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JRCALC Guidelines 2013 > Drug Indications > Flashcards

Drug Indications Flashcards

1
Q

Amiodarone (AMO)

Indications

A

Cardiac Arrest - shockable rhythms unresponsive to defibrillation.

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2
Q

Aspirin (ASP)

Indications

A

Adults with clinical or ECG evidence of MI or ischaemia

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3
Q

Atropine (ATR)

Indications

A

Symptomatic bradycardia in presence of any of:

- Absolute bradycardia (

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4
Q

Benzylpenicillin (BPN)

Indications

A

Suspected meningococcal disease in the presence of a non-blanching rash and signs and symptoms of meningococcal septicaemia.

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5
Q

Chlorphenamine (CPH)

Indications

A

Severe anaphylactic reactions (2ndry to ADM)

Symptomatic allergic reaction falling short of anaphylaxis but causing patient distress.

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6
Q

Clopidogrel (CLO)

Indications

A

Acute STEMI:

  • in pts not already taking clopidogrel
  • receiving thrombolytic treatment
  • anticipated thrombolytic treatment
  • anticipated Primary PCI
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7
Q

Dexamethasone (DEX)

Indications

A

Moderate/severe croup

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8
Q

Diazepam (DZP)

Indications

A
  • Fits longer than 5 mins and still fitting
  • Repeated fits - not 2ndry to hypothermia or hypoglycaemia
  • Status epilepticus
  • Eclamptic fits (if >2-3mins or recurrent)
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9
Q

Entonox (NOO)

Indications

A
  • Moderate to severe pain

- Labour pains

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10
Q

Furosemide (FRM)

Indications

A

Pulmonary oedema secondary to LVF

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11
Q

Glucagon (GLU)

Indications

A
  • Hypoglycaemia (BM
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12
Q

Glucose 10% (GLX)

Indications

A

Hypoglycaemia

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13
Q

Glucose 40% Oral Gel (GLG)

Indications

A

Hypoglycaemia in conscious pt with no risk of choking or aspiration

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14
Q

Glyceryl Trinitrate (GTN)

Indications

A
  • Cardiac chest pain due to angina or MI

- Acute cardiogenic pulmonary oedema

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15
Q

Heparin (HEP)

Indications

A

STEMI

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16
Q

Hydrocortisone (HYC)

Indications

A
  • Severe or life-threatening asthma - call to hospital time is >30mins
  • Anaphylaxis
  • Adrenal crisis
17
Q

Ibuprofen (IBP)

Indications

A
  • Relief of mild to moderate pain and/or high temperature
  • Soft tissue injuries
  • Part of balanced analgesia regimen
18
Q

Ipratropium Bromide (IPR)

Indications

A
  • Acute severe or life-threatening asthma
  • Acute asthma unresponsive to salbutamol
  • Exacerbation of COPD unresponsive to salbutamol
19
Q

Metoclopramide (MTC)

Indications

A
  • Nausea and vomiting in adults aged 20 and over

- Prevention and treatment of nausea and vomiting following morphine administration

20
Q

Adrenaline (ADM/ADX)

Indications

A

Cardiac Arrest (IV)
Anaphylaxis (IM)
Life-threatening Asthma with failing ventilation unresponsive to nebuliser therapy (IM)

21
Q

Midazolam (MDZ)

Indications

A
  • Pt’s own buccal.

- Convulsions lasting longer than 5 mins.

22
Q

Misoprostol (MIS)

Indications

A
  • Postpartum haemorrhage within 24hrs of birth and unresponsive to uterine massage.
  • Miscarriage with life-threatening bleeding where diagnosis has been confirmed.
  • To be used when Syntometrine and/or Ergometrine is unsuitable (e.g. Hypertensive) otherwise these should be used as first line of treatment.
23
Q

Morphine Sulphate (MOR)

Indications

A
  • Severe pain as part of balanced analgesia regimen.

- Pain associated with suspected MI

24
Q

Naloxone Hydrochloride (NLX)

Indications

A
  • Opioid overdose producing resp, CVS or CNS depression.
  • Overdose of opioid analgesic or compound analgesic.
  • Unconsciousness with resp depression where opioid overdose is possible.
  • Reversal of neonatal respiratory or CNS depression where maternal opioid use during labour (unless mother is opioid addicted).
25
Q

Ondansteron (ODT)

Indications

A
  • Prevention and treatment of opioid-induced nausea and vomiting.
  • Treatment of nausea & vomiting.
  • Travel sickness in children.
26
Q

Oxygen (OXG) - High flow rate

Indications

A

Critical Illnesses (e.g.):

  • Cardiac arrest/resus
  • Major Trauma
  • Active convulsions
  • Anaphylaxis
  • Carbon monoxide poisoning
  • Hypothermia
  • Major pulmonary haemorrhage
  • Sepsis (e.g. Meningococcal septicaemia)
  • Shock
27
Q

Oxygen (OXG) - Moderate flow rate

Indications

A

Serious illnesses (e.g.):

  • Acute Hypoxaemia
  • Deterioration of lung fibrosis or other interstitial lung disease.
  • Acute asthma
  • Acute heart failure
  • Pneumonia
  • Lung cancer
  • Postoperative breathlessness
  • Pulmonary embolism
  • Pleural effusions
  • Pneumothorax
  • Severe anaemia
  • Sickle cell crisis
28
Q

Oxygen (OXG) - controlled or low flow rate

Indications

A
  • COPD
  • Exacerbation of cystic fibrosis
  • Chronic neuromuscular disorders
  • Chest wall disorders
  • Morbid obesity (BMI >40kg/m2)
29
Q

Oxygen (OXG) - not requiring O2 unless hypoxaemic

Indications

A
  • MI & ACS
  • CVA
  • Cardiac arrhythmia
  • Non-traumatic chest pain
  • ICD firing
  • Pregnancy & obstetric emergency
  • Abdo pain
  • Headache
  • Hyperventilation
  • Most poisoning and drug overdoses
  • Metabolic & renal disorders
  • Acute and sub-acute neuro and muscular conditions
  • Post convulsion
  • GI bleeds
  • Glycaemic emergencies
  • Heat exhaustion or heat stroke
  • Paraquat poisoning
30
Q

Paracetamol (PAR)

Indications

A
  • Relief of mild/moderate pain and/or pyrexia.

- Part of balanced analgesia regimen for severe pain (IV Paracetamol)

31
Q

Reteplase (RPA)

Indications

A
  • Acute STEMI 12hrs of symptom onset where PPCI is not readily available.
  • Ensure pt meets local criteria.
32
Q

Salbutamol (SLB)

Indications

A
  • Acute asthma attack where normal inhaler therapy has failed.
  • Expiratory wheeze associated with allergy, anaphylaxis, smoke inhalation or other lower airway cause.
  • Exacerbation of COPD.
  • Severe breathing difficulty due to LVF (2ndary treatment)
33
Q

Sodium Chloride (SCP)

Indications

A 
Adult fluid therapy
- Medical conditions with or without haemorrhage.
- Trauma related haemorrhage
- Burns
- Limb crush injury
Child fluid therapy
- Medical conditions
- Trauma related haemorrhage
- Burns
Flush
34
Q

Sodium Lactate Compound (SLC)

Indications

A
  • Blood and fluid loss if SCP is not available.

- Dehydration

35
Q

Syntometrine (SYN)

Indications

A
  • Postpartum haemorrhage within 24hrs of delivery where uterine massage is ineffective.
  • Miscarriage with life-threatening bleeding and a confirmed diagnosis.
36
Q

Tenecteplase (TNK)

Indications

A
  • Acute STEMI within 6hrs of symptom onset where PPCI is not available.
  • Ensure of fufils local criteria
37
Q

Tetracaine 4% (TTC)

Indications

A

Venepuncture in non-urgent situation with a patient likely to be distressed by procedure.

38
Q

Tranexamic Acid (TXA)

Indications

A
  • Time-critical injury where suspected internal or external haemorrhage.
  • injured pt’s fulfilling step 1 or step 2 trauma triage protocol.

JRCALC Guidelines 2013 (3 decks)

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