1 / 17

Pharmacology Update May 2013

Pharmacology Update May 2013. Presence Regional EMS System. Objectives. Describe the two actions of Duo-nebs for patients with asthma Discuss the precautions involved using Duo-nebs Identify the indications for using Fentanyl.

tal
Download Presentation

Pharmacology Update May 2013

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Pharmacology UpdateMay 2013 Presence Regional EMS System

  2. Objectives • Describe the two actions of Duo-nebs for patients with asthma • Discuss the precautions involved using Duo-nebs • Identify the indications for using Fentanyl. • Outline the precautions and contraindications for the use of Fentanyl

  3. Requirements • All PRO Ambulance providers must review this PowerPoint presentation • Everyone must review this presentation by Saturday June 1, 2013 • Once you have reviewed the presentation, email Mary Butzow Mary.butzow@presencehealth.org

  4. 2013 Region 6 Protocols • Medications added to the Protocols • DuoNeb for Bronchospasm/Asthma • Fentanyl for pain relief

  5. DuoNeb • Blended solution of • Albuterol Sulfate (Albuterol) • Ipratropium Bromide (Atrovent) • Two medications work in different ways to achieve bronchodilation

  6. Albuterol • Albuterol- • Synthetic sympathetic nervous system stimulant • Beta 2 agonist – bronchodilation • Less cardiac effect ( Beta 1, Alpha 1) than epinephrine • Reduces mucus secretion, pulmonary capillary leaking and edema in the lungs in allergic reactions

  7. Albuterol • Precautions: Patient may experience • Tachycardia • Anxiety • Nausea • Cough • Wheezing • Dizziness

  8. Ipratropium (Atrovent) • Ipratropium • Anticholinergic blocks the acetylcholine receptors of the parasympathetic nervous system • Bronchodilation • Drying of respiratory tract secretions

  9. Ipratropium • Contraindications • Hypersensitivity to Atropine • Precautions • Elderly • Cardiovascular disease • Hypertension

  10. Myth-Buster • Duo-Nebs can be given to patients with nut allergies. • There is a problem with a preservative used in Duo-neb INHALERS. • Duo-neb nebulizer treatments are safe.

  11. DuoNeb • Combining Albuterol and Ipratropium produces a greater bronchodilation effect than when either drug is used alone.

  12. DuoNeb Dosage • Comes pre-mixed • 0.5 mg Ipratropium • 3 mg Albuterol • In 3 ml solution • Nebulize with 6-8 L Oxygen May repeat x 2

  13. Fentanyl • Potent synthetic narcotic analgesic • Similar to morphine and Demerol • More rapid action • Less prolonged action • Acts on specific pain receptors in brain to decrease the feeling of pain and reduce the emotional response to pain

  14. Fentanyl • Used as an alternative to morphine in cardiac and trauma protocols • Contraindications • Use of MAO inhibitors (i.e. Nardil, Parnate) • Myasthenia gravis

  15. Fentanyl • Precautions • Increased intracranial pressure • Elderly • Debilitated • Respiratory problems • Hepatic and renal insufficiency

  16. Fentanyl • Dose • 1 microgram / kg IV • Slow push (2-3 minutes)

  17. Report Completion Mary.butzow@presencehealth.org

More Related