Drug Facts
What 7 medications can you give in the field?
ASA, OG, O2, prescribed bronchodilators (Albuterol), Nitro, Epi, Naloxone
When a medication is swallowed, what route is this and is it ENTERAL or PARENTERAL?
Oral / Enteral
What is the MAX DOSE for Albuterol?
3 Puffs via MDI (pre-dosed)
I m prescribed for heart conditions and come in pill or spray form, given under the tongue.
Nitroglycerin / Nitro / NitroStat
Which receptors does Epinephrine trigger?
Alpha 1 - Vasoconstriction
Beta 1 - Increased contractility of the Heart
Beta 2 - Bronchodilation
What are the 3 Drug Names and give me examples of each.
Generic: Acetaminophen / Ibuprofen
Brand: Tylenol / Advil
Chemical : Don't worry about this one
Dissolved under the Tongue
Sublingual (SL)
Give 2 conditions your patient may have if prescribed Albuterol Bronchodilator.
Asthma and COPD
What is the Max Dose for Aspirin and Nitro?
Aspirin: 0.81 mg x 4 = 324 mg (325 mg)
Nitro: 0.4 mg x3
Epinephrine REVERSES ______ which in turn, reverses _________.
rapid vasodilation , shock
Your patient has a headache after receiving their Nitro, what is this an example of?
Side Effect
Injected into the muscle
Intramuscular (IM)
True or False, you can give the patient his bronchodilators during extreme respiratory failure?
FALSE - It will have no effect if it cannot get down to the bronchioles
This medication reduces the blood's ability to clot and reduces chance of death during a myocardial infarction
Aspirin
Where is the EpiPen injected into?
Lateral Side of Patient's thigh
"Standing Orders" are written orders and are also know as what?
Off-Line Medical Direction
Injected into the vein and what device is used is used when fluid may not be likely, but medication into the vein may be needed later on?
Intravenous (IV) - THIS IS BEYOND OUR EMT SCOPE THOUGH
Heparin Lock
Your patient is in the tripod position, increased respiratory rate, 2-3 dyspnea and wheezing. What do you suspect this maybe is experiencing and how would you treat?
Asthma - Call Medical Direction and ask for permission to administer THE PATIENT'S ALBUTEROL.
Patient does not have prescribed Albuterol? O2 and transport to prevent hypoxia.
This medication's MOA causes vasodilation, causing a drop in the patient's blood pressure.
BONUS points if you can tell me how to treat a patient feeling lightheaded after taking this medication.
Nitroglycerin / Nitro / NitroStat
Bonus : Lay them flat and take a BP
What is the dosage for epinephrine for Adults and Children?
Adults: 0.3 mg x2 with medical control approval
Children: 0.15 mg x2 with medical control approval
What is DDPRT?
Drug, Dose, Patient, Route and Time
Age and Weight effect how medication effects the body, what is the term for 'the study of how medications effect the body'?
Pharmacodynamics
What are the Side Effects of Bronchodilators?
Increased HR, jitteriness, etc
(Anything related to the SNS)
You arrive on scene an find a patient with chest pain, what medication can you give them without having vitals yet?
Aspirin
List at least 6 Side Effects of Epi
HTN, Headache, Tachycardia, Anxiety, Restlessness, Sweating, Headache, Nausea, Vomiting