ABSOLUTE: Discontinue nitroglycerin administration or do not administer nitroglycerin to patients who: Have a known sensitivity to nitrate medications; Have taken erectile dysfunction medications within the past 24 hours, such as Viagra, Cialis, Levitra, Stendra, Staxyn, sildenafil, avanafil, tadalafil or vardenafil. Patient is allergic to aspirin 2. salicylate salts such as sodium or magnesium salicylate) do not demonstrate these effects and may be appropriate substitutions in these patients. Perform focused assessment for cardiac patient. tremors, dizziness, tachycardia, vomiting, nausea, nervousness/shakiness. EMT-Basic, EMT-Intermediate and EMT-Paramedic . This indicat Aspirin is indicated in the acute M.I. 20. CONTRAINDICATIONS Known allergy to Aspirin (e.g. Notes. State the dose of aspirin to be administered and the route of administration. Aspirin is used to reduce fever and mild to moderate pain from a headache, menstrual periods, cold, toothache, or muscle ache. When using aspirin, it is important to acknowledge that when taken simultaneously with other medications / medication classes or substances (including natural or herbal varieties), adverse reactions can occur. If they have taken 325 mg aspirin within 60 minutes for this event, do not administer additional aspirin. Pathways common to CRT response and aspirin use included those associated with the activation of adaptive immunity and suppression of EMT and transforming growth factor-beta signaling ( Figure 2 F). List two (2) side effects of aspirin. 0000005912 00000 n INDICATIONS: New-onset chest pain suggestive of MI signs and symptoms suggestive or recent CVA. 2) The symptomatic relief of influenza, feverishness, rheumatic pains, sciatica, lumbago, fibrositis, muscular aches and pains. Known scientifically with the name of acetylsalicylic acid, and more popularly with the commercial name of aspirin, we are probably in front of one of the most well-known, consumed and popular drugs or medications.It is a drug used as an analgesic and anti-inflammatory, useful to relieve mild and moderate pain and also inflammation. Practicing professionalism and competence is essential for success. Allergy to aspirin, products containing aspirin, or aspirin-like products ; History of active bleeding disorder ; Recent or current ulcer or gastrointestinal bleeding ; Taken aspirin within the last 24 hours ; Patient prescribed anticoagulation therapy ; Possible aortic aneurysm Record reasssessments on prehospital care report. The updated curriculum is available from the DOH web site at: http://www.nyhealth.gov/nysdoh/ems/pdf/emtoriginalmod4.pdf, Contraindications This preview shows page 1 - 4 out of 7 pages. Do not take this medicine (aspirin tablets) if you are in the third trimester of pregnancy. At least 29 million Americans take low-dose aspirin every day in hopes of preventing a heart attack or stroke. Indications Contraindications Dosages, etc. ACTIVATED CHARCOAL (ACTIDOSE-AQUA®) SCOPE OF PRACTICE . All patients with suspected AMI and without contraindications shoul d receive aspirin. CLASS OF DRUG . 0000002605 00000 n Conclusions —Aspirin has been shown to be beneficial after a myocardial infarction and for other acute coronary syndromes. 19. The dosage taken 2. Dec. 2018 . Doage: 160mg - 325mg (2-4 chewable children's aspirin tablets) chewed by mouth 0000001678 00000 n asthma), active GI ulceration or bleeding, hemophilia or other bleeding disorders, during pregnancy, children under 2 years of age. 0000078064 00000 n If you are pregnant or may be pregnant. It is not a substitute for the full OTC Drug Facts label. 2. H�b```f``ee`2^02 � H���� Ÿ�aCC�� \ę6 E�K͎: ץ)ٱ��CqĦ�#�UU�7�]�����_��͵ʆL+N�?��1ِi����|���g\V~�����`�eC��sܒT��n= �����r�b` � �*.`R ����9P�؝2�U�`�20��E���/01�g�����(��a����>��@�W��������S�< � ���X��q�f wÓ�- R\� endstream endobj 744 0 obj 285 endobj 726 0 obj << /Type /Page /Parent 721 0 R /Resources << /ColorSpace << /CS0 729 0 R /CS1 732 0 R >> /ExtGState << /GS0 741 0 R /GS1 740 0 R >> /Font << /TT0 727 0 R /TT1 728 0 R /TT2 736 0 R >> /ProcSet [ /PDF /Text ] >> /Contents 733 0 R /MediaBox [ 0 0 612 792 ] /CropBox [ 0 0 612 792 ] /Rotate 0 /StructParents 0 >> endobj 727 0 obj << /Type /Font /Subtype /TrueType /FirstChar 32 /LastChar 148 /Widths [ 250 0 0 0 0 833 0 0 333 333 0 0 250 333 250 278 500 500 500 500 500 500 500 500 500 500 278 0 0 0 564 444 0 722 667 667 722 611 556 722 722 333 0 722 611 889 722 722 556 0 667 556 611 722 722 944 0 0 0 0 0 0 0 500 0 444 500 444 500 444 333 500 500 278 278 500 278 778 500 500 500 0 333 389 278 500 500 722 500 500 444 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 333 444 444 ] /Encoding /WinAnsiEncoding /BaseFont /EPFCKG+TimesNewRoman /FontDescriptor 730 0 R >> endobj 728 0 obj << /Type /Font /Subtype /TrueType /FirstChar 32 /LastChar 121 /Widths [ 250 0 0 0 0 0 0 0 0 0 0 0 0 0 250 278 0 500 500 500 500 500 500 500 500 500 333 0 0 0 0 0 0 722 0 0 0 667 0 778 778 389 0 0 667 944 722 778 611 778 722 556 667 722 722 1000 0 722 0 0 0 0 0 0 0 500 556 444 556 444 333 500 556 278 333 556 278 833 556 500 556 0 444 389 333 556 500 722 500 500 ] /Encoding /WinAnsiEncoding /BaseFont /EPFCLH+TimesNewRoman,Bold /FontDescriptor 731 0 R >> endobj 729 0 obj [ /ICCBased 742 0 R ] endobj 730 0 obj << /Type /FontDescriptor /Ascent 891 /CapHeight 656 /Descent -216 /Flags 34 /FontBBox [ -568 -307 2000 1007 ] /FontName /EPFCKG+TimesNewRoman /ItalicAngle 0 /StemV 94 /XHeight 0 /FontFile2 737 0 R >> endobj 731 0 obj << /Type /FontDescriptor /Ascent 891 /CapHeight 656 /Descent -216 /Flags 34 /FontBBox [ -558 -307 2000 1026 ] /FontName /EPFCLH+TimesNewRoman,Bold /ItalicAngle 0 /StemV 160 /XHeight 0 /FontFile2 738 0 R >> endobj 732 0 obj /DeviceGray endobj 733 0 obj << /Filter /FlateDecode /Length 734 0 R >> stream 0000002037 00000 n Contraindications and Adverse Effects of Aspirin 53,613 views Aspirin should be avoided by those known to be allergic to ibuprofen or naproxen, or to have salicylate intolerance or a more generalized drug intolerance to NSAIDs, and caution should be exercised in those with asthma … Who should not take Aspirin Tablet? Indications - Fever (100.5 and above) - Pain control (rarely used for this) Contraindications - Pregnant women - GI bleeds - Dialysis - Anticoagulants - Less than 6 months old Contraindications ; Why it's used. You can opt out of In one study, angioedema appeared 1-6 hours after ingesting aspirin in some of the patients participating in the study. Aspirin is a common anti-inflammatory and anti-coagulant that may reduce the risk and size of a myocardial infarction. Contraindications of nitroglycerin. 4 . The following conditions are contraindicated with this drug. View Notes - EMT-B Drugs ListTerm: Definition: Glucose Dose 1-Tube. Contraindications to the use of epinephrine by the EMT Absolute Contraindications •There are no absolute contraindications in the emergency setting Relative Contraindications •Hypersensitivity to epi preparations •Glaucoma (narrow-angle) •Cardiovascular disease •Use during labor/childbirth •Cases where vasopressors are Instruct patient to chew the tablets until they are dissolved. 0000001700 00000 n Aspirin has analgesic, antipyretic and anti-inflammatory actions. The New York State Emergency Medical Advisory Committee (SEMAC) and the NYS EMS Council (SEMSCo) have approved the EMT-B to administer aspirin (ASA) to those patients who are classified as cardiac related patients. Assure correct dosage of 160  325 mg. Do not prescribe aspirin to people with: A history of true hypersensitivity to aspirin, salicylates or another nonsteroidal anti-inflammatory drug (NSAID). The EMT practicing should only be given information after properly stating what they are assessing or ask for specific information. 0000006094 00000 n The NYS EMT-B Original Curriculum has been updated to reflect the change as well. 0000001146 00000 n The scenarios have information in shaded boxes. Furthermore, taking ibuprofen can compromise aspirin’s cardioprotective benefits 3. It demonstrates how to administer aspirin and the indications for that use, which are cardiac chest pain, suspected heart attack, management … 0000001285 00000 n Trade Name: Bayer Aspirin, Bufferin. Main contraindications of aspirin or acetylsalicylic acid. Uploaded By DukeScienceCoyote7103. It is indicated for: 1) The relief of headache, toothache, migraine, neuralgia, sore throat, dysmenorrhoea. However, the range of indications and contraindications to the administration of aspirin varied considerably by ambulance service. EMR EMT/EMT-IV AEMT Intermediate Paramedic NWRETAC Combined EMS Guidelines Approved January 1, 2019. Epinephrine Administration. H��W�n�8}�W�QZ�HQ6���Lv;�����H�,36�h�rҞ��*R7۲�Y4�vl�x�ԩ�Û�_~�y�{�JB��_���n�BR��ST3J���)˼Qo�N��V���UAj5�� X�ٗ��f� %����qx��"N�I—�3��lU�*r�zU�2M �uE�{B��������h��?�#�{�NF�,S!H���,d���WY�eU�ɣ\�"/�B�J*����,b�$Q�f�G1�)�]�����ZD�2^DH�������ͫ>dt������4�X������g��"!q?BԔ���ᗏ��>�:E<0O1p�EA�/�H&YĒ2W�(�)�����go���P�ܐ/:�WD����y��{���?\���"` �m�d�� Talk with your doctor to see when you need to avoid taking this medicine (aspirin tablets) during pregnancy. You may also need to avoid this medicine (aspirin tablets) at other times during pregnancy. 0000078271 00000 n 0000005682 00000 n Term: Glucose Dose Definition: 1-Tube. Interactions which can occur, and their severity, typically depend on… 1. Contraindications Patient is unable to chew or swallow, including GCS >15. The non-aceylated salicylates (i.e. Medication Form: Tablet, Nonenteric chewable Dosage: Begin transport (aspirin may be administered prior to initiation of transport as long as this does not delay transport). %PDF-1.3 %���� trailer << /Size 745 /Info 720 0 R /Root 724 0 R /Prev 166899 /ID[<77af4dc626874bacd8e5f477a02d1487>] >> startxref 0 %%EOF 724 0 obj << /Type /Catalog /Pages 721 0 R /Metadata 722 0 R /Outlines 31 0 R /OpenAction [ 726 0 R /XYZ null null null ] /PageMode /UseNone /PageLabels 719 0 R /StructTreeRoot 725 0 R /PieceInfo << /MarkedPDF << /LastModified (D:20031110085122)>> >> /LastModified (D:20031110085122) /MarkInfo << /Marked true /LetterspaceFlags 0 >> >> endobj 725 0 obj << /Type /StructTreeRoot /RoleMap 36 0 R /ClassMap 39 0 R /K 539 0 R /ParentTree 700 0 R /ParentTreeNextKey 10 >> endobj 743 0 obj << /S 252 /O 319 /L 335 /C 351 /Filter /FlateDecode /Length 744 0 R >> stream CONTRAINDICATIONS FOR USE 1.