Drugs Flashcards
Adrenaline presentation
1mg in 1ml
1mg in 10ml
Adrenaline contras
hypovolaemic shock without adequate fluid replacement
Adrenaline precautions
consider reduced doses for: elderly, pts with CVD, pts on monoamine oxidase inhibitors
beta blockers
Side effects of Adrenaline
Sinus tachy, supraventricular arrhythmias, ventricular arrhythmias, hypertension, pupillary dilation, may increase size of MI, feeling of anxiety/palpitations in the conscious pt
Presentation of Aspirin
300mg tablet
PEI Aspirin
ACS
Contras of Aspirin
hypersensitivity, actively bleeding peptic ulcers, bleeding disorders, suspected dissecting aortic aneurysm, chest pain assoc with psychostim OD if SBP greater than 160
Precautions of Aspirin
peptic ulcer
asthma
pts on anticoagulants
Side effects of Aspirin
heartburn, nausea, GI bleeding, increased bleeding time, hypersensitivity reactions
Dextrose 10% presentation
25g in 250ml soft pack
contras of Dextrose 10%
nil
Precautions of Dxtrose 10%
nil
Side effects of Dextrose 10%
nil
Presentation of Fentanyl
100mcg in 2ml
200mcg in 1ml
600mcg in 2ml
PEI of Fentanyl
sedation to facilitate intubation
sedation to maintain intubation
drug facilitated intubation
analgesia
contras of Fentanyl
known hypersensitivity
IV amiodarone
precautions of Fentanyl
elderly impaired renal function resp depression current asthma pts on MOA inhibitors known addition to opioids rhinitis, rhinorrhea or facial trauma oral amiodarone
Side effects of Fentanyl
resp depression
apnoea
rigid diaphragm
bradycardia
Fentanyl presentation used for Adult IN
600mcg in 2ml
Fentanyl Presentation used for Paed IN
100mcg in 2ml
GTN presentation
0.6mg tablets
50mg patch
PEI for GTN
chest pain with ACS acute LVF hypertension assoc with ACS autonomic dysreflexia preterm labour
contras for GTN
hypersensitivity SBP less than 110 tablet SBP less than 90 patch viagra or levitra in 24 hours or cialis in 4 days HR greater than 150 HR less than 50 VT inferior STEMI with SBP less than 160 right ventricular MI
Precautions of GTN
no previous admin
elderly pts
recent MI
concurrent use with other tocolytics
Side effects of GTN
tachycardia, hypotension, eadache, skin flushing, bradycardia
Presentation of Ipratropium Bromide
250mcg in 1ml
PEI for Ipratropium Bromide
severe resp distress associated with bronchospasm
contras of Atrovent
known hypersensitivity to Atropine or its derivatives
Precautions of Atrovent
glaucoma
avoid contact with eyes
Side effects of Atrovent
headache, nausea, dry mouth, skin rash, tahcycardia, palpitations, acute angle closure glaucoma
Methoxy presentation
3ml
PEI of Methoxyflurane
pain relief
contras of Methoxy
preexisting renal disease
concurrent use with tetracycline antibiotics
exceeding total dose in 24 hours
Precautions of Methoxy
penthrox held by pt
pre-eclampsia
concurrent use with oxytocin
Side effects of Methoxy
drowsiness, decrease in BP and bradycardia, renal toxicity
Presentaiton of Metoclopramide
10mg in 2ml
PEI for Metoclopramide
nausea and vomiting assoc with chest pain, opioid admin for pain, cytotoxic or radiotherapy, previously diagnosed migraine, severe gastro
awake spinal immobilized pts, eye trauma
contras of Metoclopramide
children
suspected bowel obstruction
GI haemorrhage