Taken from the book EMS NOTES.com. NREMT-AEMT Drugs. Concentrations of 25% to 50% with oxygen as the other 75% to 50% is the classic EMS dosing for general pain relief. You will need a background check, CPR card, ACLS card (for Paramedics), and a residency verification form. asthma/copd Route: nebulizer DOSAGE/ADMINISTRATION: ADULTS--> 2.5MG. Contraindications:CHF or Renel Failure Under the new system, the national Registry is going to offer four levels of certification (registration, really), EMR, EMT (NREMT), AEMT (NRAEMT) and Paramedic (NRP). Albany, GA 31707. Now lfems.vaems.org. Isotonic crystalloid solution In Columbus, an EMT makes $28,426 in salary. In severed heat stroke, diabetic ketoacidosis, and freshwater drowning, it is likely that you will be called on to adminsiter the fluid rapidly. Home. If you are on a personal connection, like at home, you can run an anti-virus scan on your device to make sure it is not infected with malware. 1 Month $59.95 3 Months $79.95 6 Months $99.95 1 year $129.95. Minimum Qualifications An associate degree in emergency services or related field from a regionally accredited institution. If you have a license from an EMS Compact state, please see the information above. Drug Information. Managing other trauma injuries, including but not limited to: The Office of EMS and Trauma will not approve your GAPS registration until you have submitted. We receive 750 to 1,000 complaints each year involving diversion of controlled substances from legal outlets. 1.) Program Directors are responsible for validating the competency of candidates seeking . 4 0 obj Occupational Health and Safety Surveillance, Pregnancy Risk Assessment Monitoring System (PRAMS), Office of Health Indicators for Planning (OHIP), Facebook page for Georgia Department of Public Health, Twitter page for Georgia Department of Public Health, Linkedin page for Georgia Department of Public Health, Instagram page for Georgia Department of Public Health, YouTube page for Georgia Department of Public Health, EMS Licensure & Verification (Agency, Personnel, Instructor), Fingerprint Visit Us 4201 Wilson Blvd, Suite 300, Arlington, VA 22203 jabra evolve 65 connect to pc without dongle FREE QUOTE. Full Time, Part Time, Per diem position. DOSAGE AND ADMINISTRATION: I'm an EMT (Formerly EMT-B). Home; Flashcards; Preview AEMT Drugs. The Cognitive Exam. If indicated it should be rapidly given due to the severe consequences of untreated hypoglycemia. Indications: Fever, pain relief Contraindications: Hypersensitivity and use caution in patients with liver disease. Mississippi EMS strives to maintain and promote the highest standards of prehospital care for the citizens and visitors of Mississippi. 2022 Wisconsin EMS Scope of Practice. 2023 Preferred Drug List; 2022 Preferred Drug List; 2021 Preferred Drug List; 2020 Preferred Drug List; Prior Authorization Process and Criteria; Drug Utilization Review Board. If you fail any part of the test, you will not receive a refund. Dextrose is a carbohydrate very similar to glucose that can be rapidly converted to true glucose by the body for use as fuel. If you do not see the drug list you need, please visit Prescription Drug Lists and Coverage. Title IX Coordinator: Nancy Beaver, 770-533-7000, nbeaver@laniertech.edu. For more information call the Burke County Road Department at 706-554-3124. Steps for EMS Personnel Licensure. The permit fee must be paid again before every testing attempt. Albany Technical College. Other reasons to give dextrose are seizure of unknown origin and confused alcoholic patients in the form of a "banana bag" a yellow IV bag that contains dextrose and the vitamin thiamine. Ventilate an apneic patient (simulated) a. Thank you for subscribing to the VitalityeNewsletter. endstream endobj startxref The General Services Administration (GSA) Change Notice #8 went into effect July 1, 2015. Rapid administration may result in tachycardia, laryngospasm, and. Providing great customer service is important to us and we would like to know about the problems you encounter. skills and medications list ed on the most current edition of the North Carolina Medical Board approved Medications and Skills for AEMT (Advanced EMT)/EMT-Intermediate are to be Advanced EMT. 42 AEMT Salaries in Georgia, US provided anonymously by employees. 3 The Vision of the EMS Agenda for the Future The National EMS Scope of Practice Model is part the National Highway Traffic Safety Administration's commitment to the EMS Agenda for the Future.Released in 1996, the EMS Agenda for the Future established a long-term vision for the future of emergency medical services in the United States. An official website of the State of Georgia. Advanced Emergency Medical Technicians perform interventions with the basic and advanced equipment typically found on an ambulance. Generics are considered preferred unless noted. Paper applications are NOT accepted. Medicine Advanced EMT Georgia Drug List Term 1 / 14 Albuterol Click the card to flip Definition 1 / 14 Sympathomimetic,bronchodilator Beta-2 agonist; stimulates adrenergic receptors Smooth muscle relaxation in bronchial tree and peripheral vasculature. hbbd```b``Q@$S dE`~0=~XX$c%d'M&FxOD{0 =lH 2-4 weeks/55-65 hours. Indications-Papid sequence intubation (RSI) Contraindications-Hypersensitivty to the drug. Receive the Summa Health eNewsletter for the latest health tips, advice andupdates. AEMT Prep Course Online. R-P11A: Scope of Practice for EMS Personnel - Revised 12/03/2015 Page 8 of 8 2. Paper applications are NOT accepted. Please enable Cookies and reload the page. Excludes: Africa, Asia, Central America and Caribbean, Europe, Middle East, Greenland, Canada, Mexico, Saint Pierre and Miquelon, Bermuda, Oceania, Southeast Asia . An official website of the State of Georgia. What is the dose for Epinephrine What are the indications for Epinephrine Cardiac arrest, Asthme, Anaphylaxis What is the class for Epinephrine . Call 1-800-GEORGIA to verify that a website is an official website of the State of Georgia. If paying by Money Order or Business/Cashier's Check, your payment must be submitted with a completed, A completed background check (see requirements above), Additional requirements based on the license application level (click on the appropriate link below), If you are currently (or have ever been) licensed as any type of healthcare provider in any U.S. State or Territory, you must complete the. All applicants MUST use the Georgia Applicant Processing Service (GAPS) for the submission of your fingerprint-based criminal history records check. Serotonin syndrome is another uncommon side effect that may result from a serious interaction with other medications that affect serotonin receptors. Click. is based on proof of current certification and/or licensure as an: EMT or EMT-Basic (with successful completion of Georgia State Office of Emergency Medical Services and Trauma (SOEMST) EMT-B to EMT update course); or proof of . THIS SET IS OFTEN IN FOLDERS WITH. The Utah EMS Protocol Guidelines were developed for the Utah Office of EMS and Preparedness by a panel of physicians, EMS medical directors, pediatric emergency medicine specialists, paramedics, and EMTs in order to provide EMS agencies with a set of up-to-date treatment guidelines and standing orders. $10. If possible, peak flow rate should be measured before and after administration. EMS drugs - Paramedic level Check out this chart to see the what you need to know for each drug. Lanier Technical College is a registered . Ensuring both a broad propagation of electric vehicles and a stable energy system requires intelligent charging strategies in the form of use cases. What salary does a AEMT earn in Georgia? Dosage: Metered-Dose Inhaler: One or two 90 mcg sprays. Approved and Required Medications List for EMS Agencies and EMS Providers EMS Regulation - 28 Pa.Code 1001 Scope of Practice for EMS Providers Out-Of-Hospital Do-Not-Resuscitate (DNR) Orders Required Ground and Air Ambulance Equipment and Supplies Expanded Scope of Practice for Emergency Medical Services Providers of Air Ambulance Services The FDA for more than 20 years limited dispensing of the drug to a subset of specialty offices and clinics because of safety concerns. Lingual Spray: 0.4mg metered dose sprayed directly under tongue. Onset/Duration: Onset: Rapid and Duration: 3-4 hours Dose/route: Adult: 325-650 mg PO every 4-6 hr focusing eyes, difficulty in speaking, difficult or rapid breathing, dizziness, fast heartbeat, muscle stiffness or weakness, pain at the place. [From the: National EMS Scope of Practice Model ] Full Education Program Data sources include IBM Watson Micromedex (updated 3 May 2022), Cerner Multum (updated 3 June 2022), ASHP (updated 16 May 2022 . 2 0 obj Part 1: First, complete online coursework and proctored final exams. OTHER SETS BY THIS CREATOR. Georgia State - AEMT Rocker Patch $2.99 Georiga State, AEMT Rocker patch. Drug Control Laws Effective as of January 1, 2021 Site Inspections We typically conduct 1200 to 1500 annual site inspections of pharmacies, hospitals, and practitioners. The National EMS Scope of Practice Model, the Virginia EMS Education Standards (VEMSES) and the American Heart Association Guidelines for Cardiopulmonary . If you do not see your plan, please login to myBlueCross to view your specific information. An EMS personnel license at the EMT-R, EMT, AEMT, or Paramedic level. Antiemetic, 5-HT3 (serotonin) receptor blocker. This list is defined by the state- local medical direction may authorize some or all of these meds but no others. Get Directions. Follow the template! Also asked, how long does it take to become an AEMT? (c) They are all gases at room temperature. jlnovotny Plus. Verification Form, Public Health Nursing - Emergency Response Management, Cancer Early Diagnosis and Treatment ECHO, Public Notices, Regional and Statewide Meetings, Regional and Statewide EMS Meetings Calendar, Post-Licensure Skills (PLS) for Paramedics, Specialty Care Centers (Cardiac, Trauma, Stroke), Emergency Medical Services for Children (EMSC), TRAIN Georgia Course Provider Organization Information, Attached Agencies and Participating Councils. GEORGIA OFFICE OF EMS AND TRAUMA FORM R-P11A R-P11A: Scope of Practice for EMS Personnel - Revised 12/03/2015 Page 1 of 8 . Local, state, and federal government websites often end in .gov. 1680 Phoenix Boulevard, Suite 200 Atlanta, GA 30349 (770) 996-3133 website Georgia EMS Exams Information Georgia EMR Exams Georgia does not offer EMR Licenses Georgia EMT Exams Prior to licensure, all applicants must be certified by the National Registry of Emergency Medical Technicians (NREMT) at the level for which they are applying. More benign side effects are headache, fatigue, malaise, drowsiness, dizziness, and constipation. AEMT (Advanced EMT) EDUCATION PROGRAM REQUIREMENTS: Effective January 1, 2021 . accidental ingestion by pediatric patients and accidental overdose in elderly patients leading to bradycardia, hypotension, and symptoms of shock are the indications for glucagon use. Side; Effects: rare when given in therapeutic doses. To register and pay for your fingerprint background check, please follow these instructions: Follow the steps listed in these documents to get fingerprinted once you have received an approval email from the GAPS system: All applicants are required to use the Georgia EMS License Management System (LMS) to apply for licensure as an EMS provider. hb```@( 1Gr2l [!d/0242(O`}!AaGJkv nc1LM*xd1LuR` qq>PO:|` Local, state, and federal government websites often end in .gov. Prescription Drug Lists Please select your designated plan from the dropdown below and then search your specific Drug List. ROUTE:IV We accept credit/debit cards (fastest) or Money Orders, and Business/Cashier's Checks ONLY. The Advanced Emergency Medical Technician is a link from the scene to the emergency health care system. In the EMS setting ondansetron is used to reduce nausea in vomiting in nearly any patient that may be at risk for further health-related complications fo vomiting. Job specializations: Healthcare. 2. ibuprofen (motrin) 200-400 mg every 6-8 hours orally. The fines are forwarded to the S.C. Department of Mental Health for use in state alcohol and drug treatment centers. How is it feasible for a population of sponges to spread out over a bigger area considering that they are sessile animals? Dextrose is most commonly used as an IV intervention for hypoglycemia when oral glucose cannot be tolerated due to decreased mental status or nausea and vomiting. 0 Not Applicable. 5. Wisconsin Admin. Nitrous Oxide should never be administered without oxygen as the mild respiratory depression caused by the medication may induce hypoxemia if oxygen is not concurrently delivered. Naloxone (Narcan) Sets found in the same folder. Isotonic crystalloid solution 188 terms. An official website of the State of Georgia. Alabama just adopted these new standards this year and ours is the first class to be graduating AEMT. Contraindications:CHF 20 terms. Note: The Training does not include the information related to high-flow nasal cannulas or the specimen collection that was added on 4/23/2020. | Social Media Policy Summa Health 2023 | All Rights Reserved, [{"RootId":"ba198066-3078-4dcd-8e69-28251bebb940","RootUrl":"/glossary/"}]. Sexually enhancing medication Viagra, Levitra Etc, Hypotension. An official website of the State of Georgia. Step 1A: Submit Application for EMS Personnel Licensure in LMS, Step 1B: Complete Fingerprint Background Check (GAPS) Applicant Registration, General Requirements for ALL EMS license applications (EMT-R, EMT, AEMT, Paramedic), Currently Nationally Registered at the EMR, EMT, AEMT or Paramedic level, Never licensed in Georgia, not Nationally Registered, Have an Expired Out of State EMS License, Graduated an EMS Program but not certified with NREMT as an EMR, EMT, AEMT, Paramedic, Not completed an initial education program at the EMR, EMT, AEMT, or Paramedic Level. Office of Analytics and Program Improvement, Medicaid Promoting Interoperability Program. 2018 REMSA Paramedic Program Drug List Acetaminophen (APAP) Class: Analgesic, antipyretic Action: Increases pain threshold and reduces fever by acting on the hypothalamus. In summary, our hybrid/online Paramedic Program is comprised of audio lectures with real Instructors, instructional . Code DHS 110.12 states that an emergency medical services (EMS) professional may only perform the skills, use the equipment, and administer the medi- AEMT Flex Course Tuition - Paid in Full $ Add to cart; Sale! . Next review July 2012. Action-Binds to acetylcholine receptors at the neuromuscular junction causing paralysis. Nitrous oxide is dosed based on concentration, NO is used in the EMS setting as it cannot cause complete unconsciousness even at 100% concentrations. 1 Learn more about the plan benefits designed to meet your unique needs: Be sure to review Table 1 related to monitoring and work restriction recommendations. Used for prophylactic IV access or to dilute concentrated drug for IV infusion. 2.5 mg (3cc) in nebulizer x3 doses, if no hx of cardiac dz and HR 200. Pharmacy is one of the most highly used benefits. 1 tablet (0.4 mg) SL. What salary does a AEMT earn in Georgia? May repeat in 1-2 min at 12 The Traditional AEMT Class typically meets one to three nights a month on campus. GSA Ambulance Design Specifications (KKK-1822F): This document describes the required specifications for all Vermont licensed ambulances. Amount of Solute: Formulas & Step by Step Instruction & Tips. Please keep in mind that these are intended to be quick reference guides, not encyclopedias. Computer adaptive testing. Part 2: Then, complete seven 2-day skills learn/testing sessions in TX or MO. Call 1-800-GEORGIA to verify that a website is an official website of the State of Georgia. 65 terms. Click, A true scanned copy of the verifiable document that was shown to the Notary Public for U.S. Residency (e.g. A 100100 \Omega100-load needs 10mA10 \mathrm{~mA}10mA to operate correctly. This EMS Quick Report complies with the EMS Rule 511-9-2-.14. Preferred Drug Lists | Georgia Department of Community Health Providers Provider Types Pharmacy Preferred Drug Lists Preferred Drug Lists Medicaid Fee for Service Outpatient Pharmacy Program represents the preferred and non-preferred drug products as well as drugs requiring prior approval, quantity level limits, and therapy limits. Drug Shortage. Complaints. DOSAGE AND ADMINISTRATION: Our inspectors: Make sure that registrants are properly maintaining records and accountability and storing controlled substances securely may be repeated very 5 minutes up to 3 times is systolic bp remains at least 90 mmhg. 2. ibuprofen (motrin) 200-400 mg every 6-8 hours orally. NOTICE: Federal law requires all employers to verify the identity and employment eligibility of all persons hired to work in the United States. The EMS provider shall administer medications only via the route addressed by their scope of practice consistent with their level of training. Continue shopping. Nitrous oxide is most commonly used in the surgical setting as a component of general anesthesia. Outer side of upper thighs. For a full list of medications approved for use by EMS professionals, please refer to the North Carolina Medical . ROUTE:IV Am overdose of beta blockers or calcium channel blockers are the other indication for glucagon administration. Appointments may be made up to one business day in advance. 80 terms. 494 terms. The validationwill be sent directly from the other licensing agency to the Georgia Office of EMS and Trauma. The Georgia Medicaid Exclusion List below is updated at least monthly. Current EMT-Is must be transitioned to AEMT, upgrade to NRP or downgrade to EMT. First time test takers who wish to schedule online must create a Pearson VUE Web account. MOA:Replaces water and electrolytes GEORGIA OFFICE OF EMS AND TRAUMA FORM R-P11A R-P11A: Scope of Practice for EMS Personnel - Revised 12/03/2015 Page 1 of 8 . %PDF-1.6 % Maintain a mask seal c. Appropriate rate (10-12 breaths/min) d. Appropriate volume for patient size e. Monitor chest rise f. No insufflation of stomach, if applicable 3. State of Georgia government websites and email systems use georgia.gov or ga.gov at the end of the address. How you know. NREMT Advanced-EMT. Georiga State, AEMT patch - 2-5/8 x 4-1/2". <>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 792 612] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> What is the dose for Epinephrine What are the indications for Epinephrine Cardiac arrest, Asthme, Anaphylaxis What is the class for Epinephrine . Peds same dosing. $32. AEMT Tuition - Paid in Full quantity-+ Add to cart. Naturally, the medications AEMT's can administer includes all those that are given by EMT's, for information on those medications (albuterol, aspirin, epinephrine, oral glucose, naloxone, and nitroglycerin) see the EMT medications unit. Nitroglycerin. Apply for the Job in AEMT at Warner Robins, GA. View the job description, responsibilities and qualifications for this position. Adult: 81 mg chewable . This course consists of 168 hours of classroom time that includes hands-on skills training sessions. Click Akron, OH 44304, Phone: 888.905.6071 The use of a spacer device is preferred when administering albuterol by metered-dose inhaler, especially in pediatric patients. . Successfully completing this program allows you to take the NREMT certification exam for EMTs and apply for Georgia EMT licensure. 4. nitroglycerin. The National Registry of EMT's relies heavily on input from volunteers in the EMS community to improve our products and services. Here is a drug list that you need to know before taking the NREMT-P exam!! 0.4 mg sublingual. State of Georgia government websites and email systems use "georgia.gov" or "ga.gov" at the end of the address. The mission of Mississippi Emergency Medical Services (EMS) is to organize, regulate, and maintain a statewide program to improve emergency medical care. We are unable to offer CEUs for watching the recorded webinar. Title XVIII of the Social Security Act 1862 (a) (1) (A) allows coverage and payment for only those services that are considered to be reasonable and necessary for the diagnosis or treatment of illness or injury or to improve the functioning of a malformed body member. Wisconsin EMS Clinical Care Scope of Practice The scope-of-practice document identifies the skills, equipment, and medications approved for use at each identified level of Emergency Medical Services (EMS) licensure or certification in Wisconsin. For more info see the links below: https://www.nremt.org/nremt/about/nremt_news.asp Administer Nitrous oxide with a non-rebreather face mask, bag valve mask, or advanced airway. In other cases, it is advisabel to administer the fluid at a moderate rate. Students are also required to set aside an additional days during the week for online participation. Ondansetronblocks the serotonin receptors present through the body and in the brain, especially in the areas that are responsible for detecting chemicals present in the blood. Hypersensitivity (severe reaction or anaphylaxis) to a previous dose of glucagon or to lactose are the only contraindications to glucagon. MOA: Provides nutrients in the form of dextrose as well as free water This section will focus on Glucagon, anti-nausea medications, and IV formulations of several EMT level . AEMT Drugs - Drugs. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. The Gwinnett Tech Paramedicine program was Georgia's first nationally accredited paramedicine EMS program. 23 terms. kyger funeral home in harrisonburg, va; meikakuna whiskey review andrew_damron. Hypotonic dextrose-containing solution 3 0 obj There is no license that you are eligible for since you are not Nationally Registered or you have an expired out-of-state license. INDICATIONS: IV access for emergency drugs, for dilution of concentrated drugs for IV infusion The Office of EMS and Trauma has established this form to be used by EMS personnel to provide patient care information to the receiving facility upon delivery of the patient until a prehospital care report can be completed and delivered to the receiving facility and/or submitted to GEMSIS Elite. % However, to apply for a Georgia license you are required to have a current NREMT registration and submit an online applicationwith the required documents listed above. document ADULT--> (Cardiac arrest/carbon monoxide poisioning) 100% (Hypoxemia) 10-15mL/min via nonrebreathing mask (COPD) 1-6 L/min via nasal cannula or 28%-35% via Venturi mask. Volunteer Firefighters will not incur a fee for a (Class E or F) license. 2400 Gillionville Rd. Pharmacology. Respiratory Meds - ProEMS CFM. Add Study Guide. Onset/Duration: Onset: Rapid and Duration: 3-4 hours Dose/route: Adult: 325-650 mg PO every 4-6 hr The National Fire Protection Association (NFPA 1917) Ground Vehicle Standards. 1 0 obj . Take Quiz. 3.) KEY: Preferred / P: medications associated with a lower . If a contraindication exists establish IV access and give 50% dextrose as rapidly as possible. Part 3: Last, complete clinical rotations at PERCOM clinical sites across the US. R-P11A: Scope of Practice for EMS Personnel - Revised 12/03/2015 Page 8 of 8 2. The Ordered Dose: Formulas & Step by Step Instruction & Tips. Do not use on patient with a traumatic brain injury or stroke. If you are at an office or shared network, you can ask the network administrator to run a scan across the network looking for misconfigured or infected devices. EMT-I Drug Cards. Hey, y'all. Epinephrine: Homicide Epinephrine or more commonly known as adrenaline is a hormone and a drug that is used as medication for some conditions such as anaphylaxis and cardiac arres. - Posted 03/01/23. These guidelines were developed utilizing . Background check instructions for out-of-state applicants (mailing option), Out-of-State Call 1-800-GEORGIA to verify that a website is an official website of the State of Georgia. Evidence-Based Care. Before sharing sensitive or personal information, make sure youre on an official state website. Completing the CAPTCHA proves you are a human and gives you temporary access to the web property. | Notice of Nondiscrimination For more information on LMS, including how to create an account or access your existing account, clickHERE. You cannot proceed to fingerprinting until the Office of EMS and Trauma has approved your GAPS registration. Before sharing sensitive or personal information, make sure . 43 AEMT Salaries in Georgia, US provided anonymously by employees. For Richmond County ERZ Public Notice of zoning dates, meetings, and submission of proposal instructions EMS Rule for Late In-Service - LSA Document #10-361. Once the Office of EMS and Trauma has approved your GAPS registration, you will have 30 days to get fingerprinted. =|;`D]EH@ JLJRg10J2Z10~a,2@\Hb`9)SX}D. ~ Medication EMR EMT AEMT Activated Charcoal Not Approved Oral Oral B2-agonist and/or anticholinergic bronchodilator* MDI MDI; Neb MDI; Neb . Click to see full answer. ONDANSETRON (Zofran) - Orally Disintegrating Tablet, ALBUTEROL (Proventil) - Patient Assist MDI. 18 terms. DURB Members; 2023 DURB Meeting Information; 2022 DURB Meeting Information; 2021 DURB Meeting Information; Consumer Comment Opportunities; Pharmaceutical Manufacturers . Indiana EMS Statutes - Title 16-18. gX|@Q2L//,/"A+++@\bGv;Fk(I=# ojC+IqM;?t` mD1|u5J D#9Ly~H1AP$M+bT@c Advanced EMT. For more information on LMS, including how to create an account or access your existing account, Click Here. The major side effect of glucagon is nausea and vomiting, this occurs due to glucagons smooth muscle relaxing effects which change the way the intestines pass food. Under 28 Pa. Code 1027.3 (c) and 1027.5 (b) (relating to licensure and general operating standards; and medication use, control and security), the Department of Health (Department) has the authority to publish in the Pennsylvania Bulletin a list of medications approved for use by emergency medical services (EMS) agencies, by EMS provider . Related to OFFICIAL AEMT DRUG INVENTORY. Dosage: usually Up to 12 hours Metabolism Minimally metabolized in liver/Excreted in Urine (85% as unchanged drug) Metabolized in liver excreted in kidney Half-life 2 hr. Pennsylvania Medical Assistance Statewide Preferred Drug List (PDL) Pennsylvania PDL 01-09-2023 (current) Archived Statewide PDL Files. Total Cards. Listing for: ProgressiveHealth. May be repeated/3 to 5 min up to 3 tablets, or 1/2 inch of topical ointment, or 0.4mg (one spray) SL up to 3 sprays/25 min.