Objectives. Overview of General Pharmacology Develop a Basic Knowledge of medications used by BLS Providers Identify situations when each medication may be indicated. General Pharmacology. For every medication you may administer, you must thoroughly understand the following:. Actions
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Original chemical name
Brand name given by manufacturerGeneral Pharmacology
Sudden, rapid onset
Severe allergic reactionAnaphylaxis
Range from mild and local to severe and systemic.
Mild reactions usually affect only one area of the body
Slow onset, and minor symptomsAllergic Reactions
A mild, local reaction caused by a bee sting
A Clear History of Allergen Exposure AND Signs and Symptoms including:
Wheezing, stridor, cough
Chest / throat tightnessSevere Allergic Reaction
BUT MUST FOLLOW
(< 9 y/o or < 30 kg / 66 lbs.)
Chest PainEpinephrineSide Effects
If the patient has an epi auto-injector prescribed:
If no epi auto-injector has been prescribed:
If unable to contact Medical Control, and patient isless than 35 years of age:
ALS must be called
Contact Medical Control
If Medical Control unavailable and patient is <35 years old, administer epi auto-injectorEpi auto-injectorProtocol
(DoNot place thumb over either end!)
Contact Medical Control for order for second dose
Prepare for resuscitation
Treat for shockReassessmentStrategy
Did we mention Oxygenate?
Seasonal changesBronchospasm Triggers
Signs and Symptoms (cont.)
Accessory muscle use
Inability to speak in complete sentences
Prolonged expiratory phase
Pursed lip breathing
Ability to speak in complete sentences
Accessory muscle usePhysical Exam
If agency is approved to carry albuterol, and:
If respiratory distress continues and ALS is not yet available:
oxygen supply tubing
Pour Unit Dose into Nebulizing Chamber
Assemble nebulizer, hook to oxygen regulator, and run between 6 and 10 L/min
Encourage the patient
to breath deeply.
If the patient is too tired to hold the mouthpiece, remove the facepiece from a non-rebreather mask, and connect it firmly to the top of the nebulizing chamber.
Try to avoid inhaling the excess aerosol mist while assessing the patient.