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Drugs > Indications > Flashcards

Indications Flashcards

1
Q

Ceftriaxone
Indications

A
  • suspected meningococcal septicemia
  • severe sepsis (consult only)
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2
Q

Midazolam
Indication

A
  • Status epileptics
  • Sedation to maintain intubation
  • Sedation to facilitate intubation
  • Sedation to facilitate synchronized cardioversion
  • Sedation to facilitate transthoracic pacing
  • Sedation in the agitated patient (including patients under the Mental Health Act 2014)
  • Sedation to psychostimulant OD
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3
Q

Salbutamol
indication

A

Respiratory distress with suspected bronchospasm
- asthma
- severe allergic reactions
- COPD
- smoke inhalation
- oleoresin capsicum spray exposure

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4
Q

Prochlorperazine
indications

A

nausea and vomiting in patients ≥ 12 years of age, specifically for
- known allergy or C/I to ondansetron
- vestibular (an inner ear disorder that causes symptoms such as sudden, severe vertigo, dizziness, balance problems, nausea, and vomiting) nausea

Heachache (irrespective of nausea/vomiting)

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5
Q

Paracetamol
indications

A
  • mild pain, or pain relief in combination with other analgesics
  • headache
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6
Q

Ondansetron
indications

A
  • undifferentiated nausea and vomiting
  • prophylaxis where vomiting could be clinically detrimental (e.g. spinally immobilised, penetrating eye trauma)
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7
Q

normal saline
indication

A
  • as a replacement fluid in volume-depleted patients
  • cardiac arrest secondary to hypovolemia or where the patient may be fluid-responsive
  • to expand intravascular volume in the non-cardia, non-hypovolemic hypotensive patent e.g anaphylaxis, burns, sepsis
  • as a fluid challenge in unresponsive, non-hypovolemic, hypotensive (lowering the blood pressure) patients
  • fluid for diluting and administering IV drugs
  • Fluid TKVO for IV administration of emergency drugs
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8
Q

Naloxone
Indications

A

altered conscious state and respiratory depression secondary to the administration of opioids or related drugs

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9
Q

Morphine
Indications

A
  • pain relief
  • sedation to maintain intubation
  • sedation facilitates intubation where fentanyl is not appropriate
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10
Q

Methoxyflurane
indications

A

analgesia

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11
Q

Ketamine
interaction

A
  • intubation
  • analgesia
  • sedation (agitation or patient movement during CPR)
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12
Q

Ipratropium Bromide
indications

A
  • severe respiratory distress associated with bronchospasm
  • exacerbation of COPD irrespective of severity
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13
Q

Glyceryl Trinitrate
indications

A
  • chest pain in acute coronary syndrome
  • hypertension associated with acute coronary syndrome
  • acute cardiogenic pulmonary oedema
  • autonomic dysreflexia
  • preterm labour (consult for GTN patch)
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14
Q

Glucagon
Indication

A
  • Diabetic hypoglycemia (BGL <4 mmol/L) in patients with an altered conscious state who are unable to self-administer oral glucose
  • Anaphylaxis (adult) where patients remain hypotensive (low blood pressure) following adrenaline therapy with past history of heart failure or patients taking beta-blocker medication
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15
Q

Dextrose 10%
Indications

A

Diabetic hypoglycemia (BGL analysis <4 mmol/L) in patients with an altered conscious state who are unable to self-administer oral glucose

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16
Q

Dexamethasone
Indication

A
  • Bronchospasm associated with acute respiratory distress not responsive to nebulised Salbutamol
  • Moderate - severe croup
  • Acute exacerbation of COPD
  • Adult stridor (non-foreign body obstruction)
17
Q

Fentanyl
Indications

A
  • Sedation to facilitate intubation
  • Sedation to maintain intubation
  • Sedation to facilitate transthoracic pacing
  • Sedation to facilitate synchronised cardioversion
  • CPR interfering patient - ALS
  • Analgesia - IV//IN
    History of hypersensitivity or allergy to morphine
    Known renal impairment/failure
    The short duration of action desirable
    Hypotension
    Nausea and/or vomiting
    Severe headache
18
Q

Aspirin
Indications

A

ACS - Acute coronary syndrome

19
Q

Adrenaline
Indication

A
  • Cardiac arrest - VF/VT, Asystole or PEA
  • Inadequate perfusion (cardiogenic or non-cardiogenic/non-hypovolaemic)
  • Bradycardia with poor perfusion
  • Anaphylaxis
  • Severe asthma (imminent life threat not responding to nebulised therapy, or unconscious with no BP)
  • Croup
20
Q

Heparin
Indication

A

Acute STEMI

21
Q

Lidocaine
Indication

A

Local anesthetic reduces pain associated with:
- Intramuscular administration of ceftriaxone
- Needle thoracostomy in adult patients responsive voice/alert (MICA only)
- Intraosseous administration of medication or fluid in the conscious patient (MICA only)

22
Q

Olanzapine
Indication

A

Mild agitation

23
Q

Oxytocin
indications

A

Primary postpartum haemorrhage (PPPH)

24
Q

Tenecteplase
Indications

A

Acute STEMI

Drugs (7 decks)

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