1. Epinephrine Administration by the EMT

2. Topics Aseptic Technique Medication Administration Routes
Medication Package
Anatomy and Physiology Related to Medication Administration

3. Six Rights of Drug Administration
Right person
Right drug
Right dose
Right time
Right route
Right documentation

4. Needle Handling Precautions
Minimize the tasks performed in a moving ambulance.
Immediately dispose of used sharps in a sharps container.
Do not recap needles.

5. Medication Administration and Documentation
Record all information concerning the patient and medication including:
Indication for drug administration
Dosage and route delivered
Patient response to the medication
Both positive and negative

6. Kinds of Parenteral Drug Containers
Glass ampules
Single and multidose vials
Nonconstituted syringes
Prefilled syringes/autoinjectors
Intravenous medication fluids

7. Ampules and Vials
Vials
Ampules

8. Information on Drug Labels
Name of medication
Expiration date
Total dose and concentration

9. Obtaining Medication from a Glass Ampule

10. Hold the ampule upright and tap its top to dislodge any trapped solution.

11. Place gauze around the thin neck…

12. …and snap it off with your thumb.

13. Draw up the medication.

14. Obtaining Medication from a Vial

15. Prepare the syringe and hypodermic needle.

16. Confirm the vial label.

17. Cleanse the vial’s rubber top.

18. Insert the hypodermic needle into the rubber top and inject the air from the syringe into the vial.

19. Withdraw the appropriate volume of medication.

20. Intramuscular Injection Sites
Deltoid
Dorsal gluteal
Vastus lateralis
Rectus femoris

21. Intramuscular Injection
90º

22. Intramuscular Injection Sitesx x x

23. Check the medication.
© Scott Metcalfe

24. Adult Dosing Regimen for Epinephrine Administration
Adults - 0.3mg of 1:1,000 via Intramuscular injection
Using a 1cc syringe, insert the needle into the vial or ampule, draw the plunger back on the syringe until you reach 0.3cc mark on the syringe.

25. Pediatric Dosing Regimen for Epinephrine Administration
Pediatrics mg/kg of 1:1,000 via Intramuscular injection
Using a 1cc syringe, insert the needle into the vial or ampule, draw the plunger back on the syringe until you reach the correct dosage for the weight of the patient.
Weight
4 KG
6 KG
8 KG
10 KG
12 KG
15 KG
19 KG
24 KG
30 KG
Epinephrine
.04 mg
.06 mg
.08 mg
.1 mg
.12 mg
.15 mg
.19 mg
.24 mg
.3 mg

26. Draw up the medication.
© Scott Metcalfe

27. Prepare the site.
© Scott Metcalfe

28. Insert the needle at a 90-degree angle.
© Scott Metcalfe

29. Remove the needle and cover the puncture site.
© Scott Metcalfe

30. Summary Aseptic Technique Medication Administration Routes
Medication Package
Anatomy and Physiology related to Medication Administration