Aspirin
What is the indication for Aspirin?
Cardiac Chest Pain
What is the indication for Nitroglycerin?
Cardiac chest pain; congestive heart failure/pulmonary edema
Anaphylaxis
What is the indication for Albuterol?
Anaphylaxis/Allergic reaction WITH wheezing, Wheezing due to drowning/submersion, respiratory distress with wheezing
What is the indication for oral glucose?
Alert patients with hypoglycemia
What is the Route for aspirin/what do you tell the patient to do?
PO (Orally), Chewed
What is the route for Nitroglycerin?
Sublingually (SL)
Under the tongue
What is the route for Epinephrine?
IM, auto-injector
What is the route for albuterol?
Nebulized
What is the route for Oral Glucose?
PO, Buccal
What is the dose for Aspirin?
325mg
What is the dose for Nitroglycerin
0.4mg
What is the dose for IM Epinephrine?
-Adult
-Ped
-Adult IM: 0.5mg
-Ped IM: 0.01mg/kg (max 0.3mg)
What is the dose for Albuterol? (Adult and ped)
2.5mg in 3mL NS
What is the adult AND pediatric dose for Oral Glucose?
Adults: 15 grams
Peds: 7.5 grams
What patient would need aspirin?
-Patient complaining of chest pain radiating to left arm
or
-Patient who is nauseated
Patient complaining of chest pain radiating to left arm
What patient would need Nitroglycerin
-A patient with chest pain and pulmonary edema
or
-A pediatric complaining of difficulty breathing?
-A patient with chest pain and pulmonary edema
What patient would need Epinephrine
-A patient who says that their throat feels tight, cannot catch their breath, and has hives after being stung by a bee
or
-A patient who has had a sore throat for the last week
A patient who says that their throat feels tight, cannot catch their breath, and has hives after being stung by a bee
What patient would need Albuterol?
-A patient who has a history of Asthma, and is having difficulty breathing with audible wheezing after a hike
or
-A patient who is having a seizure
A patient who has a history of Asthma, and is having difficulty breathing with audible wheezing after a hike
What patient would need oral glucose?
-A patient who is alert, feeling lethargic and shaky and has a BGL of 60
or
-A patient who is unconscious and has a BGL of 42
A patient who is alert, feeling lethargic and shaky and has a BGL of 60
WHY??
Name 4 contraindications for Aspirin
Hypersensitivity, Bleeding GI ulcers, Hemolytic anemia, hemophilia, breastfeed
What is the pediatric dose for Nitroglycerin?
Trick question!!
You cannot give Nitro to pediatric patients
What is the difference between anaphylaxis and an allergic reaction?
Anaphylaxis: two or more body systems affected
Can you administer Albuterol to a pregnant patient?
Yes, it is safer that withholding the medication.
*May result in adverse effects
If we have an unconscious hypoglycemic patient, and thus cannot give oral glucose what should we do?
Call ALS, they can give IV medications to help raise BGL.