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Tables of Contents for Prehospital Emergency Pharmacology
Chapter/Section Title
Page #
Page Count
Preface
xi
Acknowledgments
xiii
About the Authors
xv
Notices
xvii
Precautions on Bloodborne Pathogens and Infectious Diseases
xix
1 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
3
Unlabeled Uses of Drugs
11
1
Medical Oversight
11
6
Components of a Drug Profile
17
4
Important Pharmacological Terminology
21
1
Summary
22
2
2 Pharmacokinetics and Pharmacodynamics
24
21
Objectives
24
1
Introduction
24
1
Pharmacology
25
1
Pharmacokinetics
25
1
Review of Physiology of Transport
25
9
Pharmacodynamics
34
8
Summary
42
3
3 Administration of Drugs
45
19
Objectives
45
1
Introduction
46
1
Patient Care Using Medications
46
1
The Medication Order
46
1
Six Rights of Medication Administration
47
3
General Administration Routes
50
2
Drug Administration and Preparation
52
1
Medical Direction
53
1
Medical Asepsis
54
1
Disposal of Contaminated Equipment and Sharps
55
1
Medication Routes Used in Emergency Medicine
56
4
Pediatric Administration Techniques
60
2
Summary
62
2
4 Drug Dosage Calculations
64
22
Objectives
64
1
Introduction
65
1
Section 1: The Metric System
65
4
Section 2: Find the Ordered Dose
69
2
Section 3: Find the Units per Kilogram
71
2
Section 4: Concentration Problems
73
3
Section 5: Calculate an IV Drip
76
3
Section 6: Calculate an IV Drip Based on Patient Weight
79
1
Section 7: Milliliters per Hour to Drops per Minute
80
1
Practice Problems
81
5
5 Fluids, Electrolytes, and Intravenous Therapy
86
32
Objectives
86
1
Introduction
87
1
Fluids
87
1
Electrolytes
87
2
Cell Physiology
89
2
Blood
91
3
IV Therapy
94
17
Insertion of Indwelling IV Catheter
111
4
Collection of Blood Samples for Laboratory Analysis
115
1
Blood Transfusions
116
1
Summary
117
1
6 The Autonomic Nervous System
118
12
Objectives
118
1
Introduction
118
1
The Autonomic Nervous System
118
10
Summary
128
2
7 Drugs Used in the Treatment of Cardiovascular Emergencies
130
90
Objectives
130
1
Introduction
131
1
Oxygen
132
3
Sympathomimetics
135
15
Sympathetic Blockers
150
7
Antidysrhythmics
157
21
Parasympatholytics
178
3
Cardiac Glycosides
181
2
Anticoagulants
183
2
Fibrinolytics
185
9
Alkalinizing Agents
194
2
Cardiac Pain Management (Analgesics)
196
5
Diuretics
201
4
Natriuretic Peptides
205
1
Antianginal Agents
206
5
Antihypertensives
211
5
Other Cardiovascular Drugs
216
1
Summary
217
3
8 Drugs Used in the Treatment of Respiratory Emergencies
220
45
Objectives
220
1
Introduction
221
1
Oxygen
222
3
Asthma
225
18
Neuromuscular Blockers
243
9
Induction Agents
252
6
Rapid-Sequence Induction
258
1
Pharmacologically-Assisted Intubation
259
4
Summary
263
2
9 Drugs Used in the Treatment of Metabolic-Endocrine Emergencies
265
18
Objectives
265
1
Introduction
265
1
Diabetes Mellitus
266
1
Types of Diabetes
266
2
Diabetic Ketoacidosis (Diabetic Coma)
268
1
Hypoglycemia (Insulin Shock)
269
1
Insulin
270
4
Glucagon
274
3
Thiamine
277
4
Summary
281
2
10 Drugs Used in the Treatment of Neurological Emergencies
283
18
Objectives
283
1
Introduction
283
1
Neurological Trauma
283
5
Nontraumatic Neurological Emergencies
288
10
Summary
298
3
11 Drugs Used in the Treatment of Obstetrical and Gynecological Emergencies
301
9
Objectives
301
1
Introduction
301
1
Severe Vaginal Bleeding
302
1
Hypertensive Disorders of Pregnancy
303
2
Preterm Labor
305
3
Summary
308
2
12 Toxicological Emergencies in Prehospital Care
310
43
Objectives
310
1
Introduction
310
1
Regional Poison Centers
311
1
Patient History
311
1
General Approach to the Poisoned Patient
312
1
Toxidromes
313
1
Specific Toxic Agents Encountered in Prehospital Care
314
32
Summary
346
7
13 Drugs Used in the Treatment of Behavioral Emergencies
353
15
Objectives
353
1
Introduction
353
1
Understanding Behavioral Emergencies
353
12
Summary
365
3
14 Drugs Used in the Treatment of Gastrointestinal Emergencies
368
8
Objectives
368
1
Gastrointestinal Medications
368
7
Summary
375
1
15 Drugs Used in Pain Management
376
16
Objectives
376
1
Introduction
376
2
Analgesics
378
10
Summary
388
4
16 Weapons of Mass Destruction
392
10
Objectives
392
1
Introduction
392
1
Personal Protection
393
1
NBC Agents Overview
393
9
Summary
402
1
Appendix A Glossary of Street Drug Names
403
4
Appendix B Emergency Intravenous Fluids Quick Reference Guide
407
6
Appendix C Quick Drug Reference
413
53
Appendix D Adult Advanced Cardiac Life Support Algorithms
466
11
Appendix E Common Home Prescription Drug Information
477
21
Appendix F Pediatric Drug Dosages
498
6
Appendix G Pediatric Advanced Cardiac Life Support Treatment Algorithm
504
3
Appendix H Drug Administration Skills
507
23
Appendix I A Guide to Herbal Supplements
530
9
Appendix J Practice Problems Answer Key
539
4
Index
543