Route
What route can you administer Acetaminophen?
-Oral (liquid) for children only
-Oral (tablets)
-Rectal
What is the MOA of Activated Charcoal?
It adsorbs toxic substances in the gi tract. Inhibiting or decreasing absorption and toxicity.
Prior to administering this drug, you must call OLMC/SPC. Which drug?
Activated Charcoal
What are the indications for Acetaminophen?
-Minor to moderate pain
-Fever
When is administration of activated charcoal considered the most effective?
30-60 min of ingestion
What route would you administer ASA? What would be your instructions for your patient?
-Orally
-Chew and swallow, with no water
What is the MOA for epinephrine?
- alpha1, beta1 and 2 adrenergic receptors
-causes relax of bronchial smooth muscle, cardiac stimulation & dilation of skeletal muscle
What is the dose of Dextrose in an adult patient?
-0.5g/kg or 10 grams and reassess BGL
-Max of 25 grams
Gravol
When administering any IV medications, especially Dextrose you should what?
-Ensure IV patency
What same routes can you give both your anti-emetics?
-IV, IM, Infusion
-Keep in mind ondansetron we can give as a ODT
How does Glucagon work?
What is your dose for Ketorolac?
10-15 mg
What are your indications for Ipratropium Bromide?
Asthma and COPD
You have a patient with liver failure, and they are febrile. What do you do?
- Acute liver failure is a contraindication of acetaminophen administration.
What is your route for Epi?
-IM, SQ, inhaled
What is the MOA of ASA?
-Inhibits cyclooxygense 1 and 2 enzymes resulting in decreased formation of prostiglandin precursors inhibiting platelet aggregation
-has analgesic, antipyretic and anti-inflammatory properties
You have a 22 kg child, how much Acetaminophen would you administer (what's the range?)
- 10-15 mg/kg
-220-330 mg
What are your indications for epinephrine administration?
-Anaphylaxis
-Severe Asthma
-Croup
What risk do NSAIDS (Naproxen, Ibuprofen & ketorolac) have?
-bleeding
What routes can you administer Narcan?
-IM, IV, IN
What is the MOA of Nitroglycerin?
Decreases preload, cardiac oxygen demand, dilates coronary arteries and improves collateral blood flow to the ischemic regions
When administering Entonox, how do you know what dose you gave?
-Take note of the initial PSI and ending PSI after you hand care over
As a PCP, when can you administer oxytocin to a patient that is delivering a baby
After delivery of the anterior shoulder in a delivery where there is only one fetus
You have a patient that is 72 years old, how are you administering Ondansetron?