Mod D Tech 23 Assisting the Paramedic Drug administration Flashcards Preview

Technician Course MOD D 2016 > Mod D Tech 23 Assisting the Paramedic Drug administration > Flashcards

Flashcards in Mod D Tech 23 Assisting the Paramedic Drug administration Deck (10):
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Drug Recognition –
Presentation & Administration

Forms of Presentation:

 

•Tablet - aspirin

•Liquid in glass ampoule – Morphine Sulphate

•Pre-filled syringe – cardiac drugs (Adrenaline / Amiodarone)

•Spray containing metered doses- GTN

•Sachet of liquid – liquid paracetamol (Calpol)

•Compressed in gas cylinder – Entonox

•Plastic tubes – Dextrose 40% Gel

•Nebules - Salbutamol

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Routes of Administration

•Oral – by mouth, swallowed and absorbed into the blood from the gut (30-40mins)

•Inhaled (INH) – Gaseous drugs absorbed by the lungs

•Nebulised (Neb) – Liquid drugs agitated in a stream of Oxygen create fine droplets that are absorbed rapidly from the lungs

•Sublingual – Tablet or aerosol spray absorbed from the

   mucous membrane beneath the tongue (2-3mins)

•Transdermal (TD) – Absorption through the skin

•Endotracheal (ET) – Not recommended any longer but was a route where drugs were administered down an endotracheal tube

•Rectal – the drug is absorbed from the wall of the rectum – used in patients who are having a seizure where IV access cannot be gained or it would be unsafe to either or both the patient / staff to even attempt it (5-15 mins)

•Intramuscular (IM) – Injection of the drug into the muscle, which is then absorbed into the blood

•Intra-osseous (IO) – Rigid needle inserted directly into the bone marrow – usually used for resuscitation drugs and fluid administration.  Absorption is as quick as by the intravenous route

•Intravenous (IV) – Direct introduction of the drug into the cardiovascular system through a vein that normally delivers the drug to the

  target organs very quickly

•Subcutaneous (SC) – Injection of the drug into the

  subcutaneous tissue.  This has a slower rate of absorption

  than from an Intramuscular (IM) injection

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Medicine bag (Black)

•Glucagon (Hypokit) 1mg/1ml

•Salbutamol 2.5mg/2.5ml

•Ipratropium Bromide (Atrovent) 250mcg/1ml

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Medicine bag (Blue)

•Diazepam Solution - Rectal tubes

–2.5mg/1.25ml

–5mg/2.5ml

•Diazepam Emulsion (Diazemuls)

–10mg/2ml

•Benzylpenicillin 600mg

•Chlorphenamine (Piriton) 10mg/2ml ampoules

•Ondansetron 4mg/2mls

•Efcortesol (Hydrocortisone Sodium Phosphate 100mg/1ml ampoule or…

•Solu-Cortef 100mg vial (powder for reconstitution)

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Medicine bag (Red)

•Atropine Sulphate – 1mg/1ml

••Adrenaline (Epinephrine) 1:1000 – 1mg/1ml

•Adrenaline (Epinephrine) 1:10,000 – 1mg/10ml pre-filled syringe

••Amiodarone - 300mg/10ml pre-filled syringe

••Furosemide 20mg/2ml

••Naloxone (Narcan) 1mg/1ml

••Tranexamic Acid (Cyklokapron) 100mg/5ml

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Safety Checks

If a clinician asks for a drug to be passed to them then certain safety checks should be carried out after the appropriate drug has been selected:

•That the drug selected is in fact the one requested

•That the correct strength / presentation of the drug has been selected as requested by the clinician

•That the packaging / container is intact and has not been tampered with, contaminated or broken

•That the drug is in date

•If the drug is a bag of fluid then also check the clarity of the liquid

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Sharps injury or contamination incident

•Inoculation of blood by a needle/other sharp

•Contamination of broken skin with blood

•Blood splashes to eyes/mouth/nose

•Human or animal bites/scratches

•Body exudates/secretions via wound/sore

•Where clothes have been soaked by blood

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First aid/reporting the incident

•Bleed the wound-DO NOT SUCK

•Wash the wound

•Cover it with a waterproof dressing

•Wash the eyes and/or mouth

•Assess the infection risk-unused or clean sharp versus used sharp, bite/scratch/splash

•Report it

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Safe use and disposal of Sharps

•Sharps must never be passed between people

•The Sharps bin should always be within close proximity to the user, stood on a stable base with the receptacle ready to receive the sharp – i.e. lid open

•It is not good practice for your colleague to hold the Sharps bin ready for when you need it – this will increase the risk of a Sharps injury – it needs to be on a firm, stable surface

 

•The temporary closure should be in place when not being used

 

•Replace the Sharps bin before it gets too full

 

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