Search Results for:

Category: Tip of the Week   |   Date:

REMEMBER YOUR ASA

REMEMBER YOUR ASA:
Posted on: March 16th, 2020
REMEMBER YOUR ASA

Although ASA administered prior to EMS arrival, consider delivering 160mg dose as per Cardiac Ischemia Medical Directive. See SWORBHP Tip of the Week (May 8, 2017) & OBHG Companion Document (July 2017) “ASA is a safe medication with a wide therapeutic index (the effective dose without side effects can be from 80 – 1500 mg). The additional dose provided by paramedics will not exceed the therapeutic dose while ensuring the correct administration of correct dose of the medication we know saves lives in Acute MI (23% reduction in mortality in the ISIS-2 trial, 1988).

ISIS-2 Collaborators. Randomized trial of intravenous streptokinase, oral aspirin, both, or neither among 17,187 cases of suspected acute myocardial infarction: ISIS-2. Second International Study of Infarct Survival. 1988. Lancet. Aug 13;2(8607):349-60.

  • Was this Helpful?
  • Yes   No
Category: Tip of the Week   |   Date:

Asthma & NSAIDS

Asthma & NSAIDS
Posted on: April 9, 2019

Quick reminder that administration of NSAIDs (including Ibuprofen and ASA) to patients with a history of asthma requires a previous history of NSAID use without complication. A subset of asthmatic patients mount NSAID-induced bronchoconstriction, that can be life-threatening. Therefore, remember to ask your patients about prior use (and document this use in your ACR) when considering administration of these medications.

  • Was this Helpful?
  • Yes   No
Category: Tip of the Week   |   Date:

Prior and Subsequent ASA Administration

Prior and Subsequent ASA Administration
Posted on: May 8, 2017

Case: A 68 year old male is complaining of ischemic-type chest discomfort. During your assessment, he states that the 911 operator told him to chew some of his Aspirin, which he says he did. Assuming he meets the indications and has no contraindications, do you administer more ASA?Answer: ASA is a safe medication with a wide therapeutic index (the effective dose without side effects can be from 80 – 1500 mg). The additional dose provided by paramedics will not exceed the therapeutic dose while ensuring the correct administration of correct dose of the medication. Therefore, apply the cardiac ischemia medical directive as if no care had been rendered prior to your arrival.

  • Was this Helpful?
  • Yes   No