192 0 obj <>stream The request must include, but not necessarily be limited to, the following items: New York State Public Health Law requires that any EMS agency testing blood glucose, whether by electronic glucometer or chemstrip, be required to possess a Limited Laboratory Registration. The tablets and syrup are usually taken three or four times a day. • Contraindications –None in EMS •Dose –1-15 LPM • Administration –Blow-by, NC, NRB mask, Bag-valve Oxygen • Actions ... • Albuterol, Proventil, Ventolin, Combivent most common Albuterol Inhaler • Indications –Respiratory distress/wheezing due to asthma/COPD With a fire and EMS career of more than 34 years and counting, he is a frequent contributor to EMS World. Albuterol sulfate is the official generic name in the United States. Beta 2 receptor agonist with some beta- 1 activity; relaxes bronchial smooth muscle with little I know of no absolute contraindications to giving a person with CHF Albuterol. ALBUTEROL . A companion to the 2017 Statewide Emergency Medical Services Protocols . Effective 2/1/2019 Drug Index Albuterol Replaces 7/1/11 . PRECAUTIONS & SIDE EFFECTS • May cause dizziness, anxiety, palpitations, headache, sweating, and muscle tremors. New Mexico EMS Treatment Guidelines . Sympathomimetic bronchodilator . Once the EMS agency has received written approval for blood glucometry and/or nebulized albuterol from the REMAC, the EMS agency must provide BEMS with an updated and signed Medical Director Verification Form (DOH-4362), indicating the Limited Laboratory Registration permit number (if applicable) and authorization by the EMS agency physician medical director. Each REMAC will adopt protocols which will allow an EMT to obtain a blood sample, using a lancet device or equivalent, and test the blood sample in a commercially manufactured electronic glucometer. 2. Take albuterol at around the same times every day. low blood sugar. It’s important for EMS providers to use pulse oximetry to obtain a baseline O 2 ... the decision is made to administer 2.5 mg of albuterol sulfate … 2. DOSAGE. ALBUTEROL (PROVENTIL®, VENTOLIN®, PROAIR®, ACCUNEB®) SCOPE OF PRACTICE . CONTRAINDICATIONS Patients with history of hypersensitivity to the drug, should not be used as primary agent in acute treatment of bronchospasm. Connect nebulizer to oxygen source at 6-8 liters per minute. albuterol side effects. Naturally, you would want to use it with caution due to its sympathomimetic effects, and you would want to keep an eye on the patient's potassium level, but many people with both CHF and asthma or COPD use Albuterol and tolerate it just fine. No EMS agency may engage in the testing of blood glucose without a registration permit. Nebulized albuterol, when administered under the Statewide BLS Adult and Pediatric Treatment Protocols has been shown to decrease respiratory distress in patients between one and sixty-five years of age who are experiencing an exacerbation of their previously diagnosed asthma. NJ Office of Emergency Medical Services Staff Karen Halupke, Director Steven Cohen, NREMT-P, Jersey City Medical Center Howard Felderman, MD, Chilton Hospital Bryan Fischberg, NREMT-P, RWJ-University Hospital Nancy Kelly-Goodstein, NJ MICP, NJ Office of Emergency Medical Services Andy Lovell, NREMT-P, Gloucester County Emergency Medical Service �G";� ��=@���.��g�0 O%7 Many times this medicine (albuterol tablets) is used on an as needed basis. MECHANISM OF ACTION u�"�� �zB�!�m+� ,"�rvL0�N Oral Glucose Indications for EMS. Bronchodilators were administered by EMS or in the emergency department (ED) to 2,316 (21%) of the 10,978 patients. 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