1. Aspirin (ASA) Action:
-Inhibits normal tendency for platelets to clump together.
-Blocks formation of thromboxin A2
-Improves blood flow through blocked arteries
Indications;
-pain or discomfort of cardiac origin
Contraindications:
-allergic to aspirin
2. Side effects of as- GI upset, occult bleeding
pirin
3. Aspirin dosage 81 mg - 325 mg Chewable Tablets
-Assist with patient's normal daily dose
-Standing order (SO) 1 dose per SD County
4. Epinephrine Actions
-bronchodilation
-vasoconstriction
-increased heart rate
Indications
-anaphylaxis (angioedema - bronchospasms - hypotension
5. Side effects of ep- - anxiety, elevated BP, elevated heart rate, palpations
inephrine
6. Epinephrin May directly administer per standing order
e Dosage
Adults: standing order--one time only
-0.3 mg adults IM
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Pediatrics: standing order--one time only
-Patients 15 to 33 kg (33 to 73 lbs) Dose 0.15 mg IM
-Patients >33 kg (73 lbs) Dose 0.3 mg IM
May assist with patient's own medication SO
-any additional doses per
7. Metered-dose BHO Albuterol (proventil,
in- halers
ventolin)
Action: beta 2 stimulant, relaxes smooth muscle in bronchi
Indications:
-respiratory distress with bronchospasms
8. Side effects of -allergic reaction with bronchospasms
metered dose
in- halers -tachycardia
-tremors
-dizziness
-palpations
9. MDI dosage One or two putts (ask patient about normal dose)
Order: May assist with 1 dose standing order
-repeat doses by base hospital order
10. Narcan
(Nalox- one 11.
Hydrochlo-
ride)
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class: opioid antagonist
actions:
reverses
opioid
overdose by
occupying
opiate
receptor
sites
Indications
:
-Adults: Symptomatic
narcotic OD with
respiratory rate less than
12 per minute
-Pediatrics: Symptomatic
narcotic OD with
respiratory rate low for
age
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