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Prehospital Emergency Pharmacology,9780130259509
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Prehospital Emergency Pharmacology

by ;
Edition:
5th
ISBN13:

9780130259509

ISBN10:
0130259500
Format:
Hardcover
Pub. Date:
1/1/2001
Publisher(s):
Pearson
List Price: $64.67
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Summary

This pharmacology book and handy reference is a complete guide to the most common medications used in prehospital care. It reflects current trends in prehospital care and the most recent drug information. This revision will update the book to cover the current AHA guidelines for cardiac care and will be updated to include the most recent drug information available. Chapter topics include pharmacokinetics and pharmacodynamics; administration of drugs; drug dosage calculations; fluids, electrolytes, and IV therapy; the automatic nervous system; drugs used in the treatment of emergencies: cardiovascular, respiratory, metabolic-endocrine, neurological, obstetrical and gynecological, toxicological, behavioral, and gastrointestinal; and drugs used in pain management. For practicing paramedics.

Author Biography

Bryan E. Bledson, D.O., F.A.C.E.P., EMT-P: EMS Physician Midlothian, Texas and Clinical Associate Professor of Emergency Medicine, University of North Texas Health Sciences Center, Fort Worth, Texas Dwayne E. Clayden, M.E.M., EMT-P: Assistant to the Medical Director, City of Calgary Emergency Medical Services, Calgary, Alberta, Canada

Table of Contents

Dedication v
Preface xiii
Acknowledgments xv
About the Authors xvii
Notices xix
Precautions on Bloodborne Pathogens and Infectious Diseases xxi
General Information
1(23)
Objectives
1(1)
Introduction
1(4)
Drug Research and Bringing a Drug to Market
5(3)
FDA Classification of Newly Approved Drugs
8(1)
New Drug Development
8(2)
Unlabeled Uses of Drugs
10(1)
Medical Oversight
11(6)
Components of a Drug Profile
17(4)
Important Pharmacological Terminology
21(1)
Summary
22(2)
Pharmacokinetics and Pharmacodynamics
24(18)
Objectives
24(1)
Introduction
24(1)
Pharmacology
25(1)
Pharmacokinetics
25(1)
Review of Physiology of Transport
25(9)
Pharmacodynamics
34(6)
Summary
40(2)
Administration of Drugs
42(19)
Objectives
42(1)
Introduction
43(1)
Patient Care Using Medications
43(1)
The Medication Order
43(1)
Six Rights of Medication Administration
44(3)
General Administration Routes
47(2)
Drug Administration and Preparation
49(1)
Medical Direction
50(1)
Medical Asepsis
51(1)
Disposal of Contaminated Equipment and Sharps
52(1)
Medication Routes Used in Emergency Medicine
52(6)
Pediatric Administration Techniques
58(1)
Summary
59(2)
Drug Dosage Calculations
61(22)
Objectives
61(1)
Introduction
62(1)
The Metric System
62(4)
Find the Ordered Dose
66(3)
Find the Units Per Kilogram
69(1)
Concentration Problems
70(3)
Calculate an IV Drip
73(3)
Calculate an IV Drip Based on Patient Weight
76(1)
Milliliters Per Hour to Drops Per Minute
77(1)
Practice Problems
78(5)
Fluids, Electrolytes, and Intravenous Therapy
83(32)
Objectives
83(1)
Introduction
84(1)
Fluids
84(1)
Electrolytes
85(1)
Cell Physiology
86(2)
Blood
88(3)
IV Therapy
91(16)
Insertion of Indwelling IV Catheter
107(5)
Collection of Blood Samples for Laboratory Analysis
112(1)
Blood Transfusions
112(1)
Summary
113(2)
The Autonomic Nervous System
115(11)
Objectives
115(1)
Introduction
115(1)
The Autonomic Nervous System
116(8)
Summary
124(2)
Drugs Used in the Treatment of Cardiovascular Emergencies
126(80)
Objectives
126(1)
Introduction
127(1)
Oxygen
128(3)
Sympathomimetics
131(13)
Sympathetic Blockers
144(7)
Antiarrhythmics
151(20)
Parasympatholytics
171(3)
Cardiac Glycosides
174(1)
Thrombolytics
175(7)
Alkalinizing Agents
182(2)
Cardiac Pain Management (analgesics)
184(5)
Diuretics
189(4)
Antianginal Agents
193(4)
Antihypertensives
197(6)
Other Cardiovascular Drugs
203(1)
Summary
204(2)
Drugs Used in the Treatment of Respiratory Emergencies
206(34)
Objectives
206(1)
Introduction
207(1)
Oxygen
208(3)
Asthma
211(16)
Neuromuscular Blockers
227(6)
Rapid-Sequence Induction
233(1)
Rapid-Sequence Sedation
234(3)
Summary
237(3)
Drugs Used in the Treatment of Metabolic-Endocrine Emergencies
240(16)
Objectives
240(1)
Introduction
241(1)
Diabetes Mellitus
241(1)
Types of Diabetes
241(3)
Diabetic Ketoacidosis (Diabetic Coma)
244(1)
Hypoglycemia (Insulin Shock)
244(1)
Insulin
245(3)
Glucagon
248(3)
Thiamine
251(4)
Summary
255(1)
Drugs Used in the Treatment of Neurological Emergencies
256(18)
Objectives
256(1)
Introduction
256(1)
Neurological Trauma
257(4)
Nontraumatic Neurological Emergencies
261(8)
Summary
269(5)
Drugs Used in the Treatment of Obstetrical and Gynecological Emergencies
274(9)
Objectives
274(1)
Introduction
275(1)
Severe Vaginal Bleeding
275(1)
Hypertensive Disorders of Pregnancy
276(2)
Preterm Labor
278(3)
Summary
281(2)
Toxicological Emergencies in Prehospital Care
283(37)
Objectives
283(1)
Introduction
284(1)
Regional Poison Centers
284(1)
Patient History
284(1)
General Approach to the Poisoned Patient
285(1)
Toxidromes
286(1)
Specific Toxi Agents Encountered in Prehospital Care
287(26)
Summary
313(7)
Drugs Used in the Treatment of Behavioral Emergencies
320(10)
Objectives
320(1)
Introduction
320(1)
Understanding Behavioral Emergencies
321(6)
Summary
327(3)
Drugs Used in the Treatment of Gastrointestinal Emergencies
330(7)
Objectives
330(1)
Gastrointestinal Medications
330(6)
Summary
336(1)
Drugs Used in Pain Management
337(16)
Objectives
337(1)
Introduction
337(2)
Analgesics
339(10)
Summary
349(4)
Appendix A Glossary of Street Drug Names 353(4)
Appendix B Emergency Intravenous Fluids Quick Reference Guide 357(5)
Appendix C Quick Drug Reference 362(47)
Appendix D Common Home Prescription Drug Information 409(21)
Appendix E Pediatric Drug Dosages 430(8)
Appendix F Practice Problems Answer Key 438(3)
Appendix G Drug Administration Skills 441(23)
Appendix H A Guide to Herbal Supplements 464(11)
Index 475


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