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Paramedic Practice > Drug Indications > Flashcards

Drug Indications Flashcards

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1
Q

Indications for Aspirin (1)

A

Clinical or ECG evidence suggesting Myocardial Infarction or Ischaemia

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2
Q

Indications for Glucagon (1)

A

Hypoglycaemia when Oral Glucose administration and IV/IO 10% Glucose administration are not possible

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3
Q

Indications for Glucose 40% Oral Gell (1)

A

Hypoglycaemia is suspected in a conscious PT where there is no risk of choking or aspiration

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4
Q

Indications for Glucose 10% IV/IO (3)

A

Hypoglycaemia either in an unconscious patient, a PT where rapid improvement is required or when a PT hasn’t responded to oral glucose after 10 minutes

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5
Q

Indiciations for Paracetamol Oral and IV

A

Oral - Relief of mild pain or temperature with discomfort

IV - Balanced analgesia regimen for severe pain reducing opioid requirements, An alternative when morphine is contraindicated

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6
Q

Indications for Adrenaline ADX 1mg in 10ml ( 1:10,000)
(1+ Plus Caution)

A

Cardiac Arrest
N.B - Do not administer when the core temp is less than 30 degrees. When the temp is 30-35 degrees, double the time between doses.

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7
Q

Indications for Adrenaline ADM 1mg in 1ml (1:1,000) (2)

A

Anaphylaxis or life-threatening asthma with continued deterioration despite nebuliser therapy

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8
Q

Indications for Salbutamol (3)

A
  • Acute Asthma attack when normal inhaler failed to relieve symptoms
    -Expiratory Wheeze
    -Exacerbation of COPD
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9
Q

Indications for Ipratroprium Bromide (2)

A

-Acute severe or life-threatening asthma
-Acute Asthma or exacerbation of COPD and unresponsive to salbutamol

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10
Q

Indications for Benzylpenicillin (1)

A

Suspected meningococcal disease in the presence of a non-blanching rash and/or associated symptoms

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11
Q

Indications for Chloraphenamine (2)

A

-Severe anaphylactic reaction after initial resuscitation
-Allergic reactions falling short of anaphylaxis

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12
Q

Indications for Diazepam (3)

A
  • Convolutions lasting 5 minutes or where more than three convulsions occur per hour and the PT is CURRENTLY CONVULSING
  • Eclamptimc Convulsions lasting more than 2-3 minutes or is recurrent
    -Cocaine Toxicity.
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13
Q

Indications for ibuprofen (3)

A
  • Relief of mild to moderate pain
  • Pyrexia with discomfort
  • Soft Tissue injuries
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14
Q

Indications for Naloxone Hydrochloride (Narcan) (3)

A
  • Reversing acute opioid or opiate toxicity for respiratory arrest/depression
    -Cardiac arrest where opioid toxicity is a likely cause
  • Unconscious with resp depression and opioid toxicity is a possible cause
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15
Q

Indications for Nitrous Oxide (Entonox) (2)

A
  • Moderate to Severe Pain
  • Labour Pains
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16
Q

Indications for Activated Charcoal (ACT) (1)

A

Emergency Treatment of acute oral poisoning and drug overdose to all aged over 1 when poisoning occurred in the last hour or if advised by toxbase/ NPIS

17
Q

Indications for Amiodarone Hydrochloride (AMO)

A

Cardiac Arrest, unresponsive to defibrilation. Administered following 3rd shock and reduced dose following 5th

18
Q

Indications for Atropine Sulfate (ATR)

A

Bradycardia in the presence of any of…
- Pulse <40 bpm
- Systolic BP lower than expected
- Paroxysmal Ventricular Arrhythmias (SVT) requiring suppression
- Inadequate perfusion causes confusing
- Post-ROSC Bradycardia

19
Q

Indications for Clopidogrel (CLO)

A

STEMI Patients:
- Not already taking clopidogrel
- Receiving thrombolytic treatment
- Anticipated Thrombolytic treatment
- Anticipated PPCI

20
Q

Indications for Dexamethasone (DEX)

A

Mild/Moderate/Severe Croup, scored using Taussig Score

21
Q

Indications for Furosemide (FRM)

A

Consider for pulmonary oedema due to acute heart failure

22
Q

Indications for Glyceryl Trinitrate (GTN) (3)

A
  • Cardiac Chest pain due to angina or MI when systolic BP >90
  • Breathlessness due to Pulmonary Oedema in acute heart failure when systolic BP >110
  • Chest Pain associated with cocaine toxicity
23
Q

Indications for Heparin (Unfractionated) (HEP)

A

STEMI where it is required in addition to Tenecteplase to reduce the risk of re-infarction

24
Q

Indications for Hydrocortisone (HYC) (3)

A
  • Severe or Life-Threatening Asthma
  • Anaphylaxis
  • Adrenal Crisis
25
Q

Indications for Metoclopramide Hydrochloride (MTC) (2)

A
  • Treatment of Nausea and Vomiting in adults
  • Treatment of Nausea and Vomiting following administration of morphine
26
Q

Indications for Midazolam (MDZ) (+Caution)

A
  • Convulsions lasting 5 minutes or more or repeated convulsions and are currently convulsing
  • Convulsion continued 10 mins after the first dose of medication
    NOTE - a PGD is required to administer this medication, a patient may have their own supply
27
Q

Indications for Misoprostol (MIS) (3)

A
  • Post-Partum Haemorrhage Within 24 hours of birth where bleeding from the uterus is uncontrollable by uterine massage or use of syntometrine
  • Life Threatening obstetric bleed (more than 500mls) less than 24 weeks pregnant where a miscarriage has been confirmed
  • PPH in pre-eclampsia/ BP >150 as syntometrine is contra-indicated in hypertension
28
Q

Indications for Morphine (MOR) (3)

A
  • Pain associated with suspected MI (use clinical judgment)
  • Severe Pain
  • End of Life Pain Relief for Breathlessness
29
Q

Indications for Ondansetron (ODT) (2)

A
  • Treatment of Nausea or Vomiting
  • Treatment of Opiate-induced Nausea
30
Q

Indications for Sodium Chloride 0.9% (SCP) (5)

A
  • Medical Conditions without Hemorrhage
  • Medical Conditions with Haemorrhage
  • Trauma related Haemorrhage
  • Burns
  • Limb Crush Injury
31
Q

Indications for Sodium Lactate Compound

A
  • Correct Hypovolaemia when Sodium Chloride 0.9% is not available
32
Q

Indications for Syntometrine (SYN)

A
  • Post-Partum Hemorrhage within 24 hours of birth that is not controlled by uterine massage
  • Life-threatening bleed after confirmed miscarriage (sent home with medical management and starts to bleed)
33
Q

Indication for Tenecteplase (TNK)

A
  • STEMI within 6 hours of symptom onset where PPCI is not available
  • Use checklist to assess PT suitability

Paramedic Practice (8 decks)

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