CPP 1 - Ondansetron/Methoxyflurane

Question 1

Ondansetron

Primary emergency indications

Answer 1

All undifferentiated nausea and vomiting

Question 2

Ondansetron

Contraindications

Answer 2

Concurrent
apomorphine use

Question 3

Ondansetron

Precautions

Answer 3

a) Liver disease - must not exceed 8mg/per day,
b) Long QT syndrome,
c) Pregnancy.

• See CPP’s for 5 more.

Question 4

Ondansetron

Key timings
Oral (ODT) wafers

Answer 4

Onset = 2min
Peak = 20min
Duration = 2hrs

Question 5

Ondansetron

Presentations

Answer 5

a) Wafer/Tablet containing 4mg or 8mg

b) 8mg in 4mL glass ampoule

Question 6

Methoxyflurane

Primary emergency indications

Answer 6

For pain relief of moderate - severe pain.

Pt must be able to self administer

Question 7

Methoxyflurane

Contraindications

Answer 7

a) Head injury or loss of consciousness,

b) Exceeding total dose of 6mL in 24hr period,

c) Renal impairment/failure,

d) Malignant hyperthermia - personal or family history.

Question 8

Methoxyflurane

Precautions

Answer 8

a) Continuously assess Pt LOC,

b) Concurrent use with Oxytocin may cause hypotension,

c) Pre-eclampsia

Question 9

Methoxyflurane

Key timings

Answer 9

Analgesic effects starts after 8-10 breaths.

Lasts for approx
3-5min once discontinued.

Question 10

Apomorphine

Answer 10

A medication that treats “off” episodes in Parkinson’s.

It mimics the action of dopamine. Dopamine acts as neurotransmitter/messenger.

Question 11

Oxytocin

Answer 11

Synthetic forms of oxytocin
are used to induce labor in childbirth if it hasn’t started naturally or to strengthen contractions.

(Synthetic) oxytocin is also used to speed up delivery of the placenta (the third stage of labor) and reduce the risk of heavy bleeding (postpartum hemorrhage).

Question 12

Long QT Syndrome (LQTS)

Question 13

Pre-Eclampsia