Drug Indications Flashcards
Amiodarone (AMO)
Indications
Cardiac Arrest - shockable rhythms unresponsive to defibrillation.
Aspirin (ASP)
Indications
Adults with clinical or ECG evidence of MI or ischaemia
Atropine (ATR)
Indications
Symptomatic bradycardia in presence of any of:
- Absolute bradycardia (
Benzylpenicillin (BPN)
Indications
Suspected meningococcal disease in the presence of a non-blanching rash and signs and symptoms of meningococcal septicaemia.
Chlorphenamine (CPH)
Indications
Severe anaphylactic reactions (2ndry to ADM)
Symptomatic allergic reaction falling short of anaphylaxis but causing patient distress.
Clopidogrel (CLO)
Indications
Acute STEMI:
- in pts not already taking clopidogrel
- receiving thrombolytic treatment
- anticipated thrombolytic treatment
- anticipated Primary PCI
Dexamethasone (DEX)
Indications
Moderate/severe croup
Diazepam (DZP)
Indications
- 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)
Entonox (NOO)
Indications
- Moderate to severe pain
- Labour pains
Furosemide (FRM)
Indications
Pulmonary oedema secondary to LVF
Glucagon (GLU)
Indications
- Hypoglycaemia (BM
Glucose 10% (GLX)
Indications
Hypoglycaemia
Glucose 40% Oral Gel (GLG)
Indications
Hypoglycaemia in conscious pt with no risk of choking or aspiration
Glyceryl Trinitrate (GTN)
Indications
- Cardiac chest pain due to angina or MI
- Acute cardiogenic pulmonary oedema
Heparin (HEP)
Indications
STEMI
Hydrocortisone (HYC)
Indications
- Severe or life-threatening asthma - call to hospital time is >30mins
- Anaphylaxis
- Adrenal crisis
Ibuprofen (IBP)
Indications
- Relief of mild to moderate pain and/or high temperature
- Soft tissue injuries
- Part of balanced analgesia regimen
Ipratropium Bromide (IPR)
Indications
- Acute severe or life-threatening asthma
- Acute asthma unresponsive to salbutamol
- Exacerbation of COPD unresponsive to salbutamol
Metoclopramide (MTC)
Indications
- Nausea and vomiting in adults aged 20 and over
- Prevention and treatment of nausea and vomiting following morphine administration
Adrenaline (ADM/ADX)
Indications
Cardiac Arrest (IV)
Anaphylaxis (IM)
Life-threatening Asthma with failing ventilation unresponsive to nebuliser therapy (IM)
Midazolam (MDZ)
Indications
- Pt’s own buccal.
- Convulsions lasting longer than 5 mins.
Misoprostol (MIS)
Indications
- 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.
Morphine Sulphate (MOR)
Indications
- Severe pain as part of balanced analgesia regimen.
- Pain associated with suspected MI
Naloxone Hydrochloride (NLX)
Indications
- 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).
Ondansteron (ODT)
Indications
- Prevention and treatment of opioid-induced nausea and vomiting.
- Treatment of nausea & vomiting.
- Travel sickness in children.
Oxygen (OXG) - High flow rate
Indications
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
Oxygen (OXG) - Moderate flow rate
Indications
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
Oxygen (OXG) - controlled or low flow rate
Indications
- COPD
- Exacerbation of cystic fibrosis
- Chronic neuromuscular disorders
- Chest wall disorders
- Morbid obesity (BMI >40kg/m2)
Oxygen (OXG) - not requiring O2 unless hypoxaemic
Indications
- 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
Paracetamol (PAR)
Indications
- Relief of mild/moderate pain and/or pyrexia.
- Part of balanced analgesia regimen for severe pain (IV Paracetamol)
Reteplase (RPA)
Indications
- Acute STEMI 12hrs of symptom onset where PPCI is not readily available.
- Ensure pt meets local criteria.
Salbutamol (SLB)
Indications
- 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)
Sodium Chloride (SCP)
Indications
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
Sodium Lactate Compound (SLC)
Indications
- Blood and fluid loss if SCP is not available.
- Dehydration
Syntometrine (SYN)
Indications
- Postpartum haemorrhage within 24hrs of delivery where uterine massage is ineffective.
- Miscarriage with life-threatening bleeding and a confirmed diagnosis.
Tenecteplase (TNK)
Indications
- Acute STEMI within 6hrs of symptom onset where PPCI is not available.
- Ensure of fufils local criteria
Tetracaine 4% (TTC)
Indications
Venepuncture in non-urgent situation with a patient likely to be distressed by procedure.
Tranexamic Acid (TXA)
Indications
- Time-critical injury where suspected internal or external haemorrhage.
- injured pt’s fulfilling step 1 or step 2 trauma triage protocol.
