emt-basic curriculum module 4

State of WisconsinEMT-Basic: A Practice BasedApproach to EMS EducationII.III.(10) Continue to monitor patient status(11) Continue oxygen therapy(12) Repeat dosage per medical direction, if requested(13) Document administration data and time(a) Time, name, dose, route of medication(b) Patient’s tolerance of procedure(c) Name of medical control physicianauthorizing administration(d) Name of EMT administering medicationg) Actions – triggers release of stored glucose from liverand skeletal musclesh) Side effects -i) Re-assessment strategies – monitor patient’s LOC andvital signs, document and communicate patient responseto medication administrationCauses of altered mental status, in addition to diabetic emergenciesA. Varied conditions1. Syncopal episodes (fainting), also known as psychogenic shock– a self correcting episode of unresponsiveness, resulting froma sudden, temporary reduction in blood supply to the brain,induced by dilation of the blood vessels. Excessive grief, joy,fear or other emotion can cause this type of shock2. Seizures3. Stroke4. Poisoning5. Infection6. Head trauma7. Hypoxia8. Dementiaa) Brain disorder with memory impairmentb) Multiple causes, including Alzheimer’s diseasec) Gradual decline over several yearsB. Emergency medical care1. Assure patency of airway2. Be prepared to artificially ventilate/suction3. Transport4. Consider trauma as possible cause of altered mental statusSeizuresA. Causes1. Epilepsy2. High fever3. Infections4. Poisonings5. Hypoglycemia or hyperglycemia6. Head trauma7. ShockModule 4-48