In Massachusetts, is the patient required to have a prescription in order for an EMT-Basic to administer Albuterol?
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SCENARIO 1: Baby Bayada was hospitalized from 7/29/20 to 7/30/20 for an Upper Respiratory Tract infection with a new weight of 34kg at discharge. 74.96 pounds He was prescribed 2 NEW medications while admitted. Instructions: You will transcribe these new meds from prescription in home using BAYADA PHARMACY, 770-914-0000, Prescription number 123-0006 to the attached addendum. 1. Albuterol 2.5mg/ml per vial (____ vial) nebulizer treatment every 4 hours PRN wheezing/O2 saturations below 92% on room air via nasal cannula. 2. Amoxicillin 200mg/5ml to administer 870mg (____ ml) BID FOR 5 DAYS via GT to start on 7/30/20. 3. Tylenol 160mg/5ml administer 510mg (____ ml) PRN every 6 hours for pain >3 on FLACC scale or fever greater than 100.3 Please write up this order on the addendum attached using the Plan of Care. Don't forget to document the ORDER TYPE, HOW ORDER WAS RECEIVED, and DATE MEDICATION START/END SCENARIO 2: Medication Administration Record (MAR). 1. Circle incorrect orders and (or) write in (what makes them wrong/incorrect) 2. Correct order(s)- add to MAR 3. Add above orders to MAR a. Make sure DRUG CLASS is included. See attached for reference. b. See FLACC scale for reference. c. Make sure to ALWAYS include MG and ML dosing on when writing a COMPLETE order. 4. Add Client new weight to MAR (in kg and pounds- NEVER ROUND UP IN PEDIATRICS) **PLEASE MAKE SURE MARS ARE DATED WITH THE MONTH. IF THERE IS A MEDICATION THAT CARRIES OVER TO THE NEXT MONTH PLEASE DO SO
Sri K.
T. L.
Emmanuel and his mother live in an urban community housing complex. The building is worn down and dirty from the urban dust, cockroaches, and mold. Emmanuel is 5 years of age and has suffered from asthma for the last 2 years. One evening, his mother poured him some milk and put him to bed. Shortly afterward, Emmanuel woke up wheezing and coughing. As he gasped for air, he became more and more anxious. His mother ran for his inhaler, but he was too upset and restless to use it. Emmanuel's skin became moist with sweat, and as he began to tire, his wheezing became quieter. His mother called 911 and waited anxiously for the ambulance to arrive. Emmanuel uses a corticosteroid inhaler for the management of his asthma. What is the mechanism of action of this drug? How is its action different from the β2-agonist inhalants? Why does someone with severe asthma become physically fatigued during a prolonged attack? What are the physiological events that occur during an attack? One of the complications of respiratory fatigue is the development of hypercapnia. How does the body compensate for an increase in CO2? What are the effects of hypercapnia on the central nervous system?
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