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Question 1

Amiodarone Additional Info

Answer 1

If diluted mix with Dextrose 5%May be flushed with NaCl

Question 2

Aspirin Additional Info

Answer 2

Aspirin 300mg is indicated for cardiac chest pain regardlessif patient is on anti-coagulants or is already on aspirin.If the patient has swallowed an aspirin (enteric coated) preparation without chewing it, the patient should be regarded as not having taken any aspirin; Administer Aspirin 300mg PO.

Question 3

Atropine Additional Info

Answer 3

Accidental exposure to the eye causes blurred vision

Question 4

Benzylpenicillin Additional Info

Answer 4

Also called Penicillin G

Question 5

Clopidogrel Additional Info

Answer 5

Paramedics are authorised to administer Clopidogrel PO following identification of STEMI and medical practitioner instruction

Question 6

Cyclizine Additional Info

Answer 6

IM route should only be utilised where IV or IO access is not available

Question 7

Dextrose 10% Solution Additional Info

Answer 7

Also called GlucoseCannula patency will reduce the effect of tissue necrosis

Question 8

Epinephrine 1:10,000Additional Info

Answer 8

N.B. Double check concentrations before use

Question 9

Epinephrine 1:1,000Additional Info

Answer 9

N.B. Double check the concentration on pack before use

Question 10

Furosemide Additional Info

Answer 10

Furosemide should be protected from light

Question 11

GlucagonAdditional Info

Answer 11

May be ineffective in patients with low stored glycogen e.g. prior use in previous 24 hours, alcoholic patients with liver disease.Protect from light

Question 12

Glucose GelAdditional Info

Answer 12

Glucose gel will maintain glucose levels once raised but should be used secondary to Dextrose or Glucagon to reverse hypoglycaemia.Proceed with caution:- patients with airway compromise-altered level of consciousness

Question 13

EnoxaparinAdditional Info

Answer 13

Do not store above 25°CDo not refrigerate or freeze.

Question 14

GTNAdditional Info

Answer 14

If the pump is new or has not been used for a week or more the first spray should be released into the air

Question 15

HydrocortisoneAdditional Info

Answer 15

Intramuscular injection should avoid the deltoid area because of the possibility of tissue atrophy.Dosage should not be less than 25mg

Question 16

IbuprofenAdditional Info

Answer 16

If ibuprofen administered in previous 6 hours, adjust the dose downward by the amount given by other sources resulting in a maximum of 10mg/Kg

Question 17

LidocaineAdditional Info

Answer 17

Lidocaine may not be administered if Amiodarone has been administrated

Question 18

Magnesium Sulphate InjectionAdditional Info

Answer 18

Dilute in 100mL NaCl for infusion

Question 19

Midazolam SolutionAdditional Info

Answer 19

Midazolam IV should be titrated to effect. Ensure oxygen and resuscitation equipment are available prior to administration. The max dose of Midazolam includes that administered by caregiver prior to arrival of practitioner

Question 20

MorphineAdditional Info

Answer 20

Use with extreme caution particularly with elderly/youngCaution with acute respiratory distressN.B. Controlled under the Misuse of Drugs Act (1977, 1984)

Question 21

NaloxoneAdditional Info

Answer 21

Use with caution in pregnancyAdminister with caution to patients who have taken large dose of narcotics ar are physically dependent.Rapid reversal will precipitate acute withdrawal syndrome.Prepare to deal with aggressive patients

Question 22

NifedipineAdditional Info

Answer 22

Close monitoring of maternal pulse & BP is required and continuous foetal monitoring should be carried out if possible

Question 23

EntonoxAdditional Info

Answer 23

Do not use if patient unable to understand instructions.In cold temperatures, warm cylinder and invert to ensure mix of gases.Advanced paramedics may use discretion with minor chest injuries.Brand name: Entonox.Has an addictive property

Question 24

OndansetronAdditional Info

Answer 24

None

Question 25

OxygenAdditional Info

Answer 25

A written record must be made of what oxygen therapy is given to every patient. Documentation recording oximetry measurements should state whether patient is breathing air or a specified dose of supplemental oxygen. consider humidifier if O2 therapy for paed patients is > 30 mins duration. Avoid naked flames, powerful oxidising agent.

Question 26

ParacetamolAdditional Info

Answer 26

Note: Paracetamol is contained in Paracetamol Suspension and other over the counter drugs.Consult with parent/guardian in relation to medication prior to arrival on scene. For PR use be aware of modesty of patient, should be administered in the presednc of a 2nd person.If paracetamol is administered in previous 4 hours, adjust the dose downward by the amount given by other sources resulting in a maximum of 20mg/Kg

Question 27

SalbutamolAdditional Info

Answer 27

It is more efficient to use a volumiser in conjunction with an aerosol inhaler when administering Salbutamol.If an Oxygen driven nebuliser is used to administer Salbutamol for a patient with acute exacerbation of COPD, it should be limited to 6 minutes maximum

Question 28

Sodium Bicarbonate InjectionAdditional Info

Answer 28

None

Question 29

Sodium Chloride 09%Additional Info

Answer 29

NaCl is the IV/IO fluid of choice for pre-hospital emergency care.For KVO use 500ml pack only

Question 30

SyntometrineAdditional Info

Answer 30

Ensure that a second foetus is not in the uterus prior to administration

Question 31

TenecteplaseAdditional Info

Answer 31

Enoxaparin should be used as antithrombotic adjunctive therapy.

Question 32

FentanylAdditional Info

Answer 32

Caution if patient has transdermal Fentanyl patch.Include an additional 0.1 mL, to allow for dead space in MAD, in the calculated volume required.Administer 50% volume in each nostril if more than 1 mL.