1. Chapter 14

2. Medication Administration  Once administered cannot change effects  Medication  Drug or substance used for remedy  Drug  Chemical substance for disease or condition  Pharmacology  Study of drugs  BE AWARE: Drugs usually associated as illegal Medications used for illnesses

3. Medication Administration  Must administer under direct license physician  Local protocol  Administration-actually giving med  Assisting-prepare medicine pt then gives self

4. Meds Carried by EMS  Old Medications  Oxygen  Oral glucose  Activated charcoal  Aspirin  New Medications  D50  Glucagon  Albuterol  Epi-Pen  Epinephrine  Narcan

5. Other Medications  Inhaled Bronchodilator  Nitroglycerin  Epinephrine

6. Medication Names  Chemical name  Generic Name  Trade Name (brand name)  Official name

8. Routes of Administration  Sublingual  Oral  Inhalation  Intramuscular  Subcutaneous

9. Medication Forms  Compressed powder or tablet  Liquid for injection  Gel  Suspension  Fine powder for inhalation  Small-volume nebulizer  Gas  Spray

18. Medicine Terminology  Indications  Contraindications  Dose  Administration  Actions  Therapeutic effect  mechanism of action  Side effects

19. Medication Administration  Obtain order from medical control  Select proper medication  Verify patient prescription  Check the expiration date  Check for discoloration or impurities  Verify form, route, & dose

20. 6 Rights  Right patient  Right medication  Right route  Right dose  Right time  Right documentation

21. Reassessment  Mental status  Airway  Respiratory rate & depth  Pulse rate & quality  Skin color, temperature, & condition  Blood pressure  SpO2 reading  Change or relief of pt complaint  Medication side effects  Improvement or deterioration in the patients condition

22. Controlled Substance Act 1970  Schedule I  Highest potential dependency  Heroin, meth  Schedule II  High potential for abuse  amphetamines, cocaine, demerol, morphine  Schedule III  Opiods combined with non-addictive drugs  Vicodin, oxycodone, tylenol with codeine  Schedule IV  Low potential abuse  Valium, ativan  Schedule V  Lowest potential abuse  Cough syrups containing codeine

23. Pregnant patients  FDA established guidelines  Category A  Category B  Category C  Category X

24. Assignment Create flash cards or chart for following drugs:  Aspirin  Nitroglycerin  Albuterol  Epinephrine  Oral glucose  Oxygen  Activated Charcoal  Things to know  Actions  Indications  Contraindications  Side effects  Normal route  Normal dose

25. Drugs Affecting Sympathetic Nervous System  Sympathomimetics  Mimic effects of SNS  Sympatholytics  Opposite affect  Antagonists  Counteract effect of something  Agonists  Bind to receptor & cause response  Beta blockers

26. Analgesics & Antagonists  Analgesics-relieve pain  Opioid agonists  AKA CNS depressants  Fentanyl, Morphine  Nonopioid Analgesics  Usually OTC  Most have antipyretic properties also  Salicyates  NSAIDS  Para-aminophenol derivatives

27. Analgesics & Antagonists  Opioid Antagonists  Reverse opioid effects  Narcan  Opioid Agonist-Antagonists  Carry both properties  Decrease pain with respiratory depression  Buprenex

28. Antianxiety, Sedative, & Hypnotic Drugs  Benzodiazepines  Sedatives most commonly used  Work on GABA (neurotransmitter) sites  Valium, ativan, xanax  Barbiturates  Receptor sites and GABA  phenobarbital  Nonbarbiturate hypnotics  Work the same as others  Fewer side effects  Halcion

29. Anticonvulsants  Think work by inhibiting sodium intake  Dilantin, Keppra, Tegretol, Lamictal, Depakote

30.  Slow brain activity  Ativan, xanax, librium, ambien Depressants

31. Psychotherapeutic  Block dopamine receptor  Often use to treat schizophrenia, bipolar and depression  Extrapyramidal symptoms-  Involuntary movements, tremors, rigidity, muscle contractions, restlessness, & changes in breathing & HR.

32. Cardiac Glycosides  Block certain ionic pumps in heart cell  Digoxin

33. Antiarrhythmic  Sodium Channel Blockers  Slow conduction  Lidocaine, procainamide, quinide  Potassium Channel Blockers  Increase contraction  Amiodorone, bretillym  Calcium Channel Blockers  Decrease force of contraction & automaticity  Amlodipine, diltiazem, procardia

34. Antihypertensives  Diuretic  Cause kidneys to remove excess water  HCTZ, furosimide  Vasodilators  Act on smooth muscle  Nitro  Angiotensin converting inhibitors  Inhibit conversion  Lisinopril, enalapril, ramipril  Beta Blockers  Block certain nerve & hormonal signals  Metoprolol, atenolol

35. Anticoagulants, Fibrinolytics, & blood components  Antiplatelet  ASA  Anticoagulant  coumadin  Fibrinolytic  retaplase

36. Drugs affecting Pancreas  Insulin  Regular  Humalog  Lantus  Sulfonylurea  Metformin  Glyburide  actos