emt-basic curriculum module 4

State of WisconsinEMT-Basic: A Practice BasedApproach to EMS Education6. Route - inhaled7. Administrationa)Contact medical controlb) Report assessment findings, including a thoroughmedical historyc) Rule out allergies and contraindications for used) Report prior interventions and use of inhaler or nebulizere) Request implementation of protocolf) Confirm orders from medical controlg) Explain procedure and solicit patient consenth) Check expiration datei) Confirm right medication, right patient, right routej) Confirm dosagek) Assemble nebulizerl) Add pre-measured medication dosage to nebulizerm) Remove oxygen supply from existing patient adjunct andconnect to medication canister. Provide additionaloxygen to patient via nasal cannula at 4-6 lpmn) Adjust liter flow to 4-6 literso) Instruct patient to place the mouthpiece in their mouthand to inhale slowly and deeply (if utilizing a masknebulizer, place mask appropriately on patient’s face)p) Have patient attempt to hold their breath for 1-2 secondsbefore exhalingq) Continue in this manner until the medication canister isdepletedr) Continue to monitor patient statuss) Resume oxygen therapyt) Document administration data and time, drug name, doseand route of medication(1) Patient’s tolerance of procedure(2) Name of medical control physician authorizingadministration(3) Name of EMT administering medication8. Actiona) Albuterol - beta agonist bronchodilator - dilatesbronchioles, by relaxing surrounding smooth muscles toreduce airway resistance.b) Atrovent – anticholinergic agent - has a timed-releaseeffect and work on the smaller sections of bronchioles toreduce airway resistance9. Side effectsa) Increased pulse rateb) Tremorsc) Nervousness10. Re-assessment strategiesModule 4-20