patient care treatment protocol€¦ · web viewmedication administration: aspirin...
TRANSCRIPT
Bonner County EMS System Procedures Medication Administration: Aspirin Administration- 9020
ACETYLSALICYLIC ACID (ASPIRIN) ADMINISTRATION
Clinical IndicationsChest pain of possible cardiac origin. Presentation and symptoms may include: Retrosternal chest heaviness, tightness or pain Radiation of pain to the neck, arms or jaw Associated shortness of breath, nausea vomiting or diaphoresis Symptoms often worsened by exertion Patient over 35 years old Possible drug use such as cocaine or methamphetaminesThe administration of aspirin in the setting of acute myocardial infarction has been demonstrated to significantly reduce the risk of death (mortality)
PROCEDURE GUIDELINESR- EMR E-EMT A-AEMT P-PARAMEDIC **M-Medical Control **
***Higher level providers are responsible for lower level treatments***Initiate an Advanced Life Support (ALS) response, if available.Patient must be alert, responsive and able to swallow.Determine if the patient meets criteria for administration (evaluate possible contraindications).Follow Chest Pain Guidelines (5000).Administer four (4) - 81 mg chewable (baby) aspirin tabs PO, 324 mg total dosage.Record your actions on PCR, to include the dosage given and time of administration.
Contraindications:Active Bleeding DisordersCoumadin (warfarin) anticoagulants currently takenPregnancyKnown hypersensitivity to aspirinKnown hypersensitivity to NSAIDsChildren with an acute viral illness including varicella & influenza (associated with Reye’s Syndrome)
E
Possible side effects of aspirin: GI irritation, nausea and vomiting, GI bleeding, hypersensitivity with bronchospasm and urticaria, and prolonged bleeding time.Aspirin should be administered to ALL acute coronary syndrome (ACS) patients in the acute setting even if they are regularly taking aspirin. TOXICOLOGY: 150-300 mg/kg- mild toxicity; 300-500 mg/kg- serious toxicity; >500 mg/kg- lethal toxicity.
_______________________________________________________________________________________________________________________________________BCEMS Medical DirectorEffective: 04/01/14 final 5/20/2023 page 1 of 1