Indications
When is oral glucose indicated?
For patients with suspected hypoglycemia who can swallow.
What’s one contraindication for albuterol?
Symptomatic tachycardia
What’s the adult dose for aspirin?
324 mg (4 × 81 mg tablets) chewed orally.
What’s a common side effect of epinephrine?
Increased heart rate or anxiety.
19-year-old with peanut allergy, hives, trouble breathing. What do you give?
Epinephrine 0.3 mg IM
When is aspirin given by a BLS provider?
For suspected cardiac chest pain or myocardial infarction
Why wouldn’t you give oral glucose?
If the patient is unconscious or cannot swallow.
What’s the adult dose for epinephrine?
0.3 mg IM or via auto-injector
What’s a possible side effect of oral glucose?
Nausea or vomiting
45-year-old diabetic, confused but can swallow. What do you give?
Oral glucose
When do you give epinephrine?
For severe allergic reactions (anaphylaxis) with airway compromise or shock.
When should aspirin not be given?
Patients with GI bleeding, liver failure, hypersensitivity and bleeding disorders
What’s the adult dose for naloxone (Narcan)?
4 mg intranasal (1 spray per nostril, repeat as needed).
What side effect can aspirin cause?
Gastrointestinal upset or bleeding.
34-year-old unresponsive with pinpoint pupils, slow respirations. What med?
Naloxone (Narcan) 4 mg IN
When should naloxone (Narcan) be administered?
For suspected opioid overdose with respiratory depression.
When should naloxone be avoided or used cautiously?
When patient is alert and breathing adequately.
What’s the route for oral glucose?
Oral (buccal — between cheek and gum).
What side effect can albuterol cause?
dizziness, anxiety, hypertension, palpations, chest discomfort, headache and tachycardia
23 year old SOB hx of asthma wheezing. What medication do you give and how?
Albuterol via nebulizer 6 lmp
What is oxygen indicated for?
Hypoxia or suspected hypoxia based on assessment.
When should epinephrine be used with caution?
In patients with heart disease or hypertension (but still given if life-threatening reaction).
What’s the dose for albuterol?
2.5 mg in 3ml via nebulizer
What side effect may occur after naloxone?
Sudden withdrawal symptoms (agitation, nausea, vomiting).
You arrive on scene with a 50-year-old male who is unresponsive. You suspect a drug overdose and administer Narcan. The patient wakes up and becomes combative
Ensure scene safety, request law enforcement if needed, monitor airway and respirations, reassess vitals, and prepare for possibility patient will go unresponsive again and Transport.