Tylenol Indications and Precautions
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Questions and Answers

What is required for patients wishing to refuse transport after BLS administration of naloxone?

  • Medical consultation with a base station physician (correct)
  • A brief medical consultation with a base station physician
  • A thorough physical examination by the BLS clinician
  • Written consent from the patient

    • What is the trade name for nitroglycerin?

  • Not Applicable (correct)
  • Adcirca
  • Viagra
  • Revatio

    • What is the maximum number of doses of nitroglycerin that can be administered?

  • Three doses (correct)
  • Two doses
  • One dose
  • Four doses

    • What is the dosage of nitroglycerin for pediatric patients?

    <p>Not applicable</p> Signup and view all the answers

    What is the indication for administering oral glucose?

    <p>Altered mental status with known diabetic history</p> Signup and view all the answers

    What is the dosage of oral glucose for adults?

    <p>10-15 grams of oral glucose</p> Signup and view all the answers

    What is the effect of high concentrations of oxygen on COPD patients?

    <p>Reduces respiratory drive</p> Signup and view all the answers

    What is the minimum liter flow for a non-breather (NRB) face mask?

    <p>12 lpm</p> Signup and view all the answers

    What is the dosage of oxygen for adults via nasal cannula?

    <p>2-6 lpm</p> Signup and view all the answers

    What is the purpose of administering oxygen?

    <p>To reduce energy expended for respirations</p> Signup and view all the answers

    What is the dosage of epinephrine for patients 5 years of age or greater?

    <p>0.5 mg in 0.5 mL IM in lateral thigh</p> Signup and view all the answers

    Which of the following is a contraindication for administering acetaminophen to a patient?

    <p>Known or suspected liver disease</p> Signup and view all the answers

    What is the indication for administering epinephrine to patients with severe asthma?

    <p>Moderate to severe allergic reaction with respiratory distress</p> Signup and view all the answers

    What is the onset of action of naloxone when administered intranasally?

    <p>Within a few minutes</p> Signup and view all the answers

    What is the recommended dose of acetaminophen for a 4-year-old patient?

    <p>One unit dose of 160 mg/5 mL liquid</p> Signup and view all the answers

    What is the contraindication for administering naloxone?

    <p>Patients under 28 days of age</p> Signup and view all the answers

    What is the maximum dose of acetaminophen that can be administered to a 13-year-old patient?

    <p>650 mg</p> Signup and view all the answers

    What is the maximum dose of naloxone that can be administered in one nare?

    <p>1 mL per nare</p> Signup and view all the answers

    Why is it important to use a unit dose of acetaminophen?

    <p>To ensure accurate dosing</p> Signup and view all the answers

    What is the duration of action of naloxone?

    <p>40 minutes</p> Signup and view all the answers

    What is a precaution to consider when administering acetaminophen to a patient?

    <p>The patient's medical history and current condition</p> Signup and view all the answers

    What is the adverse effect of naloxone?

    <p>Opioid withdrawal</p> Signup and view all the answers

    What is a contraindication for administering acetaminophen to a patient less than 3 months of age?

    <p>Age less than 3 months</p> Signup and view all the answers

    What is the indication for administering epinephrine auto-injector?

    <p>Moderate to severe allergic reaction with respiratory distress</p> Signup and view all the answers

    What is the recommended form of acetaminophen for a 13-year-old patient?

    <p>325 mg pill or tablet</p> Signup and view all the answers

    Why is it important to assess the patient's ability to swallow or take medications by mouth?

    <p>To ensure the patient can take the medication correctly</p> Signup and view all the answers

    What is the dosage of epinephrine auto-injector for patients less than 5 years of age?

    <p>0.15 mg IM in lateral thigh</p> Signup and view all the answers

    What is the precaution for administering naloxone?

    <p>Naloxone may induce opiate withdrawal in patients who are physically dependent on opioids</p> Signup and view all the answers

    What is the primary indication for administering activated charcoal?

    <p>Poisoning by mouth</p> Signup and view all the answers

    What is the maximum dose of albuterol that can be administered to a pediatric patient over a 30-minute period?

    <p>2 doses (4 puffs)</p> Signup and view all the answers

    What is the contraindication for administering aspirin to a patient?

    <p>Known hypersensitivity</p> Signup and view all the answers

    What is the primary indication for administering epinephrine?

    <p>Moderate to severe allergic reaction with respiratory distress</p> Signup and view all the answers

    What is the preparation of activated charcoal?

    <p>25 grams/125 mL bottle</p> Signup and view all the answers

    What is the adverse effect of administering albuterol?

    <p>All of the above</p> Signup and view all the answers

    What is the precaution for administering aspirin?

    <p>GI bleeding and upset</p> Signup and view all the answers

    What is the dosage of epinephrine for a pediatric patient?

    <p>1.25 mg</p> Signup and view all the answers

    What is the contraindication for administering activated charcoal?

    <p>Altered mental status</p> Signup and view all the answers

    What is the pharmacology of aspirin?

    <p>Platelet inhibitor</p> Signup and view all the answers

    Study Notes

    AMES: Tylenol

    • Indications: Patients 3 months and older with mild to moderate discomfort (1-5 on FACES scale) or fever (EMS-documented temperature ≥100.4°F/38°C)
    • Adverse Effects: Not clinically significant
    • Contraindications:
      • Head Injury
      • Hypotension
      • Administration of acetaminophen within the previous 4 hours
      • Inability to swallow or take medications by mouth
      • Respiratory distress
      • Persistent vomiting
      • Known or suspected liver disease
      • Allergy to acetaminophen
      • Patients less than 3 months of age
    • Preparations: Unit Dose Only (DO NOT USE MULTIDOSE BOTTLE OF LIQUID); Unit dose 160 mg/5 mL liquid or 325 mg pill/tablet
    • Dosage:
      • Less than 3 months of age: Not indicated
      • 3 months to 2 years of age: depends on age and weight
      • 2-4 years: Unit dose 160 mg/5 mL
      • 5-12 years: TWO unit doses of 160 mg/5 mL each
      • 13 years and above: FOUR unit doses of 160 mg/5 mL each or 325 mg pill/tablet x2

    BLS Pharmacology: ACTIVATED CHARCOAL (WITHOUT SORBITOL)

    • Indications: Poisoning by mouth
    • Adverse Effects: May indirectly induce vomiting and cause nausea
    • Contraindications:
      • Altered mental status
      • Patients who have received an emetic
    • Preparations:
      • 25 grams/125 mL bottle
      • 50 grams/250 mL bottle
    • Dosage:
      • Adult: 1 gram/kg PO
      • Pediatric: 1 gram/kg PO

    BLS Pharmacology: ALBUTEROL

    • Indications:
      • Signs and symptoms of respiratory distress
      • Bronchospasm/wheezing associated with:
        • Asthma
        • COPD/emphysema
        • Allergic reactions (anaphylaxis)
    • Adverse Effects:
      • Tachycardia/palpitations
      • Hypertension
      • Angina
      • Nervousness/anxiety
      • Tremors
      • Dizziness
      • Headache
      • Sweating
      • Nausea/vomiting
      • Sore throat
    • Precautions: May cause severe bronchospasm from repeated excessive use
    • Contraindications: Known hypersensitivity
    • Preparations:
      • Hand-held (unit dose) aerosol inhaler
      • Ampule for nebulizer
    • Dosage:
      • Adult: Maximum of 2 doses (4 puffs) over a 30-minute period
      • Pediatric: Maximum of 2 doses (4 puffs) over a 30-minute period

    BLS Pharmacology: ASPIRIN

    • Indications: Suspected Acute Coronary Syndrome and/or ST Elevation MI (STEMI)
    • Contraindications:
      • Known hypersensitivity
      • Patients who receive a full dose (324 mg) of aspirin prior to EMS arrival
    • Adverse Effects:
      • Heartburn
      • Nausea and vomiting
      • Wheezing
    • Precautions: GI bleeding and upset
    • Dosage:
      • Adult: 324 mg or 325 mg chewed
      • Pediatric: Not indicated

    BLS Pharmacology: EPINEPHRINE (1 mg/mL)

    • Indications:
      • Moderate to severe allergic reaction with respiratory distress
      • Mild allergic reaction with history of life-threatening allergic reaction
      • Patients with severe asthma
    • Adverse Effects:
      • Tachycardia/palpitations
      • Angina
      • Headache
      • Nausea/vomiting
      • Dizziness
      • Hypertension
      • Nervousness/anxiety
      • Tremors
    • Precautions: Medical consultation must be obtained before administering EMS service's manual epinephrine or EMS service's auto-injector to asthma patients with pregnancy or cardiac history
    • Contraindications: None in the presence of anaphylaxis
    • Preparations: Epinephrine (Patient prescribed or EMS supplied)
    • Dosage:
      • Patients 5 years of age or greater: 0.5 mg in 0.5 mL IM in lateral thigh
      • Patients less than 5 years of age: 0.15 mg in 0.15 mL IM in lateral thigh

    BLS Pharmacology: EPINEPHRINE AUTO-INJECTOR

    • Indications:
      • Moderate to severe allergic reaction with respiratory distress
      • Mild allergic reaction with history of life-threatening allergic reaction
      • Patients with severe asthma
    • Adverse Effects:
      • Tachycardia/palpitations
      • Angina
      • Headache
      • Nausea/vomiting
      • Dizziness
      • Hypertension
      • Nervousness/anxiety
      • Tremors
    • Precautions: Medical consultation must be obtained before administering EMS service's manual epinephrine or EMS service's auto-injector to asthma patients with pregnancy or cardiac history
    • Contraindications: None in the presence of anaphylaxis
    • Preparations: Epinephrine Auto-injector (single or multi-dose) only (Patient prescribed or EMS supplied)
    • Dosage:
      • Less than 5 years of age: 0.15 mg IM in the lateral thigh via epinephrine auto-injector
      • 5 years and greater: 0.3 mg IM in the lateral thigh via epinephrine auto-injector

    BLS Pharmacology: NALOXONE PUBLIC SAFETY AND EMR

    • Indications: To reverse respiratory depression induced by opioid/narcotic agent
    • Contraindications: Patients under 28 days of age
    • Adverse Effects: Opioid withdrawal
    • Precautions:
      • Naloxone may induce opiate withdrawal in patients who are physically dependent on opioids
      • Certain drugs may require much higher doses of naloxone for reversal than are currently used
      • Should be administered and titrated so respiratory efforts return, but not intended to restore full consciousness
      • Intranasal naloxone must be administered via nasal atomizer
    • Dosage:
      • Adult: 2 mg IN, dividing administration of the dose equally between the nares to a maximum of 1 mL per nare, OR 4 mg/0.1 mL IN in one nare
      • Pediatric: 2 mg IN, dividing administration of the dose equally between the nares to a maximum of 1 mL per nare, OR 4 mg/0.1 mL IN in one nare

    BLS Pharmacology: NITROGLYCERIN

    • Indications: Chest pain
    • Adverse Effects:
      • Hypotension
      • Headache
      • Dizziness
      • Tachycardia
    • Precautions:
      • BLS clinician may only administer patient prescribed sublingual nitroglycerin
      • Reassess blood pressure before and after administration
      • If systolic blood pressure drops more than 20 mmHg per dose of nitroglycerin given, obtain medical consultation before further administration
    • Contraindications:
      • Blood pressure below 90 mmHg systolic
      • Heart rate less than 60 or greater than 150 bpm
      • Medication not prescribed for the patient
      • Pediatric patient under age 13
      • Any patient having taken medication for Pulmonary Artery Hypertension (e.g., Adcirca or Revatio) or erectile dysfunction (e.g., Viagra, Levitra, or Cialis) within the past 48 hours
    • Dosage:
      • Adult: 0.4 mg sublingually (one tablet or one spray)
      • Pediatric: Nitroglycerin contraindicated for children under age 13

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    Description

    Learn about the indications and precautions for administering Tylenol to patients, including age requirements, discomfort levels, and fever temperatures. Understand the importance of further evaluation and transport to a medical facility.

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