Prescribed Inhaler (Bronchodilator) Oxygen Oral Glucose Agents Activated Charcoal Nitrogylcerin Epinephriine

Medication

Generic Name: Albutrol (Proventil,Ventolin), Isotharine (Bronkosol) Metaproternol (Alupent) Type of Drug: Adrenergic Beta2Agonist

Generic Name: Oxygen Trade Name: Oxygen Type of Drug: Atomospheric Gas

Generic name: Oral Glucose Trade Name: Glutose, Insta-Glucose, Isulin reaction Type of Drug: Nutrient

Generic Name: Activated Charcoal Trade Name: Charcola, Arm-a-Char, Charcoaide, Insta-Char Type of Drug: Absorbent

Generic Name: Nitroglycerin Trade Name: Nitrostat, Nitro-bid, Nitro Dur, Nitrol, Tridil Type of Drug: Anti Anginal

Generic Name: Ephinephrine Trade name: Adenalin Type of Drug: Sympathomimetic

Indication

Pt exhibits S/S of Respiratory Distress Pt has Physician Prescribed hand-held inhaler, and EMT-B has specific authorization by medical Direction

Hpoxemia, Ischemic Chest Pain, Respiratory Distress, Carbon Monoxide Poisoning

Pts with altered mental status with a known history of diabetes controlled by medication Poisoning by Mouth

Pt exhibts S/S of chest pain, Pt has physican prescribed nitroglycerinetablets or spray, and EMT-B has specific authorization by medical direction

Pt exhibiting the assessment findings of an allergic reaction with Respiratory Distress/Hypoperfusion, Pt has prescribed epinephrine autoinjector, EMT-B has authorization by medical direction

Contraindications

Inability of Pt to use the device, Inhaler not prescribed for the Pt, No permission from medical Direction, Pt already met the maxium prescribed does PROFOUND TACHYCARDIA None

Unconciousness, Inability to swallow GAG REFLEX

Altered mental Status, Ingestion of acids or alkalis, Inability to swallow

Hypotension (B/P < 100mmHg systolic), head injury or altered mental status, Infants and Children, Pt met max prescribed dose, Pt does not have their own prescribed Nitroglycerin ANY SEXUAL ENHANCING DRUGS!

Hypertension, narrow angle glaucoma, Pulmonaryedema,(No contraindications when used in a life threatening situation)

FormHand-held Mettered Dose Inhaler Gas Gel

Pre-mixed in water, frequently available in plastic bottles containing 12.5 grams activated charcoal Sublingual Tablet or spray

Liquid adminstered via a pre-filled needle and syringe system

Dosage

Based on medical direction Albutorol (1 spray = 90 micrograms 2 sprays = 180 micrograms

Low Concntration: NC 1-6 L/min High Concentration: NRBM 10-15 L/min

One tube (10-20 G), repeat every 10 minutes if necessary

1gram activated charcoal/kg of body weight, Adult dose - 25-50grams, Child dose - 12.5-25grams

1 dose (1 tablet or 1 Spray) every 3 to 5 minutes for a total of 3 sprays Each dose (.4) with a max of 1.2

Adult - 1 autoinjector (0.3mg) Pediatric - 1 infant/child autoinjector (0.15mg)

Actions

Dilates bronchioles, reducing airway resistance

Supports cellur life and function as it binds to hemoglobin and is trasported through the body Increases blood sugar

Binds to certain poisons and prevents their absorption in the gastointestinal tract

relaxes blood vessels, decreasing workload of the heart

Dilates the bronchioles and constricts blood vessels

Side Effects

Increased pulse rate, tremors, nervousness, headache, Tachycardia

High flow O2 may cause respiratory depression in Pts with CO2 poisoning. O2 supports combusion

None (When given Properly), May be aspirated by a pt without a gag reflex

Constipation,diarrhea, black stools. Large doses may cause Vomiting (if this occures, contact medical direction for orders to repeat dose)

Hypotension, headaches, dizziness, flushing,syncope

Increased heart rate, pallor, dizziness,chest pain, headache, N/V, excitability, anxiousness