Medications

What is the brand name of Aspirin? What is the mechanism of action?

Brand name is Bayer, the mechanism of action is an anti-inflammatory agent and anti-fever agent, prevents platelets from clumping, thereby decreasing formation of new clots. Anti - platelet aggregator. In addition, you can give it for non-related chest pain or any relation to heart attack.

What are the indications and contraindications for Aspirin

Indications: relief of mild pain, headaches, muscle aches, fever, chest pain of cardiac region

Contraindications: hypersensitivity, allergy to aspirin, recent bleeding, suspicion of triple A( Abdominal, Aortic, Aneurism), pregnancy, active bleeding, asa expired.

Side Effects of Aspirin

Nausea, Vomiting, Stomach Irritation, Bleeding, Allergic Reactions, Angioedema

What is the given dosage of Aspirin ? What ages can you give Aspirin?

Max 325 mg in 24 hours, any age over 19. Baby aspirin 4

What are some administration concerns for Aspirin? And what are some interactions? Why should kids not have aspirin?

Do not give it to kids or pregnant women. Patients must be able to chew tablets. Aspirin in children can leads to Reyes Syndrome which impacts the liver and brain of the child. 81 mg baby aspirin

What is the route of giving Aspirin?

Oral PO (Chewable tabelets). Instruct patient to chew and swallow

What is the brand name for Albuterol? What is the mechanism of action?

Atrovent, Proventil, Ventolin

Mechanism of Action is that it dialates the bronchioles and relaxes the smooth muscles

What are the indications of Albuterol? What about the contraindications?

Indication: Diffuculty Breathing and Wheezing, dyspnea associated with bronchospasm

Contradindications: Hypersensitivity, Tachycardia, Chest pain of Cardiac Origin, Expiration, Exceed Dose

What are the side effects of the Albuterol? What about interactions and Admin Concerns?

Hypertension, Tachycardia, Anxiety, Restlessness, Increased Heart Rate

Interactions: increases effects of other nervous system stimulants

Admin Concerns: Patient must be able to inhale, coach patient to hold breath for 5 sec after inhalation

What is the dosage of Inhaler/Albuterol ?

If you have an asthma attack/COPD lung will include what? What about anaphylactic reactions

1 to 2 inhalations, (2 puffs max 3 times)

Asthma/COPD: wheezing via exhalation

Anaphylactic Reaction: wheezing via inhalation

what is the routes of admin for Albuterol ?

Inhaler or Nebulizer

What is the brand name for Epinephrine. What is the Mechansim of action?

EpiPen, Action is that it stimulates the nervous system and causes a bronchioles dilation , anaphylactic shock

What is the Indications of Epi? Contrainidictions?

Indications: Anapylactic Rxn, Contra: in skills nothing

In book chest pain of cardiac region, hypothermia, hypertension

What are the side effects of EpiPen

Hypertension, tachycardia, increased HR, anxiety, restlessness

What is the dose of an EpiPen. What is the route admin

0.3 adult, 0.15 mg for kids

Route admin is IM, intramuscular

What are the admin concerns and the interactions of the EpiPen

Admin Concerns: do not repeat dose, med will last 5 min, ensure ALS is in route

Interactions: increases effects of other nervous system stimulants

What is the brand name of Naloxone. What is the mechanism of Action

Brand Name: Narcan, auto injector

Action: Reverses respiratory depression secondary to opioid overdose

What are the side effects of Narcan, what are the admin concerns, and what are contradictions, indications

Side effects: nausea, vomiting

Admin Concerns: patient can be combative

Contraindications: hypersensitivity

Indications: Opioid Posioning

what is the dosage of Narcan and what is the routes of admin

Dosage: 2 mg IN or IM auto injector

What is the brand name of Nitroglycerin, what is the action

Brand: Nitrostat, Nitromist

Action: dilates blood vessels

What is the Indications and Contraindications for Nitro

Indications: Chest pain of cardiac region, non trauma

Contraindications: Hypotension, use of Viagra (Sildenafil), Cialis, Levitra, or another treatment for erectile dysfunction or BP regulation for within the previous 72 hours (NJ) National (24 Hours). Over 100 systolic (NJ) NREMT (90)

Side Effects of Nitro

Headache, burning under the tongue, Hypotension, Nausea

What is the dosage and routes of admin for Nitro

Dosage: 0.3 to 0.4 mg Sublingual, 0.4 mg via spray

No more than 3 times in 15 min (NJ)

How old should a patient be for aspirin ? What about nitro?

Aspirin- 19 yo

Nitro- 18 yo

What are the Admin concerns and Interactions of Nitro

Admin: ensure ALS in route

Interactions: the medication increases the dilating effects of other blood vessels dilating medications

What is the brand name of glucose, what is the action?

What is the side effects ?

Interactions?

Admin Concerns?

Indications?

Brand name is glutose, when absorbed the medication provides glucose for cell use

Interactions: None

Admin Concerns: patient must be awake, have controlled airway and be able to follow commands

What is CPAP used for?

When there is fluid in the lungs and cardiac related

What is the action for oxygen? Contraindications?

Action: reverses hypoxia, provides o2 for the lungs.

Contraindications: rarely used w COPD, do not use near open flames as oxygen supports combustion. Use devices to administer 28% to 100% O2.

When someone is in anaphylactic shock what do you expect?

A low blood pressure, paleness, increase in hr after epinephrine is given. Inhalation wheezing

What is hyperglycemia vs hypoglycemia. What do you do with each patient

Hyperglycemia: needs insulin to bring down the sugar glucose levels 100+ glucometer

Hypoglycemia: needs glucose to bring up the sugar glucose level (give glucose) <100 glucometer

Can diabetes cause altered mental status

Yes they can

Type 1 vs type 2 diabetes

Type 1: body can not produce insulin

Type 2: body can produce insulin but it is not effective

When can you give Narcan for opioid overdose

Only when the patient is not adequately breathing

In a suspected opioid overdose what you can find with pupils? What type of drugs are in this category

Pin point pupils

Drugs: heroin, fentanyl

When using a neubulizer with Albuterol what do you set the oxygen to

6 to 8 L/per min