SAMPLE/OPQRST/Drugs

S (sample)

signs/symptoms

A

allergies

M

medications

P (sample)

past medical history

L

last in and out

E

events leading up to

R (sample)

risk factors

O

onset (sudden/gradual)

P (opqrst)

provocation (does anything make this better/worse)

Q

quality (describe how it feels)

R (opqrst)

Radiation

S (opqrst)

Severity

T

Time (acute/chronic happened before?)

Epinephrine MOA

Adrenergic, stimulant causes bronchodilation

Why give epi

Anaphylactic reaction w/ severe respiratory distress

Epi contraindications

Hypertension, hypothermia, cardiac chest pain

Epi doses

0.3 mg (adults >25kg)

0.15 mg (child >6mo, <25kg)

Epi route

Intramuscular

When to contact Med control epi

• If pt >65

• If child is <6 mo and to give 2nd dose

When to give 2nd dose epi

After 5 min if no improvement

Nitro MOA

Dilates blood vessels to increase coronary blood flow

Nitro indications

Cardiac chest pain

Nitro contraindications

Hypotension, head injury, phosphodiesterase inhibitors (sildenifil, tadafil, etc) w/in 24-48 hrs

Nitro doses

0.4mg (1 tab) up to 3 doses q 5 min, max 3 doses

Nitro route

sublingually

Min bp to give nitro

120mmHg systolic

Aspirin MOA

platelet aggregation inhibitor

Aspirin indications

Chest pain

Aspirin contraindications

GI bleeding

Aspirin dose

81mg x 4 (324mg total)

Aspirin route

oral (chewing)

Albuterol MOA

bronchodilator

Albuterol indications

Shortness of breath w/ bronchospasm

Albuterol contraindications

pt can’t follow commands, cardiac disease, < 6mo, no Rx

Albuterol doses

Pt > 2yr: 2.5mg/3ccNs

Pt 6 mo-2yr: 1.25mg/3ccNS

Or as prescribed

Amt Albuterol nebulized O2

6-8LPM O2