Download Protocols - Introduction V3 9-23-15

Wilson County Emergency Management Agency
Protocols & Standing Orders Manual
Introduction
Adult Points to Remember
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The dosage of drugs administered by the endotracheal route should be 2 - 2.5 times the IV dosage. A
catheter, which extends distal to the end of the ET tube, should be used as time permits. A French suction
catheter works well for this. THIS IS THE LAST RESORT FOR MEDICATION ADMINISTRATION.
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Vasopressin is a potent vasoconstrictor. It may be used with Epinephrine but a certain time interval must be
observed. The half life of Vasopressin in the body is approximately 10 minutes.
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Elevate the extremity after bolus when given IV
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CPR is most effective when done continuously, with minimum interruption
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Consider non tracheal airway maneuvers whenever endotracheal intubation takes longer than 30 seconds.
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Administer a 20 - 50 ml fluid bolus after administering a drug IV and elevate the extremity if it is a peripheral
IV. These measures will aid in rapid delivery of the medicine to the central circulation.
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Treat the patient not the monitor!
Introduction – Adult Points R 3.0
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