EMT Pharmacology - Methoxyflurane

Question 1

Pharmacology and presentation of Methoxyflurane?

Answer 1

3ml

Inhaled analgesic

Question 2

Indicators of Methoxyflurane?

Answer 2

• Moderate to severe pain when: personnel unable to administer fentanyl/morphine/ketamine within an appropriate time, or the administration is inappropriate

Question 3

Contraindications of Methoxyflurane?

Answer 3

• Known severe allergy
• History of Malignant Hyperthermia
• Unable to obey commands
• Known renal impairment
• Received Methoxy within the last week

Question 4

Cautions of Methoxyflurane?

Answer 4

• Pre-eclampsia, due to worsening of renal impairment
• Age greater than or equal to 75. Particularly in the presence of illness, infection or dehydration. Due to possibly worsening of renal impairment
• Administration in confined space

Question 5

Side Effects of Methoxyflurane?

Answer 5

• Sedation

- Lightheadedness

Question 6

Dosing Regimes of Methoxyflurane?

Answer 6

• Greater than or equal to 12 years max 6ml

- Less than 12 years max 3ml

Question 7

Onset and duration of Methoxyflurane?

Answer 7

Onset
‐ 1 to 2 mins

Duration
- 2 to 5 mins after stopping administration