Pharmacology - Alberta College of Paramedics

Table P-7 Nebulizer MaskPlace correct dose of drug in medication reservoirConnect to oxygen source and adjust flow to achieve mist (5-8 lpm)Place nebulizer mask on patientInstruct patient to breath slowly and deeplyCoach breathing as required until medication is depletedContinue oxygen therapy as requiredReassess patient(Refer to lab skill guideline Appendix B)Table P-8 EntonoxAssemble equipment and suppliesInvert Entonox tank a minimum of 3 timesAttach regulator, open valve and attach face mask to demand valveInstruct patient to proceed with self-administration of Entonox (continueas per protocol)Reassess patient and vital signsDetermine any adverse affects from medicationCompares amount in tank before and after procedure and document(Refer to lab skill guideline Appendix B)Special Circumstances for Inhalation AdministrationShould bronchoconstriction be noted in a patient who has either a Combitube orLMA in place, it is acceptable to administer Ventolin and/or Atrovent ONLY,through these particular blind insertion airways using a bag-valve device, metereddoseinhaler (MDI) and adapter.*Please Note: This should be discussed with the instructor during the lab skillsassessments for this module.SQ and IM Injections (Epinephrine, Glucagon)Before an injection can be carried out, the drug must first be prepared. Epinephrinecan be supplied in preloads, autoinjectors and ampules. Glucagon is supplied in apowder form, which needs to be reconstituted. Regardless of how the medicationis packaged, when preparing for an injection your safety is most important. Ensurethat you have the proper PPE in place and never recap needles; immediatelydiscard all needles in a sharps container after use.SyringesSyringes are composed of three parts consisting of the barrel, plunger and tip. Thetip may be a needle or needleless system for injecting a drug through an IV.Syringes come in a variety of sizes and should be chosen for the volume of drug tobe administered. If 0.03 ml were to be administered a 1 ml syringe should be used.The barrel of the syringe will be calibrated in milliliters with the exception ofinsulin syringes that are in units. Refer to Figure P 4 for examples of commonsyringes for drug administration.EMT Pharmacology 28