Indications

Question 1

Indication for Adrenaline (5)- ALS (4)

Answer 1

1. Cardiac arrest- VF/VT, Asystole or PEA
2. Anaphylaxis
3. Severe asthma- Imminent life threat not responding to nebuliser therapy, or unconscious with no BP
4. Croup
5. inadequate perfusion

Question 2

Indications for Aspirin (1)

Answer 2

Acute coronary syndrome

Question 3

Indications for Ceftriaxone (2)

Answer 3

1. Suspected meningococcal septicaemia

2. Severe sepsis (consult only)

Question 4

Indications for Fentanyl (4, 6)-ALS (2, 6)

Answer 4

1. Sedation to facilitate intubation
2. Sedation to maintain intubation
3. Analgesia (IV-IN)
   - Hx of hypersensitivity or allergy to Morphine
   - Known renal impairment/failure
   - Short duration of action desirable
   - Hypotension
   - Nausea and/or vomiting
   - Severe headache
4. CPR Interfering pt

Question 5

Indications for GTN (5) ALS (4)

Answer 5

1. Chest pain with ACS
2. Acute LVF
3. Hypertension associated with ACS (MICA)
4. Autonomic dysreflexia
5. Preterm labour (consult)

Question 6

Indications for Ipratropium Bromide (2)

Answer 6

1. Severe resp distress associated with bronchospasm

2. Exacerbation of COPD irrespective of severity

Question 7

Indications for Ketamine (3)-ALS (1)

Answer 7

1. RSI
2. Extreme traumatic pain refectory to opioid analgesia
3. Extreme agitation

Question 8

Indication for Methoxyflurane (1)

Answer 8

1. Pain relief

Question 9

Indications for Midazolam (6)- ALS (3)

Answer 9

1. Status epilepticus
2. Sedation to enable intubation (RSI/IFS)
3. Post intubation sedation
4. Sedation to enable synchronised cardioversion
5. Sedation in the agitated pt (including pts under the MHA 2014)
6. Sedation in psychostimulant OD

Question 10

Indication for Misoprostol (1)

Answer 10

1. Primary postpartum haemorrhage

Question 11

Indication for Morphine (5) -ALS(1)

Answer 11

1. Pain relief
2. Acute LVF with SOB and full field crackles
3. Sedation to maintain intubation
4. Sedation to enable intubation
5. RSI