Albuterol - Generic Name
Albuterol - Trade Name
Albuterol - Class
Sympathomimetic, Selective Beta 2 Agonist
Albuterol - Actions
Activates the beta 2 adrenergic receptors to relax smooth muscle
Brochodilation, relieves bronchospasms, and reduces airway resistance
Albuterol - Onset & Duration
Onset: ~5 minutes
Duration: 3-4 hours
Albuterol - Indications
Respiratory distress with bronchospasms
Albuterol - Contraindications
MI - Myocardial Infarction
Cardiac Pulmonary Edema
Cardiac dysrhythmias associated with tachycardia (relative, >120)
Albuterol - Side Effects
Albuterol - Special Information
Albuterol may precipitate angina pectoris and dysrhythmias.
Check lung sounds, O2 saturation, capnography, respiratory rate before and after administration of Albuterol
Albuterol - Dosage & Route
Adults - 2.5mg Albuterol in 3mL of NS via SVN, repeat as needed.
Pediatrics - 2.5mg Albuterol in 6mL of NS via SVN, repeat as needed.
Connect oxygen to SVN at 6-8 lpm.
Albuterol - MDI dose
Aspirin - Generic Names
ASA, Acetylsalicylic Acid
Aspirin - Trade Names
Bayer, St. Josephs, multiple others
Aspirin - Class
Aspirin - Actions
Interrupts Thomboxane A2
Inhibits the normal tendency for platelets to accumulate inside injured or occluded cardiac arteries thereby promoting better blood flow through vessels to better perfuse the heart
Aspirin - Onset & Duration
Onset: 15-30 minutes
Duration: 4-6 hours
Aspirin - Indications
Chest pain of suspected cardiac origin
Aspirin - Contraindications
Unable to swallow
Caution if patient has history of active bleeding ulcer
Aspirin - Side Effects
Bronchospasms in some patients with asthma
Aspirin - Special Information
Pills need to be chewed and swallowed. Small amount of water can be used.
Aspirin interferes with Thromboxane A2 (TA2) "message" from being sent to other platelets, thus causing the platelets to pass by and not let the clot grow, minimizing the clotting process. ASA has no effect on existing blood clot. It just stops it from getting bigger.
Can be given if patient is on anti-coagulants.
Aspirin - Dosage & Route
Oral route (PO)
Dose can range from 162mg to 325mg 2-4 81mg tablets
It is highly suggested that the EMS provider administer a total of 4, 81mg tablets for a total of 324mg.
Nitroglycerine - Generic Name
Nitroglycerine - Trade Name
Nitrostat, Nitro-bid, Nitrolingual
Nitroglycerine - Class
Nitroglycerine - Actions
Relaxes systemic venous and arterial vessels causing vasodilation thereby
Decreasing cardiac preload and after load
Decreasing myocardial workload
Decreasing myocardial O2 comsumption
Dilates coronary arteries
- Decreasing cardiac preload and after load
- Decreasing myocardial workload
- Decreasing myocardial O2 comsumption
Nitroglycerine - Onset & Duration
Onset: 2 minutes SL; ~30-60 minutes topical
Duration: ~30-60 minutes SL; ~24 hours topical
Nitroglycerine - Indications
Angina or angina-equivalent discomfort
Cardiac pulmonary edema
Nitroglycerine - Contraindications
Systolic BP < 100
Suspected right ventricular MI
Phosphodiesterase inhibitor use with last 24 hours - ED medications such as Viagra (sildenafil), Cialis (tadalafil) or Levitra (vardenafil) taken along with Nitro can cause profound hypertension and tachycardia
Nitroglycerine - Side Effects
Nitroglycerine - Special Information
Nitro has a cumulative effect; repeat doses are usually necessary
Nitro has a short shelf life and is light sensitive
Don't shake the nitro bottle (spray or pill). Nitro in this form is not explosive; however, shaking the pill bottle will likely fracture the pills (never administer a partial pill) and shaking the spray bottle with break down the medication
Be sure to inform the patient that nitro can cause headache and increases heart rate, and that this is a normal side effect. Nitro may also cause vertigo and nausea.
Remind the patient not to swallow the nitro, spray or pill.
Inform the patient that they may expedience a burning sensation under their tongue after administration.