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...

           5. Contraindications

                    a. none in the presence of anaphylaxis

           6. Dosage

                    a. adult

                           1) 0.3 mg IM

                                   a) Medical Consultation required prior to administration to adult asthma patients

                    b. pediatric

                           1) 0.15 mg IM

                    c. additional doses require Medical Consultation

              7. Administration

                    a. insure medication is not discolored

                    b. Medical Consultation if required

                    c. remove cap from auto-injector

                   d. place tip against patient’s thigh

                          1) lateral aspect

                          2) midway between waist and knee

                   e. push firmly against thigh until injector activates

                   f. hold at least 10 seconds

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

                   h. properly dispose of auto-injector


VI. Patient Prescribed Medications (1-6)

(Much of the information in this section is Maryland

specific. It is important that you always comply with

your EMS system protocols.)

  A. Metered Dose Inhalers (Albuterol, Proventil, Ventolin)

         1. Indications

                  a. signs and symptoms of respiratory distress

                  b. bronchospasms/wheezing associated with

                          1) asthma

                          2) chronic bronchitis

                          3) emphysema

                          4) allergic reactions (anaphylaxis)

          2. Actions

                a. bronchodilator

                          1) enlarge constricted bronchial tubes

          3. Adverse Effects

                a. tachycardia/palpitations

                b. hypertension

                c. angina

                d. nervousness/anxiety

                e. tremors

                f. dizziness

                g. headache

                h. sweating

                i. nausea/vomiting

                j. sore throat

      4. Precautions

                a. may cause severe bronchospasm from repeated excessive use

                b. patient must have own physician prescribed inhaler

       5. Contraindications

                a. inhaler not prescribed for the patient

       6. Dosage

               a. adult

                     1) maximum of 2 doses (4 puffs) over 30 minutes

               b. pediatric

                     1) maximum of 2 doses (4 puffs) over 30 minutes

               c. additional doses require Medical Consultation

         7. Administration

               a. obtain patient’s prescribed inhaler

               b. assure right patient, right medication, right dose, right route

               c. check expiration date

              d. check if patient has already taken any medication prior to your arrival

              e. assure inhaler is at room temperature

              f. shake inhaler several times

              g. have patient exhale deeply

              h. have patient place lips around inhaler