Drugs Flashcards

1
Q

What drugs are used in a cardiac arrest?

A

Adrenaline

Atropine

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2
Q

What drugs are used in pulmonary oedema?

A

Morphine/diamorphine
Furosemide
Oxygen

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3
Q

What drugs are used in severe asthma?

A

Beta 2 adrenoreecptor agonists (salbutamol)
Ipratropium
Oxygen
Hydrocortisone (IV)

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4
Q

What drugs are used in anaphylactic shock?

A

Adrenaline (IM)
Hydrocortisone (IV)
Chlorphenamine (IV)

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5
Q

What drugs are used in Benzodiazapine intoxication?

A

Flumazenil

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6
Q

What drugs are used in hypoglycaemia?

A

Dextrose (IV)

Glucagon

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7
Q

What drugs are used in hypovaleamic shock?

A

IV fluids

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8
Q

What drugs are used in opioid intoxication?

A

Naloxone

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9
Q

What drugs are used in seizures?

A

Diazepam/lorazepam

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10
Q

What is the analgesic ladder?

A

Non opiod: (Paracetamol regularly, NSAIDs - ibuprofen and naproxen- have to consider GI bleeds)
Weak opiod: codeine that metabolises to morphine
Strong opiod: morphine, Diamorphine (heroin)

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11
Q

Adrenalin

A

Name: Adrenaline (Epidephrine)
Drug Class: Catecolamine
How it works: Neurotransmitter increases HR etc.
Indications: Cardiac Arrest/ Anaphylaxis
Contraindication: IHD, angina, hypertension, arrhythmia
Side effects: Nausea, Vom, Dry mouth
Interactions: Most heart drugs
Eliminated: Neurotransmitter is reabsorbed

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12
Q

Atropine

A

Name: Atropine
Drug Class: Antimuscarinic, anticholinergic
How it works: Blocks the effect of vagus (parasympathetic) nerve on the heart – preventing it from slowing heart rate/causing asytole.
Indications: Used to treat bradycardia/ Cardiac arrest
Contraindications: Asthma, Tachycardia
Side effects: Dry Mouth, Urine retention, Constipation
Interactions: Other antimuscarics
Eliminated: Neurotransmitter is reabsorbed

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13
Q

Morphine/ Diamorphine

A

Name: Morphine
Drug Class: Opiate
How it works: CNS affect
Indications: Acute pulmonary oedema and pain relief
Contraindication: Heart Failure
Side Effects: Constipation, drowsiness, nausea – most common
Interactions: Alcohol
Eliminated: Elimnated via the liver and kidneys so reduce dose for impairment.

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14
Q

Furosemide

A

Name: Furosimide
Drug Class: Loop Diuretic
How it works: Produces transient venodilation and subsequent diuresis
Indications: Acute pulmonary oedema/ hypertension
Contraindications: Avoid in renal failure
Side Effects: Gout
Interactions: Lithium, gentamycin
Eliminated: Liver and kidneys

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15
Q

Beta 2 adrenoreceptor agonist

A
Name: Salbutamol
Drug Class: Beta2-adrenergic agonists 
How it works: Salbatumol is a Beta 2 adrenoceptor agonists; sympathetic response
Indications: Asthma
Contraindications: Arrythmias
Side Effects: Nausea and headaches Fine tremor in the hands
Interactions: Digoxin
Eliminated: Kidneys
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16
Q

Ipratropium

A

Name: Ipratropium
Drug Class: Anticholinergic
Indications: Asthma
How it works: Anticholinergic causing airway dilation
Contraindications: Known or suspected cases of hypersensitivity
Side Effects: Hoarse voice and productive cough
Interactions: Allergy medication
Eliminated:??

17
Q

Hydrocortisone

A
Name: Hydrocortisastab
Drug Class: Corticosteroid
Indications: Asthma
How it works: Production of Prostaglandins and Leukotrienes inhibited 
Contraindications: bowel perforation
Side Effects: Reduced immune response
18
Q

Chlorophenamine

A

Name: Chlorophenamine
Drug Class: Antihistamine
Indications: Allergies and Anaphylactic shock
How it works: Blocks histamine receptor
Contraindications:
Side Effects: Blurred VisionHeadache Droswiness
Interactions: Aspirin
Eliminated: Liver (avoid in liver disease)

19
Q

Flumazenil

A

Name: Romazicon
Drug Class: Anti benzodiazapiene
Indications: Benzo intoxication

20
Q

Dextrose IV

A

Name: Glucose
Indications: Hypoglycaemia
Side effects: possible hyperglycaemia
Eliminated: lungs

21
Q

Glucagon

A

Name: Glucagen
Drug class: Peptide hormone
Indications: Hypoglycaemis
How it works: Restores blood glucose levels

22
Q

Naloxone

A

Name: Naloxone hydrocholoride
Drug Class: Opioid Receptor Antagonist
How does it work: affinity for opiod receptors so actively binds in the CNS replacing impact of options
Indications: Opioid overdose
Side Effects: Cardiac arrest, dizziness headache
Elimination: Metabolised in liver, excreted in kidneys

23
Q

Diazepam/ Lorazepam

A

Name: Vallium
Drug Class: Benzodiazapine
How does it work: central muscle-relaxant – acts on GABA receptors in CNS
Indications: Epilepsy
Side Effects: Amnesia, ataxia, confusion, dependence, light-headedness, muscle weakness.
Elimination: Liver and excreted in kidney