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EMT Medications - nitrous oxide
Details
10
Medical
Professional
02/27/2013
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Term
Trade Name
 Definition
  1. Entonox
Term
Indications
 Definition
  1. Pain of musculoskeletal origin particularly fractures. 
  2. Burns.
  3. Suspected ischemic chest pain.
  4. Pregnancy (only in active labor).
Term
Contraindications
 Definition
  1. Unable to follow commands (interpretive problems, language, drugs, alcohol, etc.).
  2. Altered LOC.
  3. Active COPD.
  4. Traumatic chest injury.
  5. Suspicion of pneumothorax, obstructed bowel or abdo pain with distension and no Hx of BM. 
  6. Decompression sickness (diving within 48hrs). 
  7. Pregnancy (Except in active labor).
Term
Precautions
 Definition
  1. None, yay
Term
Side Effects
 Definition
  1. Euphoria.
  2. Lightheadedness.
  3. Nausea/Vomiting
Term
Adult Dose
 Definition
  1. Self-administered until relief or patient drops the mask.
  2. Supplied as a compressed gas cylinder of 50% N2O and 50% O2 and a demand valve and mask.
Term
Pediatric Dose
 Definition
  1. Self-administered until relief or patient drops the mask.
  2. Supplied as a compressed gas cylinder of 50% N2O and 50% O2 and a demand valve and mask.
Term
Notes
 Definition
  1. Use in a well-ventilated area.
  2. Invert the tank three times prior to use.
  3. Do not use in an environment with a temperature below -6 ° Celsius.
  4. Prolonged use can cause hypoxemia, provide supplemental O2.
Term
Classification
 Definition
  1. Gaseous analgesic.
  2. Gaseous anesthetic.
Term
Pharmacodynamics
 Definition
  1. Potent analgesic and weak anesthetic at these percentages and doses.
  2. CNS depressant with analgesic properties.
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