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OSCE prep > Drugs > Flashcards

Drugs Flashcards

1
Q

What is the presentation of Midazolam?

A

5mg/1mL

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2
Q

What is the onset of Midazolam?

A

IM - 5-15min, IV 1-3min

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3
Q

What is the adult dose of Midazolam?

A

NAS/IM - >70yr 2.5mg. Rpt 10min. Total max 10mg

<70 - 5mg. Rpt 10min. Total max 20mg.

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4
Q

What is the paediatric dose of Midazolam?

A

NAS/IM - 200microg/kg. Single dose not to exceed 5mg. Rpt half the initial dose (max 2.5mg) at 10min intervals. Total max dose 10mg

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5
Q

What are the indications of Fentanyl?

A 
Significant pain
Sedation (maintenance of established ETT)
Autonomic dysreflexia (SBP >160mmHg)
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6
Q

Contraindications for Fentanyl

A

KSAR or hypersensitivity

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7
Q

Precautions for Fentanyl

A 
Elderly
Hypotensive
Respiratory tract burns
Respiratory depression and/or failure
Known narcotic addiction
Current MAOI therapy
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8
Q

Side effects for Fentanyl

A 
Bradycardia
Dizziness
Hypotension
Nausea
Pin point pupils
Respiratory depression
Muscular regidity
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9
Q

Presentation of Fentanyl

A

100microg/2mL

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10
Q

What are the adult doses for Fentanyl?

A

IM - >70yrs 25-50microg. Rpt up to 50 every 10min. Total max dose 100microg.
<70yrs 25-100microg. Rpt up to 50 every 10min. Total max dose 200microg.

IV - >70yrs 25 microg. Rpt up to 25 every 5min. Total max 100microg.
<70yrs 25-50microg. Rpt up to 50 every 5min. Total max dose 200micorg.

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11
Q

What are the paediatric doses for Fentanyl?

A

NAS - >1yr 1.5microg/kg. Rpt once at 1microg/kg at 10min. Total max dose 100microg.
IM - >1yr 1-2microg/kg. Single max dose 50microg. Total max 2mcg/kg
IV - >1yr - 1microg/kg. Single max 25microg. Rpt at 0.5mcg/kg (max 25) at 5min intervals. Total max 2microg/kg.

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12
Q

What are the contraindications for Morphine?

A

KSAR or hypersensitivity

Renal failure

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13
Q

Precautions of Morphine

A 
Elderly
Hypotensive
Respiratory tract burns
Respiratory depression and/or failure
Known addiction to narcotics
Current MAOI therapy
Cardiac chest pain
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14
Q

Presentation of Morphine

A

10mg/1mL

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15
Q

Adult doses of Morphine

A

IM - >70yrs 2.5-5mg. Rpt up to 5mg every 10min. Total max dose 10mg.
<70yrs 2.5-10mg. Rpt up to 5mg every 10min. Total max dose 20mg.

IV - >70yrs 2.5. Rpt up to 2.5mg every 5min. Total max 10mg.
<70yrs 2.5-5mg. Rpt up to 5 every 5min. Total max 20mg

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16
Q

Paediatric doses of Morphine

A

IM - >1yr 100-200microg/kg. Single max dose 5mg. Total max dose 200microg/kg

IV - >1yr 100microg/kg. Single max dose 2.5mg. Rpt at 50microg/kg (max 2.5mg) at 5min intervals. Total max 200microg/kg

17
Q

Contraindications for Ondansetron

A

KSAR to Ondans or other 5-HT3 receptor antagonists.
Congenital long QT syndrome.
Current apomorphine therapy.
Pt <3yrs

18
Q

Precautions for Ondansetron

A

Hepatic impairment
Intestinal obstruction
Pt with risk factors for QT interval prolongation.

19
Q

Side effects for Ondansetron

A

Headache
Constipation
Sensation of warmth or flushing
Dysrhythmias

20
Q

Presentation of Ondansetron

A

4mg/2mL

21
Q

Adult dose of Ondansetron

A

IM/IV 4-8mg. total max dose 8mg

22
Q

Paediatric dose of Ondansetron

A

IM >5yrs 4mg. single dose only
>3yrs 100mcg/kg. Single dose only. Not to exceed 4mg.
IV >3yrs 100mcg/kg. Slow push over 3-5min. Single dose only, not to exceed 4mg.

23
Q

Indications for Adrenlaine

A

Anaphylaxis OR severe allergic reaction
Severe life-threatening bronchospasm OR silent chest
Bradycardia with poor perfusion
Cardiac arrest
Croup (with stridor)
Shock unresponsive to adequate fluid resus (excluding haemorrhagic cause)

24
Q

Precautions and Side effects for Adrenaline

A

P - hypertension, hypovolaemic shock, current MAOI therapy

S/E - Anxiety, hypertension, palpitations/tachycardia, pupil dilation, tremor

25
Q

Adrenaline presentation

A

1mg/1ml (1:1000)

1mg/10mL (1:10,000)

26
Q

Adult doses Adrenaline

A

IM 300microg. Rpt 5min intervals. No max dose.

Cardiac arrest IV - 1mg. Rpt 3-5min. No max

27
Q

Paediatric doses of Adrenaline

A

IM >6yrs - 300microg. Rpt 5min interval. No max.
<6yrs 150microg. Rpt 5 min intervals. No max

Cardiac arrest IV - >1yr 10microg/kg. Rpt 3-5min. No max
<1yr 100microg. Rpt 3-5min. No max dose.

28
Q

Indications of Paracetamol

A

Minor pain

Fever

29
Q

Contraindications for Paracetamol

A

KSAR or hypersensitivity.

Pt <1mnth old

30
Q

Paracetamol precautions and side effects

A

P - Hepatic or renal dysfunction & pts taking anticoagulant medications.
S/E - Nausea

31
Q

Paracetamol presentation

A

Tablet 500mg

32
Q

Paracetamol adult dose

A

> 16yrs - 0.5-1g. Rpt every 4hrs. Total max 4g in 24hrs.

33
Q

Paracetamol paediatric dose

A

> 1month 15mg/kg. Single dose only

34
Q

Paediatric glucose 10% dose?

A

2.5mL/kg, rpt at 1mL/kg every 5min until BGL >4mmol/L

35
Q

What is the presentation of glucose 10%?

A

250ml (25g)

36
Q

What is the cheat calculation for fentanyl?

A

Dose x 2. Move decimal point 2 to left

37
Q

What is the cheat calculation for midazolam

A

Dose x 2. Move decimal place 1 to left

38
Q

What is the cheat calculation for ondansetron?

A

Dose divided by 2

39
Q

What is the cheat drug calc for Naloxone?

A

dose move decimal point <2, divide by 2, divide by 2

OSCE prep (3 decks)

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