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Emt Medication > Emt Medication > Flashcards

Emt Medication Flashcards

1
Q

Adrenaline dosage

A

1 milligram adrenaline in 1 ml
1:1000

Only give 500ml in 5 minute intervals NOT the whole syringe

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2
Q

Adrenaline route

A

IM pre filled syringe

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3
Q

Adrenaline indications

A

Cardiac arrest
Anaphylaxis
Life threatening asthma with nebuliser ineffective

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4
Q

Adrenaline actions

A

Stimulates alpha and beta adrenergic receptors

Increased efficiency of CPR as increased peripheral resistance improved perfusion

Reverses acute anaphylaxis

Relieves bronchospasm

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5
Q

Adrenaline Contra indications

A

No repeated doses in hypothermic

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6
Q

Adrenaline cautions

A

Severe hypertension may occur if patient is on beta blockers

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7
Q

Adrenaline dosage for shockable rhythm

A

After the third shock then alternative 5,7 etc

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8
Q

Aspirin dosage

A

300 milligram in tablet, whole tablet no repeat dose

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9
Q

Aspirin route

A

Oral chewed or dissolved in water - NOT swallowed

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10
Q

Aspirin action

A

Anti-platelet action reduces clot formation

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11
Q

Aspirin indications

A

Clinical ecg evidence of MI

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12
Q

Aspirin Cautions

A 
Pregnancy
Asthma
Kidney / liver failure
Gastric / Duodenal ulcer
Current anticoagulants
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13
Q

Entonox Presentation

A

50% nitros oxide 50% Oxygen stored in blue body containers with white shoulders
Must be inverted several times to mix gases

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14
Q

Entonox Indications

A

Moderate to severe pain

Labour Pains

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15
Q

Entonox Actions

A

Inhaled Analgesic Agent
3-5 minutes to be effective
5-10 minutes max effect

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16
Q

Entonox Contras

A

Severe Head injuries with impaired consciousness
Decompression sickness - Anyone scuba diving in last 24 hours is a risk
Violently disturbed psychiatric patients

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17
Q

Entonox Cautions

A

Pneumothorax suspected

Pneumomediastinum and / or pneumoperitoneum e.g. polytrauma penetrating torso injury

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18
Q

Entonox side effects

A

Minimal side effects

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19
Q

Entonox dosage

A

Self administered should be used in conjunction with pain monitoring

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20
Q

Entonox additional info

A

Rapidly wears off
Rapid effect
Self administered
Admin while prepping other pain killers

21
Q

Glucagon presentation

A

1 milligram powder in vial for reconstitution with water for injection

22
Q

Glucagon indications

A

Hypoglycaemia

23
Q

glucagon actions

A

Hormone which glycogen to glucose in liver

24
Q

Glucagon contra

A

Low glycogen recent use of glucagon

Hypoglycaemic seizures 10% glucose IV preferred

25
Q

Glucagon cautions

A

Avoid IM whenever thrombolysis

26
Q

Glucagon side effects

A 
Nausea vomiting
Diarrhoea
Acute hypersensivity reaction
Hypo kalmia
Hypotension
27
Q

Glucagon Additional info

A

Don’t give IV due to increased vomiting
Check bm 5-10 min > 5millimoles per litre
Clinical decision of route admin
Ineffective if glycogen stores exhausted
Newborn babies have v. Low glycogen
Can be ineffective in some alcohol induced hypoglycaemia try 10%
If fitted 10% preferable

28
Q

Glucagon dosage

A

IM 1milligram 1 vial no repeat

29
Q

Glucose 40% presentation

A

Plastic tube 25g

30
Q

Glucose 40% indication

A

Known hypo
conscious
no risk of choking

31
Q

Glucose 40% action

A

Rapid up of blood glucose via Buccal absorption

32
Q

Glucose 40% cautions

A

Altered consciousness - gauze swab between lip and gum can be given

33
Q

Glucose 40% side effects

A

None

34
Q

Glucose 40% additional info

A

Repeat as necessary

Failure should go alternative IM or 10%

35
Q

Glucose 40% contra

A

None

36
Q

Glucose 40% gel dosage

A

10g in 25g 1 tube repeat every 5 min

37
Q

GTN presentation

A

400 micro grand per dose OR tabs 2,3,5 milligrams

38
Q

GTN indications

A

Cardiac chest pain due to angina or MI

39
Q

GTN actions

A

Dilation of coronary arteries
Dilation of systemic veins = lower preload
Reduced blood pressure

40
Q

GTN contra

A

Hypotension BP

41
Q

GTN side effects

A

Headache
Dizziness
Hypotension

42
Q

GTN dosage and admin

A

1-2 sprays 400 - 800 micrograms no maximum

Stop if systolic

43
Q

GTN presentation

A

400 micro grand per dose OR tabs 2,3,5 milligrams

44
Q

GTN indications

A

Cardiac chest pain due to angina or MI

45
Q

GTN actions

A

Dilation of coronary arteries
Dilation of systemic veins = lower preload
Reduced blood pressure

46
Q

GTN contra

A

Hypotension BP

47
Q

GTN side effects

A

Headache
Dizziness
Hypotension

48
Q

GTN dosage and admin

A

1-2 sprays 400 - 800 micrograms no maximum

Stop if systolic

Emt Medication (1 decks)

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