AV - All Medication PRIMARY EMERGENCY INDICATIONS

Question 1

Adrenaline (6)

Answer 1

“A-A-A-BIC”

1. Anaphylaxis
2. Asthma (SEVERE)
3. Arrest (Cardiac) - VT/VF, Asystole or PEA
4. Bradycardia w/ poor perfusion
5. Inadequate perfusion
6. Croup

Question 2

Aspirin (1)

Answer 2

1. ACS

Question 3

Ceftriaxone (2)

Answer 3

1. Susp. meningococcal septicaemia

2. Severe sepsis (CONSULT)

Question 4

Dexamethasone (4)

Answer 4

1. Croup (moderate - severe)
2. COPD (acute exacerbation)
3. Bronchospasm w/ ARDS (unresponsive to neb. Salbutamol)
4. Adult stridor (non-FBAO)

Question 5

Dextrose 10% (1)

Answer 5

Diabetic hypoglycaemia (BGL < 4) 
ACS pt unable to self-administer PO glucose

Question 6

Fentanyl (2) - ALS

Answer 6

1. CPR interfering pt
2. Analgesia:
   - allergy to morphine
   - known kidney failure/impairment
   - hypotension
   - headache (SEVERE)
   - nausea +/- vomiting
   - shorter duration desired

Question 7

Glucagon (2)

Answer 7

1. as per Dextrose 10%
2. Anaphylaxis (adult)
   - rx Adrenaline&raquo_space; pt remains hypotensive
   (Phx CHF, or taking beta-blockers)

Question 8

Glyceryl trinitrate (5)

Answer 8

1. ACS (w/ chest pain)
2. ACS (w/ hypertension)
3. Acute LVF
4. Autonomic Dysreflexia
5. Preterm labour (CONSULT)

Question 9

Heparin (1)

Answer 9

1. Acute STEMI

Question 10

Ipratropium bromide (2)

Answer 10

1. Bronchospasm
   w/ severe respiratory distress
2. COPD exacerbation

Question 11

Ketamine (2)

Answer 11

1. Analgesia
2. Sedation:
   - agitation
   - pt moving during CPR

Question 12

Lidocaine (1)

Answer 12

1. Local anaesthetic: Ceftriaxone IM