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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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Epinephrine Administration by the EMT

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  1. 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

  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. • Recap needles only as a last resort.

  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 • 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 Ampoule

  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 Medicationfrom a Vial

  15. Confirm the Medication

  16. Prepare the syringe and hypodermic needle.

  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 volumeof medication.

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

  21. 90º Intramuscular Injection

  22. Intramuscular Injection Sites

  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 - 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.

  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

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