emt medications

always document TRAMP:

time, route, amount (dose), medication, patient

oxygen delivery methods

nasal cannula, nebulizer, non-rebreather, bvm

oxygen dosage for nasal cannula

1-6 L/min

oxygen dosage for nebulizer

6-10 L/min

oxygen dosage for non-rebreather

10-15L/min

oxygen dosage for bvm

15-25L/min

oxygen indications (4)

hypoxemia, chest pain, decreased LOC, CO poisoning

oxygen contraindications

use in caution with patients with COPD (chronic obstructive pulmonary disease)

acetominophen indiciations

minor pain (if approved by medical control for EMT), fever d

acetaminophen dosages

500-1000mg PO (max dose 1g), weight based for children (15mg/kg)

acetaminophen contraindications

allergy, liver disease

ibuprofen indications

minor pain (when approved by medical control for EMT), feveri

ibuprofen dosages

400-800 PO (max dose 800mg), pediatric is 10mg/kg PO (suspension)

ibuprofen contraindications

allergy, history of GI bleeding, patient on blood thinner

albuterol indications

bronchospasm, wheezing, asthma/ COPD

albuterol common side effects

tachycardia, palpitations

albuterol dosages

2.5mg in 3ml saline, use a nebulizer 6-8L/min O2, MDI 90mcg/inhalation (patient prescribed)

albuterol contraindications

allergy, be cautious of tachycardia and CHF (congestive heart failure)

what is atrovent

smooth muscle relaxer in bronchial tree

atrovent indications

bronchospasm, wheezing, asthma/COPD

atrovent common side effects

tachycardia, palpitations

atrovent dosages

0.5 mg in 3ml saline, use a nebulizer 6-8L/min O2

atrovent contraindications

allergy, be cautious of tachycardia and CHF (congestive heart failure)

epi-pen indications

allergic reaction with wheezing or respiratory obstruction, anaphylaxis

epipen dosages

adult is 0.3mg IM, pediatric is 0.15mg IM, hold pen for 3 seconds, rub spot for 10 seconds

epipen common side effects

tachycardia, hypertension

epipen contraindications

none in emergency situation, be cautious with acute coronary syndrome (ACS)

benadryl (antihistamine) indications

allergic reactionbea

benadryl common side effects

sleepiness, dry mouth be

benadryl dosages

adult: 25-50mg PO contr

benadryl contraindications

asthma, glaucoma, hypertension, administer EPI (epinephrine) first

oral glucose indications

hypoglycemia (<60mg/dl), check protocols

oral glucose side effects

nausea/vomiting

oral glucose dosages

adult 15g PO given buccal, pediatric 0.5-1g/kg PO buccalo

oral glucose contraindications

inability to maintain airway, nausea and vomiting

glucagon auto-injector indications

severe hypoglycemia (no iv), med control only if in protocol

glucagon auto-injector dosages

2-12 years old <45kg - 0.5mg subQ, 2-12 years old >45kg - 1mg subQ, adult: 1mg subQ

glucagon auto-injector common side effects

nausea/vomiting, headache

glucagon auto-injector contraindications

none in an emergency situation

nitroglycerin indications

chest pain

nitroglycerin common side effects

headache, hypotension

nitroglycerin dosages

adult 0.4 mg SL (spray or tablet), repeat 3-5 minutes per medical control, max 3 doses

nitroglycerin contraindications

ed medications in last 24 hours, systolic BP < 100mmHg, hypersensitivity

naloxone (narcan) indications

opiate overdosea

naloxone common side effects

nausea/vomiting, agitation

naloxone dosages

auto-injector 2mg IM, intranasal 0.5-2mg IN (1mL in each nostril)

naloxone contraindications

none in emergency situations

aspirin indications

chest paina

aspirin dosages

162-324mg (81mg tablets) PO

aspirin contraindications

recent GI bleeding, active bleeding, allergy, pediatrics, stroke