Hypersensitivity DRUG INTERACTION 1. First Responder, EMT-Basic, EMT-Intermediate and EMT-Paramedic . In order to obtain the Registration, EMS agencies must complete and submit the following documents: The information and appropriate application paperwork is available at http://www.wadsworth.org/labcert/clep/Administrative/ChangeForms.htm. Known hypersensitivity 2. • Maximum prescribed dose has been met or exceeded prior to EMS arrival • Respiratory failure or apnea • Hypotension (SBP < 100 mm Hg) If you use this medicine (albuterol tablets) on a regular basis, use a missed dose as soon as you think about it. h�b```f`` Limited Service Laboratory Registration (DOH-4081), Disclosure of Ownership and Controlling Interest Statement (DOH-3486). Albuterol sulfate is the official generic name in the United States. It stimulates the Beta2 receptor, producing relaxation of bronchial smooth muscle and bronchodilation. CLASSIFICATION . The molecular weight of albuterol sulfate is 576.7, and the empirical formula is (C 13 H 21 NO 3) 2 •H 2 SO 4. MECHANISM OF ACTION �i�bV���2+Nxa1��Wt�W4�w��6��n8��vM -��`{��N^�f�x�3��g&���ϙ��z�}-wYW�������� 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. �G";� ��=@���.��g�0 O%7 0 192 0 obj <>stream To be authorized to use an electronic glucometer or nebulized albuterol, the EMS agency must make written request to the appropriate REMAC. ambulance service, ALS-FR, BLS-FR). 1. hޤT�n�0�=n�$�dE�$m� ����&Z���[ҿIٮ;���`H�CJG������|��C懨#�Ǩ$� Take albuterol at around the same times every day. ALBUTEROL (PROVENTIL®, VENTOLIN®, PROAIR®, ACCUNEB®) SCOPE OF PRACTICE . No EMS agency may engage in the testing of blood glucose without a registration permit. 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 albuterol route. WebMD provides common contraindications for Albuterol Inhalation. Serving Faculty and Staff in Norman, Oklahoma City, and Tulsa campuses. EMS arrival or initiated by ALS. Continuous albuterol may be given via nebulizer as needed. The World Health Organization recommended name for the drug is salbutamol sulfate. 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 e… Contraindications: • Hypersensitivity. Continuous albuterol may be given via nebulizer as needed. Sympathomimetic Relatively selective beta-2 adrenergic bronchodilator. Prehospital blood sugar evaluation is intended to assist in the recognition of hypoglycemia and improve the speed with which proper treatment is received. %%EOF 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). Effective 2/1/2019 Drug Index Albuterol Replaces 7/1/11 . 181 0 obj <>/Filter/FlateDecode/ID[<0AB56721D2724ABF253DC5E7AA5A785D><6604DD52A33A4747A601920FD7BB66BA>]/Index[161 32]/Info 160 0 R/Length 100/Prev 362688/Root 162 0 R/Size 193/Type/XRef/W[1 3 1]>>stream Oral Glucose Indications for EMS. 2. It’s available as an inhalation suspension, nebulizer solution, inhalation powder, immediate-release tablet, extended-release tablet, or oral syrup. 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. He is the co-training officer for the South Orange (N.J.) Rescue Squad. h�bbd```b``��!`� D��H��`���D2� �ܭ`�\� 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 … 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. unable to swallow/ unconscious. f`c`�p`d@ AV �ah�!��pȟ���zHɲ�:̞�"��V[�F����5p�(aI�b Beta 2 receptor agonist with some beta- 1 activity; relaxes bronchial smooth muscle with little 1. • Inability of the patient to physically assist in using the device. Dec. 2018 . Connect nebulizer to oxygen source at 6-8 liters per minute.