Drug Indications

Question 1

Adrenaline

Answer 1

1) cardiac arrest. VF/VT, Asystole or PEA
2) inadequate perfusion (cardiogenic, non cardiogenic, non hypovolaemic
3) bradycardia with poor perfusion
4) anaphylaxis
5) severe asthma, imminent life threat not responding to nebuliser therapy, or unconscious with no BP
6) croup

Question 2

Aspirin

Answer 2

1) ACS

Question 3

Ceftriaxone

Answer 3

1) suspected meningococcal septicaemia

2) severe sepsis (consult only)

Question 4

Dexamethasone

Answer 4

1) bronchospasm associated with acute respiratory distress not responsive to nebulised salbutamol
2) moderate - severe croup
3) acute exacerbation of COPD
4) adult stridor (non-foreign body obstruction)

Question 5

Dextrose 5%

Answer 5

Vehicle for drug administration

Question 6

Fentanyl

Answer 6

1) sedation to facilitate intubation
2) sedation to maintain intubation
3) sedation to facilitate transthoracic pacing
4) sedation to facilitate synchro cardio version
5) CPR interfering patient - ALS
6) Analgesia - IV/IN
* History of hypersensitive or allergy to morphine
* known renal failure or impairment
* short duration of action desirable
* hypotension
* nausea and or vomiting
* severe headache

Question 7

Furosemide

Answer 7

1) Consider in cardiogenic acute pulmonary oedema

Question 8

Glucagon

Answer 8

1) diabetic hypoglycaemia (bgl < 4) in patients with altered conscious state who can’t self administer oral glucose
2) anaphylaxis where patient remain hypotensive following adrenaline therapy with history of heart failure or patients taking beta blocker medication.