Medications Quiz

What medications do you need a base hospital order from?

• Activated Charcoal

• Albuterol

• Nitroglycerin

Charcoal Contraindications

• ALOC/ Obtunded

• Ingested:

  • Acid or Alkaline

  • Hydrocarbon

  • Toxic alcohol

  • Lithium, iron, cyanide

• Bowel Obstruction/ Vomiting

Aspirin Contraindications

• Allergy

• Active GI bleeding

• Bleeding ulcers

• Recent abdominal surgery

• ALOC/ inability to swallow

Nitroglycern Contraindications

• Allergy

• Systolic BP < 100

• Max dose of 1.2mg already taken. Use of PDE-5 Inhibitors (sexually enhancing drugs in the last 24-36 hours)

• Head injury

Albuterol Contrainidications

• Allergy

• ALOC or inability to follow commands

Narcan Contraindications

NONE

Glucose Contraindications

• Hyperglycemia

• ALOC or inability to swallow

• Active Vomiting

Oxygen Doses and Routes

Nasal Cannula → 2-6 LPM

Non-Rebreather Mask → 10-15LPM

Bag-Valve Mask → 15-25 LPM

Charcoal (activated) Dose and Route

1g/kg (adult) → Orally

Epinephrine Doses and Routes

0.3mg (adult) → Intramuscularly

0.15 (pediatric) → Intramuscularly

Aspirin Dose and Route

4 × 81mg = 324mg chewable tablets → Per Oral (PO)

Nitroglycerin (NTG) Dose and Route

3 × 0.4mg (adult) = 1.2mg → Sublingually

Albuterol Dose and Route

2 puffs / 90mcg each → Inhaled

Naloxone (Narcan) Doses and Routes

Pre-Assembled → 4mg → Intranasal (IN)

Not Assembled → 2mg/2mL (adult) or 0.1mg/kg up to 2mg (pediatric) → IN

Glucose Dose and Route

15-25g → Per Oral (PO)