilator.
Pharmacology and actions of Albuterol.
What is
• Relatively selective beta2-adrenergic bronchodilator.
• Beta-2 agonist that relaxes bronchial smooth muscle, resulting in bronchial dilation.
• Some beta-1 overlap with clinically significant cardiac effects such as tachycardia.
• Shift potassium intracellular, resulting in lower serum potassium.
Pharmacology and actions of Naloxone.
What is
• Naloxone is a narcotic antagonist which competitively binds to opioid receptors in the brain.
• Displaces opioid molecules, reversing the effect of opioids on the brain.