Introduction to Emergency Medical Care 1 › files1 › books... · Emergency Care, Twelfth Edition...
Transcript of Introduction to Emergency Medical Care 1 › files1 › books... · Emergency Care, Twelfth Edition...
![Page 1: Introduction to Emergency Medical Care 1 › files1 › books... · Emergency Care, Twelfth Edition Limmer • O’Keefe • Dickinson OBJECTIVES 18.6 Identify the type of medical](https://reader033.fdocuments.in/reader033/viewer/2022052423/5f0d45467e708231d43983f1/html5/thumbnails/1.jpg)
Copyright ©2012 by Pearson Education, Inc.
All rights reserved.
Emergency Care, Twelfth Edition
Limmer • O’Keefe • Dickinson
Introduction to Emergency
Medical Care
1
![Page 2: Introduction to Emergency Medical Care 1 › files1 › books... · Emergency Care, Twelfth Edition Limmer • O’Keefe • Dickinson OBJECTIVES 18.6 Identify the type of medical](https://reader033.fdocuments.in/reader033/viewer/2022052423/5f0d45467e708231d43983f1/html5/thumbnails/2.jpg)
Copyright ©2012 by Pearson Education, Inc.
All rights reserved.
Emergency Care, Twelfth Edition
Limmer • O’Keefe • Dickinson
OBJECTIVES
18.1 Define key terms introduced in this chapter. Slides
13–20, 26, 34
18.2 List the drugs in your scope of practice. Slides
13–22
continued
![Page 3: Introduction to Emergency Medical Care 1 › files1 › books... · Emergency Care, Twelfth Edition Limmer • O’Keefe • Dickinson OBJECTIVES 18.6 Identify the type of medical](https://reader033.fdocuments.in/reader033/viewer/2022052423/5f0d45467e708231d43983f1/html5/thumbnails/3.jpg)
Copyright ©2012 by Pearson Education, Inc.
All rights reserved.
Emergency Care, Twelfth Edition
Limmer • O’Keefe • Dickinson
continued
OBJECTIVES
18.3 For each medication you may administer or assist a
patient in self-administering, describe the following:
generic and common trade names; indication(s);
contraindications; side effects and untoward effects;
form(s); route(s) of administration. Slides 25–26,
32–33
![Page 4: Introduction to Emergency Medical Care 1 › files1 › books... · Emergency Care, Twelfth Edition Limmer • O’Keefe • Dickinson OBJECTIVES 18.6 Identify the type of medical](https://reader033.fdocuments.in/reader033/viewer/2022052423/5f0d45467e708231d43983f1/html5/thumbnails/4.jpg)
Copyright ©2012 by Pearson Education, Inc.
All rights reserved.
Emergency Care, Twelfth Edition
Limmer • O’Keefe • Dickinson
OBJECTIVES
18.4 Follow principles of medication administration
safety, including the five rights of medication
administration. Slides 27–30
18.5 Discuss the importance of looking up medications
and requesting information from medical direction
when needed. Slides 26–28, 37
continued
![Page 5: Introduction to Emergency Medical Care 1 › files1 › books... · Emergency Care, Twelfth Edition Limmer • O’Keefe • Dickinson OBJECTIVES 18.6 Identify the type of medical](https://reader033.fdocuments.in/reader033/viewer/2022052423/5f0d45467e708231d43983f1/html5/thumbnails/5.jpg)
Copyright ©2012 by Pearson Education, Inc.
All rights reserved.
Emergency Care, Twelfth Edition
Limmer • O’Keefe • Dickinson
OBJECTIVES
18.6 Identify the type of medical direction (on-line or off-
line) required to administer each medication in the
scope of practice. Slide 28
18.7 Describe the characteristics of the oral, sublingual,
inhaled, intravenous, intramuscular, subcutaneous,
and endotracheal routes of administration. Slides
32–33
continued
![Page 6: Introduction to Emergency Medical Care 1 › files1 › books... · Emergency Care, Twelfth Edition Limmer • O’Keefe • Dickinson OBJECTIVES 18.6 Identify the type of medical](https://reader033.fdocuments.in/reader033/viewer/2022052423/5f0d45467e708231d43983f1/html5/thumbnails/6.jpg)
Copyright ©2012 by Pearson Education, Inc.
All rights reserved.
Emergency Care, Twelfth Edition
Limmer • O’Keefe • Dickinson
OBJECTIVES
18.8 Identify special considerations in medication
administration related to patients’ ages and weights.
Slide 34
18.9 Explain the importance of accurate documentation
of drug administration and patient reassessment
following drug administration. Slide 35
continued
![Page 7: Introduction to Emergency Medical Care 1 › files1 › books... · Emergency Care, Twelfth Edition Limmer • O’Keefe • Dickinson OBJECTIVES 18.6 Identify the type of medical](https://reader033.fdocuments.in/reader033/viewer/2022052423/5f0d45467e708231d43983f1/html5/thumbnails/7.jpg)
Copyright ©2012 by Pearson Education, Inc.
All rights reserved.
Emergency Care, Twelfth Edition
Limmer • O’Keefe • Dickinson
OBJECTIVES
18.10 Discuss the importance of having readily available
references to identify drugs commonly taken by
patients. Slide 37
18.11 Discuss the steps an EMT may take in assisting with
IV therapy. Slides 41–49
![Page 8: Introduction to Emergency Medical Care 1 › files1 › books... · Emergency Care, Twelfth Edition Limmer • O’Keefe • Dickinson OBJECTIVES 18.6 Identify the type of medical](https://reader033.fdocuments.in/reader033/viewer/2022052423/5f0d45467e708231d43983f1/html5/thumbnails/8.jpg)
Copyright ©2012 by Pearson Education, Inc.
All rights reserved.
Emergency Care, Twelfth Edition
Limmer • O’Keefe • Dickinson
MULTIMEDIA
• Slide 23 Oral Glucose Administration Video
![Page 9: Introduction to Emergency Medical Care 1 › files1 › books... · Emergency Care, Twelfth Edition Limmer • O’Keefe • Dickinson OBJECTIVES 18.6 Identify the type of medical](https://reader033.fdocuments.in/reader033/viewer/2022052423/5f0d45467e708231d43983f1/html5/thumbnails/9.jpg)
Copyright ©2012 by Pearson Education, Inc.
All rights reserved.
Emergency Care, Twelfth Edition
Limmer • O’Keefe • Dickinson
CORE CONCEPTS
• Which medications may be carried by the
EMT
• Which medications the EMT may help
administer to patients
• What to consider when administering any
medication
continued
![Page 10: Introduction to Emergency Medical Care 1 › files1 › books... · Emergency Care, Twelfth Edition Limmer • O’Keefe • Dickinson OBJECTIVES 18.6 Identify the type of medical](https://reader033.fdocuments.in/reader033/viewer/2022052423/5f0d45467e708231d43983f1/html5/thumbnails/10.jpg)
Copyright ©2012 by Pearson Education, Inc.
All rights reserved.
Emergency Care, Twelfth Edition
Limmer • O’Keefe • Dickinson
CORE CONCEPTS
• The role of medical direction in medication
administration
• How the EMT may assist in IV therapy
![Page 11: Introduction to Emergency Medical Care 1 › files1 › books... · Emergency Care, Twelfth Edition Limmer • O’Keefe • Dickinson OBJECTIVES 18.6 Identify the type of medical](https://reader033.fdocuments.in/reader033/viewer/2022052423/5f0d45467e708231d43983f1/html5/thumbnails/11.jpg)
Copyright ©2012 by Pearson Education, Inc.
All rights reserved.
Emergency Care, Twelfth Edition
Limmer • O’Keefe • Dickinson
Topics
• Medications EMTs Can Administer
• General Information About Medications
• Medications Patients Often Take
• Assisting in IV Therapy
![Page 12: Introduction to Emergency Medical Care 1 › files1 › books... · Emergency Care, Twelfth Edition Limmer • O’Keefe • Dickinson OBJECTIVES 18.6 Identify the type of medical](https://reader033.fdocuments.in/reader033/viewer/2022052423/5f0d45467e708231d43983f1/html5/thumbnails/12.jpg)
Copyright ©2012 by Pearson Education, Inc.
All rights reserved.
Emergency Care, Twelfth Edition
Limmer • O’Keefe • Dickinson
Medications EMTs Can
Administer
![Page 13: Introduction to Emergency Medical Care 1 › files1 › books... · Emergency Care, Twelfth Edition Limmer • O’Keefe • Dickinson OBJECTIVES 18.6 Identify the type of medical](https://reader033.fdocuments.in/reader033/viewer/2022052423/5f0d45467e708231d43983f1/html5/thumbnails/13.jpg)
Copyright ©2012 by Pearson Education, Inc.
All rights reserved.
Emergency Care, Twelfth Edition
Limmer • O’Keefe • Dickinson
Aspirin
![Page 14: Introduction to Emergency Medical Care 1 › files1 › books... · Emergency Care, Twelfth Edition Limmer • O’Keefe • Dickinson OBJECTIVES 18.6 Identify the type of medical](https://reader033.fdocuments.in/reader033/viewer/2022052423/5f0d45467e708231d43983f1/html5/thumbnails/14.jpg)
Copyright ©2012 by Pearson Education, Inc.
All rights reserved.
Emergency Care, Twelfth Edition
Limmer • O’Keefe • Dickinson
Oral Glucose
![Page 15: Introduction to Emergency Medical Care 1 › files1 › books... · Emergency Care, Twelfth Edition Limmer • O’Keefe • Dickinson OBJECTIVES 18.6 Identify the type of medical](https://reader033.fdocuments.in/reader033/viewer/2022052423/5f0d45467e708231d43983f1/html5/thumbnails/15.jpg)
Copyright ©2012 by Pearson Education, Inc.
All rights reserved.
Emergency Care, Twelfth Edition
Limmer • O’Keefe • Dickinson
Oxygen
![Page 16: Introduction to Emergency Medical Care 1 › files1 › books... · Emergency Care, Twelfth Edition Limmer • O’Keefe • Dickinson OBJECTIVES 18.6 Identify the type of medical](https://reader033.fdocuments.in/reader033/viewer/2022052423/5f0d45467e708231d43983f1/html5/thumbnails/16.jpg)
Copyright ©2012 by Pearson Education, Inc.
All rights reserved.
Emergency Care, Twelfth Edition
Limmer • O’Keefe • Dickinson
Activated Charcoal
![Page 17: Introduction to Emergency Medical Care 1 › files1 › books... · Emergency Care, Twelfth Edition Limmer • O’Keefe • Dickinson OBJECTIVES 18.6 Identify the type of medical](https://reader033.fdocuments.in/reader033/viewer/2022052423/5f0d45467e708231d43983f1/html5/thumbnails/17.jpg)
Copyright ©2012 by Pearson Education, Inc.
All rights reserved.
Emergency Care, Twelfth Edition
Limmer • O’Keefe • Dickinson
Bronchodilator
Inhaler
![Page 18: Introduction to Emergency Medical Care 1 › files1 › books... · Emergency Care, Twelfth Edition Limmer • O’Keefe • Dickinson OBJECTIVES 18.6 Identify the type of medical](https://reader033.fdocuments.in/reader033/viewer/2022052423/5f0d45467e708231d43983f1/html5/thumbnails/18.jpg)
Copyright ©2012 by Pearson Education, Inc.
All rights reserved.
Emergency Care, Twelfth Edition
Limmer • O’Keefe • Dickinson
Prescribed
Bronchodilator Inhalers • Used in patients with asthma,
emphysema, and chronic bronchitis
• Enlarges constricted breathing tubes
• Side effects: increased heart rate, patient
jitteriness
![Page 19: Introduction to Emergency Medical Care 1 › files1 › books... · Emergency Care, Twelfth Edition Limmer • O’Keefe • Dickinson OBJECTIVES 18.6 Identify the type of medical](https://reader033.fdocuments.in/reader033/viewer/2022052423/5f0d45467e708231d43983f1/html5/thumbnails/19.jpg)
Copyright ©2012 by Pearson Education, Inc.
All rights reserved.
Emergency Care, Twelfth Edition
Limmer • O’Keefe • Dickinson
Nitroglycerin
![Page 20: Introduction to Emergency Medical Care 1 › files1 › books... · Emergency Care, Twelfth Edition Limmer • O’Keefe • Dickinson OBJECTIVES 18.6 Identify the type of medical](https://reader033.fdocuments.in/reader033/viewer/2022052423/5f0d45467e708231d43983f1/html5/thumbnails/20.jpg)
Copyright ©2012 by Pearson Education, Inc.
All rights reserved.
Emergency Care, Twelfth Edition
Limmer • O’Keefe • Dickinson
Prescribed Nitroglycerin
• Taken by patients with history of chest
pain of cardiac origin
• Helps dilate coronary vessels
• Contraindications: low blood pressure or
taking medications for erectile dysfunction
(Viagra, Levitra, Cialis, or similar)
• Vasodilator
• Side effect: dropping blood pressure
![Page 21: Introduction to Emergency Medical Care 1 › files1 › books... · Emergency Care, Twelfth Edition Limmer • O’Keefe • Dickinson OBJECTIVES 18.6 Identify the type of medical](https://reader033.fdocuments.in/reader033/viewer/2022052423/5f0d45467e708231d43983f1/html5/thumbnails/21.jpg)
Copyright ©2012 by Pearson Education, Inc.
All rights reserved.
Emergency Care, Twelfth Edition
Limmer • O’Keefe • Dickinson
Epinephrine
Auto-Injector
![Page 22: Introduction to Emergency Medical Care 1 › files1 › books... · Emergency Care, Twelfth Edition Limmer • O’Keefe • Dickinson OBJECTIVES 18.6 Identify the type of medical](https://reader033.fdocuments.in/reader033/viewer/2022052423/5f0d45467e708231d43983f1/html5/thumbnails/22.jpg)
Copyright ©2012 by Pearson Education, Inc.
All rights reserved.
Emergency Care, Twelfth Edition
Limmer • O’Keefe • Dickinson
Prescribed
Epinephrine Auto-Injectors • Prescribed and used for patients with
severe allergic reactions classified as
anaphylaxis
• Vasoconstrictor; relaxes smooth muscles
and airway passages
• Side effects: increased heart rate and
blood pressure
![Page 23: Introduction to Emergency Medical Care 1 › files1 › books... · Emergency Care, Twelfth Edition Limmer • O’Keefe • Dickinson OBJECTIVES 18.6 Identify the type of medical](https://reader033.fdocuments.in/reader033/viewer/2022052423/5f0d45467e708231d43983f1/html5/thumbnails/23.jpg)
Copyright ©2012 by Pearson Education, Inc.
All rights reserved.
Emergency Care, Twelfth Edition
Limmer • O’Keefe • Dickinson
Oral Glucose
Administration Video
Click here to view a video on the subject of oral glucose
administration.
Back to Directory
![Page 24: Introduction to Emergency Medical Care 1 › files1 › books... · Emergency Care, Twelfth Edition Limmer • O’Keefe • Dickinson OBJECTIVES 18.6 Identify the type of medical](https://reader033.fdocuments.in/reader033/viewer/2022052423/5f0d45467e708231d43983f1/html5/thumbnails/24.jpg)
Copyright ©2012 by Pearson Education, Inc.
All rights reserved.
Emergency Care, Twelfth Edition
Limmer • O’Keefe • Dickinson
General Information About
Medications
![Page 25: Introduction to Emergency Medical Care 1 › files1 › books... · Emergency Care, Twelfth Edition Limmer • O’Keefe • Dickinson OBJECTIVES 18.6 Identify the type of medical](https://reader033.fdocuments.in/reader033/viewer/2022052423/5f0d45467e708231d43983f1/html5/thumbnails/25.jpg)
Copyright ©2012 by Pearson Education, Inc.
All rights reserved.
Emergency Care, Twelfth Edition
Limmer • O’Keefe • Dickinson
Drug Names
• Each drug is listed by a generic name
• Each drug has at least three names
– Chemical name
– Generic name
– Brand name (one or more trade names given
to the drug by manufacturers)
![Page 26: Introduction to Emergency Medical Care 1 › files1 › books... · Emergency Care, Twelfth Edition Limmer • O’Keefe • Dickinson OBJECTIVES 18.6 Identify the type of medical](https://reader033.fdocuments.in/reader033/viewer/2022052423/5f0d45467e708231d43983f1/html5/thumbnails/26.jpg)
Copyright ©2012 by Pearson Education, Inc.
All rights reserved.
Emergency Care, Twelfth Edition
Limmer • O’Keefe • Dickinson
What You Need to
Know When Giving a Medication
• Indications
• Contraindications
• Side effects
• Untoward effects
![Page 27: Introduction to Emergency Medical Care 1 › files1 › books... · Emergency Care, Twelfth Edition Limmer • O’Keefe • Dickinson OBJECTIVES 18.6 Identify the type of medical](https://reader033.fdocuments.in/reader033/viewer/2022052423/5f0d45467e708231d43983f1/html5/thumbnails/27.jpg)
Copyright ©2012 by Pearson Education, Inc.
All rights reserved.
Emergency Care, Twelfth Edition
Limmer • O’Keefe • Dickinson
Medication Safety
and Clinical Judgment
• Administering or assisting with
medications is a serious responsibility
• Know the medication
• Use good judgment
![Page 28: Introduction to Emergency Medical Care 1 › files1 › books... · Emergency Care, Twelfth Edition Limmer • O’Keefe • Dickinson OBJECTIVES 18.6 Identify the type of medical](https://reader033.fdocuments.in/reader033/viewer/2022052423/5f0d45467e708231d43983f1/html5/thumbnails/28.jpg)
Copyright ©2012 by Pearson Education, Inc.
All rights reserved.
Emergency Care, Twelfth Edition
Limmer • O’Keefe • Dickinson
Medication Authorization
• Off-line medical direction
– Do not speak to physician
– Use standing orders
• On-line medical direction
– Speak directly to physician
– Listen to order; then repeat order back
– Ask for clarification if necessary
![Page 29: Introduction to Emergency Medical Care 1 › files1 › books... · Emergency Care, Twelfth Edition Limmer • O’Keefe • Dickinson OBJECTIVES 18.6 Identify the type of medical](https://reader033.fdocuments.in/reader033/viewer/2022052423/5f0d45467e708231d43983f1/html5/thumbnails/29.jpg)
Copyright ©2012 by Pearson Education, Inc.
All rights reserved.
Emergency Care, Twelfth Edition
Limmer • O’Keefe • Dickinson
The Five Rights
of Medications
![Page 30: Introduction to Emergency Medical Care 1 › files1 › books... · Emergency Care, Twelfth Edition Limmer • O’Keefe • Dickinson OBJECTIVES 18.6 Identify the type of medical](https://reader033.fdocuments.in/reader033/viewer/2022052423/5f0d45467e708231d43983f1/html5/thumbnails/30.jpg)
Copyright ©2012 by Pearson Education, Inc.
All rights reserved.
Emergency Care, Twelfth Edition
Limmer • O’Keefe • Dickinson
The Five Rights
1. Do I have the right patient?
2. Is it the right time to administer this
medication?
3. Is this the right medication?
4. Is this the right dose?
5. Am I giving this medication by the right
route of administration?
![Page 31: Introduction to Emergency Medical Care 1 › files1 › books... · Emergency Care, Twelfth Edition Limmer • O’Keefe • Dickinson OBJECTIVES 18.6 Identify the type of medical](https://reader033.fdocuments.in/reader033/viewer/2022052423/5f0d45467e708231d43983f1/html5/thumbnails/31.jpg)
Copyright ©2012 by Pearson Education, Inc.
All rights reserved.
Emergency Care, Twelfth Edition
Limmer • O’Keefe • Dickinson
Think About It
• What would be the potential risk to the
patient if each of the “five rights” were not
checked prior to administration?
![Page 32: Introduction to Emergency Medical Care 1 › files1 › books... · Emergency Care, Twelfth Edition Limmer • O’Keefe • Dickinson OBJECTIVES 18.6 Identify the type of medical](https://reader033.fdocuments.in/reader033/viewer/2022052423/5f0d45467e708231d43983f1/html5/thumbnails/32.jpg)
Copyright ©2012 by Pearson Education, Inc.
All rights reserved.
Emergency Care, Twelfth Edition
Limmer • O’Keefe • Dickinson
Routes of Administration
• Oral (swallowed)
• Sublingual (dissolved under tongue)
• Inhaled (breathed into lungs), usually as
tiny aerosol particles such as from an
inhaler or as a gas such as oxygen
• Intravenous (injected into vein)
continued
![Page 33: Introduction to Emergency Medical Care 1 › files1 › books... · Emergency Care, Twelfth Edition Limmer • O’Keefe • Dickinson OBJECTIVES 18.6 Identify the type of medical](https://reader033.fdocuments.in/reader033/viewer/2022052423/5f0d45467e708231d43983f1/html5/thumbnails/33.jpg)
Copyright ©2012 by Pearson Education, Inc.
All rights reserved.
Emergency Care, Twelfth Edition
Limmer • O’Keefe • Dickinson
Routes of Administration
• Intramuscular (injected into muscle)
• Subcutaneous (injected under skin)
• Intraosseous (injected into bone marrow
cavity)
• Endotracheal (sprayed directly into tube
inserted into trachea)
![Page 34: Introduction to Emergency Medical Care 1 › files1 › books... · Emergency Care, Twelfth Edition Limmer • O’Keefe • Dickinson OBJECTIVES 18.6 Identify the type of medical](https://reader033.fdocuments.in/reader033/viewer/2022052423/5f0d45467e708231d43983f1/html5/thumbnails/34.jpg)
Copyright ©2012 by Pearson Education, Inc.
All rights reserved.
Emergency Care, Twelfth Edition
Limmer • O’Keefe • Dickinson
Age- and
Weight-Related Considerations
• Pharmacodynamics
– Study of effects of medications on body
– What effect will medication have on this
patient?
– Patient-specific factors change how
medication works
![Page 35: Introduction to Emergency Medical Care 1 › files1 › books... · Emergency Care, Twelfth Edition Limmer • O’Keefe • Dickinson OBJECTIVES 18.6 Identify the type of medical](https://reader033.fdocuments.in/reader033/viewer/2022052423/5f0d45467e708231d43983f1/html5/thumbnails/35.jpg)
Copyright ©2012 by Pearson Education, Inc.
All rights reserved.
Emergency Care, Twelfth Edition
Limmer • O’Keefe • Dickinson
Reassessment
and Documentation • After administering medication, reassess
patient
• Clearly document medications
administered
![Page 36: Introduction to Emergency Medical Care 1 › files1 › books... · Emergency Care, Twelfth Edition Limmer • O’Keefe • Dickinson OBJECTIVES 18.6 Identify the type of medical](https://reader033.fdocuments.in/reader033/viewer/2022052423/5f0d45467e708231d43983f1/html5/thumbnails/36.jpg)
Copyright ©2012 by Pearson Education, Inc.
All rights reserved.
Emergency Care, Twelfth Edition
Limmer • O’Keefe • Dickinson
Medications Patients
Often Take
![Page 37: Introduction to Emergency Medical Care 1 › files1 › books... · Emergency Care, Twelfth Edition Limmer • O’Keefe • Dickinson OBJECTIVES 18.6 Identify the type of medical](https://reader033.fdocuments.in/reader033/viewer/2022052423/5f0d45467e708231d43983f1/html5/thumbnails/37.jpg)
Copyright ©2012 by Pearson Education, Inc.
All rights reserved.
Emergency Care, Twelfth Edition
Limmer • O’Keefe • Dickinson
Medications
Patients Often Take
![Page 38: Introduction to Emergency Medical Care 1 › files1 › books... · Emergency Care, Twelfth Edition Limmer • O’Keefe • Dickinson OBJECTIVES 18.6 Identify the type of medical](https://reader033.fdocuments.in/reader033/viewer/2022052423/5f0d45467e708231d43983f1/html5/thumbnails/38.jpg)
Copyright ©2012 by Pearson Education, Inc.
All rights reserved.
Emergency Care, Twelfth Edition
Limmer • O’Keefe • Dickinson
![Page 39: Introduction to Emergency Medical Care 1 › files1 › books... · Emergency Care, Twelfth Edition Limmer • O’Keefe • Dickinson OBJECTIVES 18.6 Identify the type of medical](https://reader033.fdocuments.in/reader033/viewer/2022052423/5f0d45467e708231d43983f1/html5/thumbnails/39.jpg)
Copyright ©2012 by Pearson Education, Inc.
All rights reserved.
Emergency Care, Twelfth Edition
Limmer • O’Keefe • Dickinson
Herbal Agents and Basic Uses
![Page 40: Introduction to Emergency Medical Care 1 › files1 › books... · Emergency Care, Twelfth Edition Limmer • O’Keefe • Dickinson OBJECTIVES 18.6 Identify the type of medical](https://reader033.fdocuments.in/reader033/viewer/2022052423/5f0d45467e708231d43983f1/html5/thumbnails/40.jpg)
Copyright ©2012 by Pearson Education, Inc.
All rights reserved.
Emergency Care, Twelfth Edition
Limmer • O’Keefe • Dickinson
Assisting in IV Therapy
![Page 41: Introduction to Emergency Medical Care 1 › files1 › books... · Emergency Care, Twelfth Edition Limmer • O’Keefe • Dickinson OBJECTIVES 18.6 Identify the type of medical](https://reader033.fdocuments.in/reader033/viewer/2022052423/5f0d45467e708231d43983f1/html5/thumbnails/41.jpg)
Copyright ©2012 by Pearson Education, Inc.
All rights reserved.
Emergency Care, Twelfth Edition
Limmer • O’Keefe • Dickinson
Ways of
Administering IV Fluids • Heparin (saline) lock
– Catheter placed into vein
– Cap (lock) placed over end of catheter
– Lock has port for administering medications
• Traditional IV bag
– Hangs above patient
– Constantly flows fluids and medications into
patient
![Page 42: Introduction to Emergency Medical Care 1 › files1 › books... · Emergency Care, Twelfth Edition Limmer • O’Keefe • Dickinson OBJECTIVES 18.6 Identify the type of medical](https://reader033.fdocuments.in/reader033/viewer/2022052423/5f0d45467e708231d43983f1/html5/thumbnails/42.jpg)
Copyright ©2012 by Pearson Education, Inc.
All rights reserved.
Emergency Care, Twelfth Edition
Limmer • O’Keefe • Dickinson
IV Fluid Administration Set
• Clear plastic tubing connecting fluid bag to
needle or catheter
• Three important parts
– Drip chamber
– Flow regulator
– Drug or needle port
• Extension set (extra tubing)
![Page 43: Introduction to Emergency Medical Care 1 › files1 › books... · Emergency Care, Twelfth Edition Limmer • O’Keefe • Dickinson OBJECTIVES 18.6 Identify the type of medical](https://reader033.fdocuments.in/reader033/viewer/2022052423/5f0d45467e708231d43983f1/html5/thumbnails/43.jpg)
Copyright ©2012 by Pearson Education, Inc.
All rights reserved.
Emergency Care, Twelfth Edition
Limmer • O’Keefe • Dickinson
Setting Up an IV Fluid
Administration Set
continued
![Page 44: Introduction to Emergency Medical Care 1 › files1 › books... · Emergency Care, Twelfth Edition Limmer • O’Keefe • Dickinson OBJECTIVES 18.6 Identify the type of medical](https://reader033.fdocuments.in/reader033/viewer/2022052423/5f0d45467e708231d43983f1/html5/thumbnails/44.jpg)
Copyright ©2012 by Pearson Education, Inc.
All rights reserved.
Emergency Care, Twelfth Edition
Limmer • O’Keefe • Dickinson
Setting Up an IV Fluid
Administration Set
continued
![Page 45: Introduction to Emergency Medical Care 1 › files1 › books... · Emergency Care, Twelfth Edition Limmer • O’Keefe • Dickinson OBJECTIVES 18.6 Identify the type of medical](https://reader033.fdocuments.in/reader033/viewer/2022052423/5f0d45467e708231d43983f1/html5/thumbnails/45.jpg)
Copyright ©2012 by Pearson Education, Inc.
All rights reserved.
Emergency Care, Twelfth Edition
Limmer • O’Keefe • Dickinson
Setting Up an IV Fluid
Administration Set continued
![Page 46: Introduction to Emergency Medical Care 1 › files1 › books... · Emergency Care, Twelfth Edition Limmer • O’Keefe • Dickinson OBJECTIVES 18.6 Identify the type of medical](https://reader033.fdocuments.in/reader033/viewer/2022052423/5f0d45467e708231d43983f1/html5/thumbnails/46.jpg)
Copyright ©2012 by Pearson Education, Inc.
All rights reserved.
Emergency Care, Twelfth Edition
Limmer • O’Keefe • Dickinson
Setting Up an
IV Fluid Administration Set
continued
![Page 47: Introduction to Emergency Medical Care 1 › files1 › books... · Emergency Care, Twelfth Edition Limmer • O’Keefe • Dickinson OBJECTIVES 18.6 Identify the type of medical](https://reader033.fdocuments.in/reader033/viewer/2022052423/5f0d45467e708231d43983f1/html5/thumbnails/47.jpg)
Copyright ©2012 by Pearson Education, Inc.
All rights reserved.
Emergency Care, Twelfth Edition
Limmer • O’Keefe • Dickinson
Setting Up an
IV Fluid Administration Set
continued
![Page 48: Introduction to Emergency Medical Care 1 › files1 › books... · Emergency Care, Twelfth Edition Limmer • O’Keefe • Dickinson OBJECTIVES 18.6 Identify the type of medical](https://reader033.fdocuments.in/reader033/viewer/2022052423/5f0d45467e708231d43983f1/html5/thumbnails/48.jpg)
Copyright ©2012 by Pearson Education, Inc.
All rights reserved.
Emergency Care, Twelfth Edition
Limmer • O’Keefe • Dickinson
Setting Up an
IV Fluid Administration Set
![Page 49: Introduction to Emergency Medical Care 1 › files1 › books... · Emergency Care, Twelfth Edition Limmer • O’Keefe • Dickinson OBJECTIVES 18.6 Identify the type of medical](https://reader033.fdocuments.in/reader033/viewer/2022052423/5f0d45467e708231d43983f1/html5/thumbnails/49.jpg)
Copyright ©2012 by Pearson Education, Inc.
All rights reserved.
Emergency Care, Twelfth Edition
Limmer • O’Keefe • Dickinson
Maintaining an IV
• Troubleshoot flow problems
– Constricting bands left in place by mistake
– Flow regulator left closed
– Clamp closed on tubing
– Tubing kinked
– Line pinched under backboard (trauma)
• Adjust flow rate properly
• Monitor IV sites for infiltration
![Page 50: Introduction to Emergency Medical Care 1 › files1 › books... · Emergency Care, Twelfth Edition Limmer • O’Keefe • Dickinson OBJECTIVES 18.6 Identify the type of medical](https://reader033.fdocuments.in/reader033/viewer/2022052423/5f0d45467e708231d43983f1/html5/thumbnails/50.jpg)
Copyright ©2012 by Pearson Education, Inc.
All rights reserved.
Emergency Care, Twelfth Edition
Limmer • O’Keefe • Dickinson
Chapter Review
![Page 51: Introduction to Emergency Medical Care 1 › files1 › books... · Emergency Care, Twelfth Edition Limmer • O’Keefe • Dickinson OBJECTIVES 18.6 Identify the type of medical](https://reader033.fdocuments.in/reader033/viewer/2022052423/5f0d45467e708231d43983f1/html5/thumbnails/51.jpg)
Copyright ©2012 by Pearson Education, Inc.
All rights reserved.
Emergency Care, Twelfth Edition
Limmer • O’Keefe • Dickinson
Chapter Review
• Aspirin, oral glucose, charcoal, and
oxygen are medications carried on the
ambulance that the EMT may administer
to a patient under specific conditions.
• Inhalers, nitroglycerin, and epinephrine in
auto-injectors are medications that, if
prescribed, the EMT may assist the patient
in taking
continued
![Page 52: Introduction to Emergency Medical Care 1 › files1 › books... · Emergency Care, Twelfth Edition Limmer • O’Keefe • Dickinson OBJECTIVES 18.6 Identify the type of medical](https://reader033.fdocuments.in/reader033/viewer/2022052423/5f0d45467e708231d43983f1/html5/thumbnails/52.jpg)
Copyright ©2012 by Pearson Education, Inc.
All rights reserved.
Emergency Care, Twelfth Edition
Limmer • O’Keefe • Dickinson
Chapter Review
• You may need to have permission from
medical direction to administer or assist
the patient with a medication. Follow local
protocols.
continued
![Page 53: Introduction to Emergency Medical Care 1 › files1 › books... · Emergency Care, Twelfth Edition Limmer • O’Keefe • Dickinson OBJECTIVES 18.6 Identify the type of medical](https://reader033.fdocuments.in/reader033/viewer/2022052423/5f0d45467e708231d43983f1/html5/thumbnails/53.jpg)
Copyright ©2012 by Pearson Education, Inc.
All rights reserved.
Emergency Care, Twelfth Edition
Limmer • O’Keefe • Dickinson
Chapter Review
• Find out what medications a patient is
taking when you take the SAMPLE. Your
main purpose in finding this out is to report
this information to your Medical Director or
hospital personnel.
![Page 54: Introduction to Emergency Medical Care 1 › files1 › books... · Emergency Care, Twelfth Edition Limmer • O’Keefe • Dickinson OBJECTIVES 18.6 Identify the type of medical](https://reader033.fdocuments.in/reader033/viewer/2022052423/5f0d45467e708231d43983f1/html5/thumbnails/54.jpg)
Copyright ©2012 by Pearson Education, Inc.
All rights reserved.
Emergency Care, Twelfth Edition
Limmer • O’Keefe • Dickinson
Remember
• EMTs administer aspirin, oral glucose,
activated charcoal, and oxygen as part of
patient care.
• EMTs may assist with inhaled respiratory
medications, nitroglycerine, and
epinephrine auto-injectors.
continued
![Page 55: Introduction to Emergency Medical Care 1 › files1 › books... · Emergency Care, Twelfth Edition Limmer • O’Keefe • Dickinson OBJECTIVES 18.6 Identify the type of medical](https://reader033.fdocuments.in/reader033/viewer/2022052423/5f0d45467e708231d43983f1/html5/thumbnails/55.jpg)
Copyright ©2012 by Pearson Education, Inc.
All rights reserved.
Emergency Care, Twelfth Edition
Limmer • O’Keefe • Dickinson
Remember
• EMTs should understand the names,
indications, contraindications, and side
effects of medications that they intend to
administer.
• EMTs must have appropriate authorization
to give a drug and always must follow the
“five rights” of medication administration.
continued
![Page 56: Introduction to Emergency Medical Care 1 › files1 › books... · Emergency Care, Twelfth Edition Limmer • O’Keefe • Dickinson OBJECTIVES 18.6 Identify the type of medical](https://reader033.fdocuments.in/reader033/viewer/2022052423/5f0d45467e708231d43983f1/html5/thumbnails/56.jpg)
Copyright ©2012 by Pearson Education, Inc.
All rights reserved.
Emergency Care, Twelfth Edition
Limmer • O’Keefe • Dickinson
Remember
• Reassessment and documentation are
important elements of medication
administration.
![Page 57: Introduction to Emergency Medical Care 1 › files1 › books... · Emergency Care, Twelfth Edition Limmer • O’Keefe • Dickinson OBJECTIVES 18.6 Identify the type of medical](https://reader033.fdocuments.in/reader033/viewer/2022052423/5f0d45467e708231d43983f1/html5/thumbnails/57.jpg)
Copyright ©2012 by Pearson Education, Inc.
All rights reserved.
Emergency Care, Twelfth Edition
Limmer • O’Keefe • Dickinson
Questions to Consider
• Should I administer a medication?
• How can I get more information about a
drug?
• What are the necessary steps that must
occur after medication administration?
![Page 58: Introduction to Emergency Medical Care 1 › files1 › books... · Emergency Care, Twelfth Edition Limmer • O’Keefe • Dickinson OBJECTIVES 18.6 Identify the type of medical](https://reader033.fdocuments.in/reader033/viewer/2022052423/5f0d45467e708231d43983f1/html5/thumbnails/58.jpg)
Copyright ©2012 by Pearson Education, Inc.
All rights reserved.
Emergency Care, Twelfth Edition
Limmer • O’Keefe • Dickinson
Critical Thinking
• A patient is complaining of chest pain.
Here’s some nitroglycerin,” says a family
member. “Give him that.” What do you do?
![Page 59: Introduction to Emergency Medical Care 1 › files1 › books... · Emergency Care, Twelfth Edition Limmer • O’Keefe • Dickinson OBJECTIVES 18.6 Identify the type of medical](https://reader033.fdocuments.in/reader033/viewer/2022052423/5f0d45467e708231d43983f1/html5/thumbnails/59.jpg)
Copyright ©2012 by Pearson Education, Inc.
All rights reserved.
Emergency Care, Twelfth Edition
Limmer • O’Keefe • Dickinson
Please visit Resource Central on
www.bradybooks.com to view
additional resources for this text.