Drug Indications Flashcards
Indications for Aspirin (1)
Clinical or ECG evidence suggesting Myocardial Infarction or Ischaemia
Indications for Glucagon (1)
Hypoglycaemia when Oral Glucose administration and IV/IO 10% Glucose administration are not possible
Indications for Glucose 40% Oral Gell (1)
Hypoglycaemia is suspected in a conscious PT where there is no risk of choking or aspiration
Indications for Glucose 10% IV/IO (3)
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
Indiciations for Paracetamol Oral and IV
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
Indications for Adrenaline ADX 1mg in 10ml ( 1:10,000)
(1+ Plus Caution)
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.
Indications for Adrenaline ADM 1mg in 1ml (1:1,000) (2)
Anaphylaxis or life-threatening asthma with continued deterioration despite nebuliser therapy
Indications for Salbutamol (3)
- Acute Asthma attack when normal inhaler failed to relieve symptoms
-Expiratory Wheeze
-Exacerbation of COPD
Indications for Ipratroprium Bromide (2)
-Acute severe or life-threatening asthma
-Acute Asthma or exacerbation of COPD and unresponsive to salbutamol
Indications for Benzylpenicillin (1)
Suspected meningococcal disease in the presence of a non-blanching rash and/or associated symptoms
Indications for Chloraphenamine (2)
-Severe anaphylactic reaction after initial resuscitation
-Allergic reactions falling short of anaphylaxis
Indications for Diazepam (3)
- 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.
Indications for ibuprofen (3)
- Relief of mild to moderate pain
- Pyrexia with discomfort
- Soft Tissue injuries
Indications for Naloxone Hydrochloride (Narcan) (3)
- 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
Indications for Nitrous Oxide (Entonox) (2)
- Moderate to Severe Pain
- Labour Pains
Indications for Activated Charcoal (ACT) (1)
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
Indications for Amiodarone Hydrochloride (AMO)
Cardiac Arrest, unresponsive to defibrilation. Administered following 3rd shock and reduced dose following 5th
Indications for Atropine Sulfate (ATR)
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
Indications for Clopidogrel (CLO)
STEMI Patients:
- Not already taking clopidogrel
- Receiving thrombolytic treatment
- Anticipated Thrombolytic treatment
- Anticipated PPCI
Indications for Dexamethasone (DEX)
Mild/Moderate/Severe Croup, scored using Taussig Score
Indications for Furosemide (FRM)
Consider for pulmonary oedema due to acute heart failure
Indications for Glyceryl Trinitrate (GTN) (3)
- 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
Indications for Heparin (Unfractionated) (HEP)
STEMI where it is required in addition to Tenecteplase to reduce the risk of re-infarction
Indications for Hydrocortisone (HYC) (3)
- Severe or Life-Threatening Asthma
- Anaphylaxis
- Adrenal Crisis
Indications for Metoclopramide Hydrochloride (MTC) (2)
- Treatment of Nausea and Vomiting in adults
- Treatment of Nausea and Vomiting following administration of morphine
Indications for Midazolam (MDZ) (+Caution)
- 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
Indications for Misoprostol (MIS) (3)
- 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
Indications for Morphine (MOR) (3)
- Pain associated with suspected MI (use clinical judgment)
- Severe Pain
- End of Life Pain Relief for Breathlessness
Indications for Ondansetron (ODT) (2)
- Treatment of Nausea or Vomiting
- Treatment of Opiate-induced Nausea
Indications for Sodium Chloride 0.9% (SCP) (5)
- Medical Conditions without Hemorrhage
- Medical Conditions with Haemorrhage
- Trauma related Haemorrhage
- Burns
- Limb Crush Injury
Indications for Sodium Lactate Compound
- Correct Hypovolaemia when Sodium Chloride 0.9% is not available
Indications for Syntometrine (SYN)
- 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)
Indication for Tenecteplase (TNK)
- STEMI within 6 hours of symptom onset where PPCI is not available
- Use checklist to assess PT suitability
