EMT-B Pharmacology

  Maryland Fire and Rescue Institute Drill of the Month – March 2002 EMT-B Pharmacology Instructor Guide Topic: EMT-B Pharmacology Time Required: Three Hours Materials:    · Oxygen delivery system...


                  a. Medical Consultation required

                  b. shake container thoroughly

                  c. persuade patient to drink the “muddy” liquid

                        1) a covered container and straw may help

                  d. insure container is shaken or stirred just prior to ingestion

                  e. record name, does, route and time of administration

  B. Ipecac

         1. Indications

                   a. overdose of ingested poison in alert patients

         2. Actions

                   a. causes vomiting

         3. Adverse Effects

                   a. emesis may precipitate convulsions

                   b. retching may cause syncope

         4. Precautions

                   a. must be followed by large amounts of water

                   b. must protect the patient from aspiration

         5. Contraindications

                   a. altered mental status

                   b. ingestion of caustics

                   c. ingestion of petroleum products

                   d. patients less than 9 months old

          6. Dosage

                    a. administration requires Medical Consultation

                    b. adult

                            1) over 12 years of age

                                     a) 30 ml orally followed by large amounts of water

                    c. pediatric

                             1) 1 – 12 years of age

                                     a) 15 ml orally followed by large amounts of water

                              2) 9 – 12 months of age

                                      a) 10 ml orally followed by large amounts of water

           7. Administration

                     a. Medical Consultation required

                     b. have patient drink liquid

                     c. have patient drink several glasses of water

                     d. be prepared for vomiting

                     e. be prepared to maintain a patent airway

                     f. record name, dose, route and time of administration

  C. Oral Glucose

          1. Indications

                     a. altered mental status with unknown diabetic history

                     b. unconscious for an unknown reason

                     c. altered mental status with known diabetic history

          2. Actions

                     a. counteract the effects of hypoglycemia

                     b. simple sugar easily absorbed by the body

                     c. increases blood sugar

           3. Adverse Effects

                     a. not clinically significant

           4. Precautions

                     a. patient without gag reflex may aspirate

           5. Contraindications

                     a. not clinically significant

           6. Dosage

                     a. adult

                           1) 10 – 15 grams of glucose paste

                           2) administer between gum and cheek

                     b. pediatric

                           1) 10 – 15 grams of glucose paste

                            2) administer between gum and cheek