Drug use, contraindications and dose

Question 1

Activated Charcoal

Answer 1

USE- Digested toxin within 1 hour
CON- Vomiting, child <1, Cyanide poison, reduces GI motility, metal salts, petrol, GI issues ,unable to swallow
Dose- >12YO 50g max dose

Question 2

Adrenaline

Answer 2

USE- Cardiac Arrest, asthma and anaphylaxis
CON- NIL
DOSE- 1mgcardiac arrest _ 500 m cg for IM

Question 3

Amiodarone

Answer 3

USE- VT or VT in cardiac arrest
CON- NIL
DOSE- 300mg on third shock and 150mg on fifth

Question 4

Aspirin

Answer 4

USE-ACS
CON- Active bleeding, patient <16YO, clotting disorders ,hepatic disease
DOSE- 300mg

Question 5

Atropine

Answer 5

USE- Bradycardia (40BPM)
CON- Hypothermia bradycardia
Dose 600mch repeat 3-5 minutes to the total of 3mg

Question 6

BENZYLPENICILLIN

Answer 6

USE- meningococcal disease
CON- Penicillin allergy
DOSE- <12YO 1200mg IM with 4mL of saline , >12YO 1200mg IV with 20 mL of saline

Question 7

CHLORPHENAMINE

Answer 7

USE- Anaphylaxis or allergy
CON- Hypersensitivity
DOSE-IV/IO/IM 10 mg , PO 4 mg ,ORAL 4 mg

Question 8

DIAZEPAM

Answer 8

USE- prolonged or repeated convulsions seizures and eclampsia
CON- Hypersensitivity
DOSE- <70YO 20 mg rectal with repeat at 10 mg, >70 YO 10mg repeat with 10mg, <12YO same but IV/IO

Question 9

Frusemide

Answer 9

USE- Pulmonary odema/ respiratory depression from acute HF
CON- Reduced GCS with liver cirrhosis, cardiogenic shock
DOSE- >18YO 40 mg

Question 10

Glucagon

Answer 10

USE- Hypo
CON- PHEOCHROMOCYTOMA
DOSE->12 1 mg

Question 11

Glucose 10 %

Answer 11

USE- Hypo
CON- Sub cut or IM
DOSE- 10 mg (100ml)

Question 12

Glucose 40 %

Answer 12

USE- Hypo
CON- unresponsive
DOSE- >12YO 10-20 g repeat 10 g with max of 20 g

Question 13

GTN

Answer 13

USE- Chest pain
CON- <90 systolic, Hypovolemia, Head trauma, cerebral hemorrhage, Viagra use, unresponsive patients, severe mitral stenosis
Dose- PO 300, 500, 600 mg, and 400-800mch subling repeat 5 mins with no max

Question 14

Hydrocortisone

Answer 14

USE- Asthma, anaphylaxis and adrenal crisis
CON- Allergy
DOSE- Asthma and adrenal crisis- 100mg IV, Anaphylaxis- 200 mg IV

Question 15

Ibuprofen

Answer 15

USE- ANALGESIC, ANTIPYRETIC, ANTIINFLAMMATORY
DOSE- 4mg PO repeat every 8 hours 1.2 in 24 hrs 
CON-
-DEHYDRATION
-	HYPOVOLAEMIA
-	RENAL INSUFFICIENCY
-	ACTIVE UPPER GI DISTURBANCES
-	WOMAN IN LAST TRIMESTER OF PREGNANCY
-	CHILD WITH CHICKENPOX 
-	PREVIOUS HYPERSENSITIVITY REACTION IN RESPONSE TO IBUPROFEN, ASPIRIN OR OTHER NSAIDS
-	ACTIVE PEPTIC ULCER/HAEMORRHAGE
-	SEVERE HEART, RENAL OR HEPATIC FAILURE

Question 16

Ipratropium Bromide

Answer 16

USE- Asthma
CON- NIL
DOSE- 1-12YO 125mcg, 12 YO 250mcg

Question 17

Misoprostol

Answer 17

USE- Contraction
CON- Active labor, hypersentivity, multiple foetus
DOSE- SL 800mcg, PR 800mcg if impaired

Question 18

Morphine

Answer 18

USE- Pain
CON- <1 YO , respiratory depression, SYS <90 , Head injury with VPU, allergy ,severe headache
USE- >12YO IV/IO 10 MG repeat 5 min till 20 mg

Question 19

Naloxone

Answer 19

USE- Opioid OD
CON- Vomit, Withdrawal violented symptoms
DOSE- IV/IO/IM 400 mcg every 3 mins To MAX 4mg

Question 20

Nitrous oxide ( Entonox

Answer 20

USE- Pain moderate/severe, Labor
CON- reduced ALOC with head injuries ,decompression sickness, disturbed psychiatric patients, intraocular injection of gas within the 4 weeks , abdo pain suspecting obstruction

Question 21

Ondansetron

Answer 21

USE- Vomit and nausea
CON- Allergy and <1 months
DOSE- IV/IM 4 mg

Question 22

Oxygen

Answer 22

USE- patients with 94% unless respiratory ditresss, hypoxia, ACS, COPD (88-92), Pulmonary odema IPPV
CON- Explosive

Question 23

Paracetamol PO

Answer 23

USE- antipyretic, mild pain relief
CON- Allergy and dose
DOSE- 500mg- 1g for pt over 50KG, 500-750mg under every 4-6 hours MAX 4

Question 24

Paracetamol IV

Answer 24

USE- Pain relief and high temp
CON- Allergy and Max dose
DOSE- 1g >12YO, 750 mg <750mg

Question 25

Salbutamol

Answer 25

USE- Asthma and anaphylaxis
CON- NIL
DOSE- 5mg 12>YO no MAX

Question 26

TXA

Answer 26

USE- Major bleed , PPH, obstetric bleeds
CON- Analytic reaction, bleed >3 hrs ago, Resolution of bleed, Isolated head injury, PPH before administration unless trauma is suspected, critical interventions required
1g in 10 ml