Transcript Epinephrine Administration by the EMT

Epinephrine Administration by
the EMT
Pilot Project for the Administration of Epinephrine by Washington EMTs
Tamara Coulter BS, FF/PM Captain/MSO Steven Engle North Kitsap Fire & Rescue
Joseph Schweiger FF/PM Central Kitsap Fire & Rescue
Bledsoe Chapter 7 Essential of Paramedic 2006
Topics
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Aseptic Technique
Medication Administration Routes
Medication Package
Anatomy and Physiology Related to
Medication Administration
Six Rights of Drug Administration
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Right
Right
Right
Right
Right
Right
person
drug
dose
time
route
documentation
Needle Handling Precautions
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Minimize the tasks performed in a moving
ambulance.
Immediately dispose of used sharps in a
sharps container.
Recap needles only as a last resort.
Medication Administration
and Documentation
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Record all information concerning the
patient and medication including:
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Indication for drug administration
Dosage and route delivered
Patient response to the medication
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Both positive and negative
Kinds of Parenteral
Drug Containers
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Glass ampules
Single and multidose vials
Nonconstituted syringes
Prefilled syringes
Intravenous medication fluids
Ampules and Vials
Ampules
Vials
Information on Drug Labels
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Name of medication
Expiration date
Total dose and concentration
Obtaining Medication from a
Glass Ampoule
Hold the ampule upright and tap its
top to dislodge any trapped solution.
Place gauze around the thin neck…
…and snap it off with your thumb.
Draw up the medication.
Obtaining Medication
from a Vial
Confirm the vial label.
Prepare the syringe
and hypodermic needle.
Cleanse the vial’s rubber top.
Insert the hypodermic needle into
the rubber top and inject the air
from the syringe into the vial.
Withdraw the appropriate volume
of medication.
Intramuscular Injection Sites
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Deltoid
Dorsal gluteal
Vastus lateralis
Rectus femoris
Intramuscular Injection
90º
Intramuscular Injection Sites
Check the medication.
© Scott Metcalfe
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.
Pediatric Dosing Regimen for
Epinephrine Administration
Pediatrics - 0.01mg/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
Draw up the medication.
© Scott Metcalfe
Prepare the site.
© Scott Metcalfe
Insert the needle at a 90-degree angle.
© Scott Metcalfe
Remove the needle and
cover the puncture site.
© Scott Metcalfe
Summary
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Aseptic Technique
Medication Administration Routes
Medication Package
Anatomy and Physiology related to
Medication Administration