Effective 2/1/2019 Drug Index Albuterol Replaces 7/1/11 . Contraindications - Albuterol sulfate is contraindicated in patients with tachycardic dysrhythmias (rate greater than 150 BPM) or a known hypersensitivity to albuterol or any of its components. Dec. 2018 . EMS arrival or initiated by ALS. Blood Glucometry and Nebulized Albuterol for EMS agencies, Health & Safety in the Home, Workplace & Outdoors, Clinical Guidelines, Standards & Quality of Care, All Health Care Professionals & Patient Safety, Bureau of EMS Policy Statements and SEMAC Advisories - New York State Department of Health, http://www.wadsworth.org/labcert/clep/Administrative/ChangeForms.htm, Addressing the Opioid Epidemic in New York State, Learn About the Dangers of "Synthetic Marijuana", Help Increasing the Text Size in Your Web Browser, Re: Blood Glucometry and Nebulized Albuterol for EMS agencies. The New York State Emergency Medical Advisory Committee (SEMAC) has approved the use of glucometers and nebulized albuterol by Emergency Medical Technicians (EMT) who are employees/volunteers of an EMS agency (i.e. PRECAUTIONS & SIDE EFFECTS • May cause dizziness, anxiety, palpitations, headache, sweating, and muscle tremors. 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. Albuterol TRADE NAME: Proventil, Ventolin CLASS: Sympathetic Agonist DESCRIPTION: Sympathomimetic bronchodilator selective for β2 adrenergic receptors ACTIONS: Selective direct acting β2 agonist INDICATIONS: Bronchial asthma, emphysema, chronic bronchitis, allergic bronchospasm, or other reversible bronchospasm PHARMACOKINETICS: Onset: 5 - 15 minutes Peak Effect: 1 - 1.5 hours … Hypersensitivity DRUG INTERACTION 1. 1. heart rate greater than 150 in adults and greater than 200 in children 2. cardiac disease. albuterol route. 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. Xopenex (levalbuterol HCl) Inhalation Solution is contraindicated in patients with a history of hypersensitivity to levalbuterol HCl or racemic albuterol. Human Resources for the University of Oklahoma. GD-097-PHS-EMS Drug Profiles As Recommended by the Bureau of EMS and Trauma System Arizona Department of Health Services 1 ... ABSOLUTE CONTRAINDICATIONS • Albuterol sulfate allergy. albuterol side effects. h�bbd```b``��!`� D��H��`���D2� �ܭ`�\� 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. Florida Regional Common EMS Protocols Drug Summary Section Table of Contents 5.1 Adenosine Triphosphate (Adenocard®) 5.2 Albuterol (Proventil®, Ventolin®) 5.3 Amiodarone Hydrochloride (Cordarone®) 5.4 Aspirin 5.6 Atropine 5.6.1 Atropine Sulfate as Cardiac Agent 5.6.2 Atropine Sulfate as Antidote for Poisonings 5.7 Calcium Chloride 10% Beta 2 receptor agonist with some beta- 1 activity; relaxes bronchial smooth muscle with little unable to swallow/ unconscious. The tablets and syrup are usually taken three or four times a day. 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 … Known hypersensitivity 2. �G";� ��=@���.��g�0 O%7 1. The SEMAC approval was granted with the specific condition that the EMS agency wishing to use a glucometer or nebulized albuterol, be granted approval by the Regional Emergency Medical Advisory Committee (REMAC), that each EMT from that EMS agency complete a REMAC approved training program, and that the EMS agency be granted a Limited Laboratory Registration (for blood glucometry only). DESIRED EFFECTS . If you use this medicine (albuterol tablets) on a regular basis, use a missed dose as soon as you think about it. Beta adrenergic agents - potentiates the effects. Nebulizer = 250mcg – 500mcg mixed with salbutamol, repeat up to 2 times if needed (Do not exceed 1000mcg) Combivent: 2.5ml – 5.0ml nebule, repeat every 10 minutes as needed but do not exceed 1000mcg of ipratropium bromide. 3. h�b```f`` The World Health Organization recommended name for the drug is salbutamol sulfate. Atrovent Trade Names: Atrovent Class:Anticholenergic Pharmacology: 2 hr half life Causes Bronchodilation, dries respiratory tract secretions Indications: Bronchial Asthma Reversible bronchospasm associated with chronic bronchitis and emphysema Contraindications: Hypersensitivity Should not be used as primary acute treatment of bronchospasm Cautions: Monitor vital signs … hޤT�n�0�=n�$�dE�$m� ����&Z���[ҿIٮ;���`H�CJG������|��C懨#�Ǩ$� �i�bV���2+Nxa1��Wt�W4�w��6��n8��vM -��`{��N^�f�x�3��g&���ϙ��z�}-wYW�������� Allergy. Continuous albuterol may be given via nebulizer as needed. If it is close to the time for your next dose, skip the missed dose and go back to your normal time. 3. CONTRAINDICATIONS Patients with history of hypersensitivity to the drug, should not be used as primary agent in acute treatment of bronchospasm. endstream endobj 162 0 obj <> endobj 163 0 obj <> endobj 164 0 obj <>stream f`c`�p`d@ AV �ah�!��pȟ���zHɲ�:̞�"��V[�F����5p�(aI�b The New York State Emergency Medical Advisory Committee (SEMAC) has approved the use of glucometers and nebulized albuterol by Emergency Medical Technicians (EMT) who are employees/volunteers of an EMS agency (i.e. Caution in patients w/ACS, dysrhythmias, symptomatic tachycardia, diabetes, HTN, seizures or in Contraindications: • Hypersensitivity. No EMS agency may engage in the testing of blood glucose without a registration permit. u�"�� �zB�!�m+� ,"�rvL0�N Warnings The use of beta-adrenergic agonist bronchodilators alone may not … • Inability of the patient to physically assist in using the device. %%EOF A companion to the 2017 Statewide Emergency Medical Services Protocols . MAO inhibitors - may lead to hypertensive crisis. H2�g�9z@$�i ��n'�v���$���� NB ambulance service, ALS-FR, BLS-FR). 4 chewy baby aspirin that are 81 mg each. Please note that a protocol for nebulized albuterol has been approved by SEMAC and is included in the Statewide BLS Adult and Pediatric Treatment Protocols for EMT-B and AEMT. Albuterol is a prescription drug. If >1 year or >10 kg: add 2.5 mg of Albuterol mixed in 3 ml of NS (0.083%) to nebulizer and flow oxygen at 6-8 liters/min. It was first sold by Allen & Hanburys (UK) under the brand name Ventolin, and has been used for the treatment of asthma ever since. Albuterol (Proventil®, Ventolin®) CLASS. Beta 2 agonist . Oral toxic ingestion within 1 hour of EMS contact Contraindications: 1. New Mexico EMS Treatment Guidelines . Take albuterol at around the same times every day. It’s available as an inhalation suspension, nebulizer solution, inhalation powder, immediate-release tablet, extended-release tablet, or oral syrup. It stimulates the Beta2 receptor, producing relaxation of bronchial smooth muscle and bronchodilation. The purpose of this policy is to explain the approval process for EMS agencies wishing to implement a nebulized albuterol and/or blood glucometry program. Terbutaline (Brethine, Brethaire) is a Beta 2 Agonist to be considered in place of Albuterol and C ombivent to avoid nebulizer use during the COVID pandemic. Written policies and procedures for the operation of the glucometer and storage and maintenance of nebulized albuterol that are consistent with applicable Regional and State protocols. The extended-release tablets are usually taken once every 12 hours. MECHANISM OF ACTION nebulizer. Origin of Albuterol sulfate Salbutamol was the first selective β2-receptor agonist to be marketed in 1968. To relieve bronchospasm in patients with reversible obstructive airway disease (asthma, chronic bronchitis, emphysema) and acute attacks of bronchospasm. CLASSIFICATION . DOSAGE. Many times this medicine (albuterol tablets) is used on an as needed basis. • 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 Sympathomimetic Relatively selective beta-2 adrenergic bronchodilator. First Responder, EMT-Basic, EMT-Intermediate and EMT-Paramedic . A letter from the EMS agency physician medical director supporting the request and indicating an understanding of their role in the Clinical Laboratory requirements (blood glucometry only) and quality assurance process, A completed NYS Department of Health Clinical Laboratory Limited Laboratory Registration Application (DOH-4081) for blood testing licensure (blood glucometry only). ’ s available as an Inhalation suspension, nebulizer solution, Inhalation powder, tablet! 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