Drugs Flashcards
What drugs are used in a cardiac arrest?
Adrenaline
Atropine
What drugs are used in pulmonary oedema?
Morphine/diamorphine
Furosemide
Oxygen
What drugs are used in severe asthma?
Beta 2 adrenoreecptor agonists (salbutamol)
Ipratropium
Oxygen
Hydrocortisone (IV)
What drugs are used in anaphylactic shock?
Adrenaline (IM)
Hydrocortisone (IV)
Chlorphenamine (IV)
What drugs are used in Benzodiazapine intoxication?
Flumazenil
What drugs are used in hypoglycaemia?
Dextrose (IV)
Glucagon
What drugs are used in hypovaleamic shock?
IV fluids
What drugs are used in opioid intoxication?
Naloxone
What drugs are used in seizures?
Diazepam/lorazepam
What is the analgesic ladder?
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)
Adrenalin
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
Atropine
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
Morphine/ Diamorphine
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.
Furosemide
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
Beta 2 adrenoreceptor agonist
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