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Albuterol
Action: short acting bronchodilator to relieve difficulty breathing with wheezing
Route: independently or with Ipratropium via Nebulizer (6-8LPM)
Aspirin
Action: antiplatelet drug to treat potentially cardiac chest pain [not pain management]
Route: orally chewed
Acetaminophen
Action: Analgesic (pain relief) and antipyretic (fever reducer) by inhibiting prostaglandin production in CNS
Route: Orally (PO) when patient able to tolerate oral fluids
Adult & Pediatric Epinephrine
Action: treat anaphylaxis by causing vasoconstriction, bronchodilation → increases BP and relieves dyspnea
Route: Intramuscular injection
Glucose
Action: Treat hypoglycemia in conscious patients by raising BGL
Route: Buccal (cheek), oral
Patient must be able to swallow/drink independently
Ibuprofen
Action: Nonsteroidal anti-inflammatory drug (NSAID) that inhibits prostaglandin production to decrease pain, inflammation, and fever
Route: PO when patient can tolerate oral fluids
Ipratropium (Atrovent)
Action: Short acting bronchodilator to relieve difficulty breathing with wheezing
Route: Administer only with albuterol via Nebulizer (6-8LPM), unless patient allergic to albuterol
Naloxone (Narcan)
Action: Treat Central Nervous System (CNS) depression secondary to opiate overdose, fast acting opioid antagonist
Route: Intranasal via mucosal atomizer device (MAD)
Nitroglycerin
Action: vasodilator to treat cardiac chest pain by dilating coronary arteries to increase perfusion to heart, decrease cardiac workload, smooth muscle relaxant
Route: sublingual
Not carried but can help patient administer if they have it with them
6 Rights of Medication Administration
Right patient: check for indications and contraindications. If assisting with a medication (nitroglycerin), make sure it belongs to the patient.
Right medication
Right time: is medication expired? Is it the right time in the assessment to administer?
Right dose: correct dose with correct device
Right route
Right documentation: time of administration, patient reaction
Obtain a set of vitals BEFORE and AFTER the administration