Chapter01

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General Pharmacology and Medication Administration : 

General Pharmacology and Medication Administration Chapter 1

Standards for Drugs : 

Standards for Drugs Pharmacology is the study of drugs or medications. Types of medications patients take Over-the-counter (OTC) Prescribed medications Herbals Vitamins Illicit or recreational

Historical Milestones (1 of 2) : 

Historical Milestones (1 of 2) Prior to 1900s 1906 Pure Food and Drug Act Shirley Amendment of 1912 Harrison Narcotic Act of 1914

Historical Milestones (2 of 2) : 

Historical Milestones (2 of 2) Federal Food, Drug, and Cosmetic Act of 1938 Kefauver-Harris Amendment of 1963 Comprehensive Drug Abuse Prevention and Control Act of 1970 Orphan Drug Act of 1983

Controlled Substance Schedules : 

Controlled Substance Schedules

The Role of the FDA and DEA : 

The Role of the FDA and DEA Mission of the Food and Drug Administration (FDA) Preventable adverse events Mission of the Drug Enforcement Administration (DEA) FDA approval process Additional resources on newly approved drugs

The FDA Approval Process : 

The FDA Approval Process

Drug Profile (1 of 2) : 

Drug Profile (1 of 2) Drug name Classification Mechanism of action Indications Pharmacokinetics Side and adverse effects

Drug Profile (2 of 2) : 

Drug Profile (2 of 2) Routes of administration Drug forms Doses Contraindications Special considerations

Drug Names : 

Drug Names Proprietary or trade name Chemical name Official name - US Pharmacopeia or National Formulary Generic name

Commonly Used Drug Names : 

Commonly Used Drug Names

Drug Sources : 

Drug Sources Plants Animals and humans Minerals Synthetic or chemicals

Drug Sources and Examples : 

Drug Sources and Examples

Drug Classifications : 

Drug Classifications Mechanism of action or functional Therapeutic classifications

Gastrointestinal Agents : 

Gastrointestinal Agents

ILCOR Classes of Drug Recommendations : 

ILCOR Classes of Drug Recommendations

Drug Physiology : 

Drug Physiology Pharmaceutics Stages of drugs in the body Absorption Distribution Biotransformation Elimination

Pharmacology and the Nervous System : 

Pharmacology and the Nervous System Central nervous system Peripheral nervous system Autonomic nervous system Sympathetic nervous system Parasympathetic nervous system

Organization of the Nervous System : 

Organization of the Nervous System

Drug Receptors : 

Drug Receptors Cholinergic Adrenergic Dopaminergic Adrenergic

The Adrenergic Receptors : 

The Adrenergic Receptors

Drug Response on the Body: Terms (1 of 3) : 

Drug Response on the Body: Terms (1 of 3) Additive effect Adverse reaction Antagonistic Cumulative effect Dependence Habituation Half-life

Drug Response on the Body: Terms (2 of 3) : 

Drug Response on the Body: Terms (2 of 3) Hypersensitivity Iatrogenic effect Idiosyncratic reaction Loading dose Maintenance dose Potentiation

Drug Response on the Body: Terms (3 of 3) : 

Drug Response on the Body: Terms (3 of 3) Side-effect Synergistic effect Tolerance

Drug Forms (1 of 2) : 

Drug Forms (1 of 2) Solids Capsule Pulvule Pill Powder Suppository Tablet Lozenge Medication patch

Drug Forms (2 of 2) : 

Drug Forms (2 of 2) Liquids Solution Elixir Emulsion Suspension Syrup Tincture Topical cream Gas forms of drugs

Routes of Administration (1 of 2) : 

Routes of Administration (1 of 2) Enteral routes Parenteral routes Percutaneous routes

Routes of Administration (2 of 2) : 

Routes of Administration (2 of 2)

Rates of Absorption by Different Routes : 

Rates of Absorption by Different Routes

Special Considerations : 

Special Considerations The very old The very young Pregnancy

Pregnancy Category Ratings for Drugs : 

Pregnancy Category Ratings for Drugs

Paramedic Responsibilities and Pharmacology : 

Paramedic Responsibilities and Pharmacology Patient assessment and management The rights for each medicine Proper storage of medications The reasons a patient may be on specific medications

Heated Drug Box : 

Heated Drug Box

Locking Narcotics Box : 

Locking Narcotics Box

Types of Medications as Clues to Medical History : 

Types of Medications as Clues to Medical History

Medication Administration : 

Medication Administration Anatomy Physiology Equipment Techniques

The Rectal Route : 

The Rectal Route

Common Intramuscular (IM) Sites : 

Common Intramuscular (IM) Sites

Location of IM Site : 

Location of IM Site

Common Subcutaneous (SC) Sites : 

Common Subcutaneous (SC) Sites

Location of SC Site : 

Location of SC Site

Look for Intravenous (IV) Sites : 

Look for Intravenous (IV) Sites

The First Access for Shock and Trauma (FAST-1) Device : 

The First Access for Shock and Trauma (FAST-1) Device

The Bone Injection Gun (BIG) Device : 

The Bone Injection Gun (BIG) Device

The EZ-Intraosseous (IO) Device : 

The EZ-Intraosseous (IO) Device

Jamshedi IO Needle : 

Jamshedi IO Needle

Metabolism and Excretion : 

Metabolism and Excretion Role of the liver Impact of liver disease Impact of an immature liver Role of the kidneys Impact of the kidney disease

Obtaining Blood Samples : 

Obtaining Blood Samples Procedure Purpose Regional system requirements

Blood Tubes : 

Blood Tubes

Enteral Administration Techniques : 

Enteral Administration Techniques Oral drug administration Gastric tube drug administration Rectal drug administration

Parenteral Administration : 

Parenteral Administration Adding medicine to an IV bag IV bolus drug administration IV drip “piggyback” into an IV line IO drug administration SC drug administration IM drug administration

Percutaneous Administration : 

Percutaneous Administration Intranasal drug administration Sublingual drug administration Buccal drug administration

Inhalation Administration : 

Inhalation Administration Small-volume nebulizer drug administration

The Drug Rights : 

The Drug Rights Right patient Right drug Right dose Right route Right time Right documentation and reporting

Patient Management Pharmaceutical Plan : 

Patient Management Pharmaceutical Plan An integral part of patient management Treat the patient not just the symptom! Medication changes the patient’s condition.

Infection Control During Medication Administration : 

Infection Control During Medication Administration Follow your exposure control plan. Take body substance isolation (BSI) precautions. Use the engineering controls. Use the appropriate personal protective equipment (PPE). Dispose of sharps properly.

Sharps Disposal : 

Sharps Disposal

Developing Paramedic Pharmacology Best Practices : 

Developing Paramedic Pharmacology Best Practices Always comply with highest standards of medication administration. Follow the “rights.” Be comfortable defending your drug decisions based on patient care plan. Be a model of excellent care. Follow your exposure control plan.

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