Epinephrine, Naloxone, and Glucometers

Training in the administration of naloxone or other opioid antagonist shall result in the EMT being competent in the administration of naloxone and managing a patient of a suspected narcotic overdose and shall include the following topics and skills:

(1) Common causative agents.

(2) Assessment findings.

(3) Management to include, but not be limited to:

(A) Need for appropriate personal protective equipment and scene safety awareness.

(4) Profile of Naloxone to include, but not be limited to:

(A) Indications.

(B) Contraindications.

(C) Side/adverse effects.

(D) Routes of administration.

(E) Dosages.

(F) Mechanisms of drug action.

(G) Calculating drug dosages.

(H) Medical asepsis.

(I) Disposal of contaminated items and sharps.

(J) Medication administration.

(d) Training in the administration of epinephrine for suspected anaphylaxis and/or severe asthma shall result in the EMT being competent in the use and administration of epinephrine by auto-injector and managing a patient of a suspected anaphylactic reaction and/or experiencing severe asthma symptoms. Included in the training shall be the following topics and skills:

(1) Common causative agents.

(2) Assessment findings.

(3) Management to include, but not be limited to:

(A) Need for appropriate personal protective equipment and scene safety awareness.

(4) Profile of epinephrine to include, but not be limited to:

(A) Indications

(B) Contraindications.

(C) Side/adverse effects.

(D) Mechanisms of drug action.

(5) Administration by auto-injector.

(6) Medical asepsis.

(7) Disposal of contaminated items and sharps.

(e) Training in the use of finger stick blood glucose testing shall result in the EMT being competent in the use of a glucometer and managing a patient with a diabetic emergency. Included in the training shall be the following topics and skills:

(1) Blood glucose determination.

(A) Assess blood glucose level.

(B) Indications.

1. Decreased level of consciousness in the suspected diabetic.

2. Decreased level of consciousness of unknown origin.

(C) Procedure for use of finger stick blood glucometer.

1. Medical asepsis.

2. Refer to manufacturer's instructions for device being used.

(D) Disposal of sharps.

(E) Limitations.

1. Lack of calibration.

(F) Interpretation of results.

(G) Patient assessment.

(H) Managing a patient before and after finger stick glucose testing.

Content Creator: Carli Wymore
CAPCE Course Number: 20-EMTP-F3-8304
Total CE Hours: 1
Level: Basic