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Medications > Indications > Flashcards

Indications Flashcards

1
Q

ADRENALINE

A 
CARDIAC ARREST
LIFE-THREATENING ASTHMA
ANAPHYLAXIS
SEVERE CROUP
POST ROSC
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2
Q

AMIODARONE

A

Cardiac arrest with persistent/shock resistant VF/pulseless VT, post 3rd shock

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3
Q

ASPIRIN

A

Patients with suspected ACS

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4
Q

ATROPINE

A

Symptomatic bradycardia, haemodynamically unstable due to bradycardia and associated with poor perfusion

  • HYPOTENSION
  • ALTERED CONSCIOUS STATE
  • DIAPHORESIS
  • SOB +/- CYANOSIS
  • SYNCOPE

Organophosphate poisioning with cholinergic effects

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5
Q

COPHENYCAINE

A
  • LOCAL PAIN - abrasions, small cuts and wounds
  • RELIEF FROM MILD/MODERATE EPISTAXIS
  • POST TONSILLECTOMY HAEMORRHAGE
  • INTRA-ORAL HAEMORRHAGE
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6
Q

FENTANYL

A
  • MOD TO SEVERE PAIN

- ACS WHERE GTN HAS BEEN INEFFECTIVE

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7
Q

GLUCAGON

A

For hypoglycaemia where oral glucose cannot be administered and IV access cannot be obtained in a safe and timely manner
- ALTERED CONSCIOUS STATE IN A KNOWN DIABETIC OR OF OTHERWISE UNKNOWN CAUSE WHERE BGL < 4 mmol/L

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8
Q

SALBUTAMOL SULPHATE

A

BRONCHOSPASM AND RESP DISTRESS ASS/ W/ WHEEZE

  • ACUTE BRONCHIAL ASTHMA
  • BRONCHITIS
  • SMOKE INHALATION
  • SEV. ALLERGIC/ANAPHYLACTIC REACTIONS
  • APO OF NON-CARDIAC ORIGIN
  • SALT WATER ASPIRATION SYNDROME (SCUBA DIVERS)
  • COPD
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9
Q

PREDNISOLONE

A
  • MILD/MODERATE CROUP

- SEVERE CROUP AFTER NEB ADRENALINE

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10
Q

PARACETAMOL

A
  • MILD/MOD PAIN
    —- HEADACHE, SPRAIN/STRAIN, TOOTHACHE
    —- COMPONENT OF MULTIMODAL ANALGESIC REGIME
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11
Q

OXYGEN

A

ADULT
- 94-98% (OR 88 - 92% FOR COPD)

PAEDIATRIC

  • ALL PTS WITH SIGNIFICANT ILLNESS/INJURY
  • NEWBORN RESUS SHOULD BE STARTED WITH ROOM AIR FOR FIRST FEW BREATHS
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12
Q

ONDANSETRON

A
  • MOD/SEVERE NAUSEA
  • ACTIVE VOMITING
  • PROPHYLAXIS FOR EYE AND SPINAL INJURIES
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13
Q

NALOXONE

A
  • REVERSAL OF RESP DEP IN SUSPECTED NARCOTIC OD
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14
Q

MIDAZOLAM

A
  • PROLONGED SEIZURE ACTIVITY LASTING > 5/60 or RECURRENT/STATUS SEIZURE ACTIVITY
  • FOCAL SEIZURE ACTIVITY
    - PROLONGED >5/60
    - GCS <= 12
  • second-line IV agent for maintenance of sedation after DROPERIDOL administration for disturbed/abnormal behavior.
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15
Q

METHOXYFLURANE

A

PAIN

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16
Q

LIGNOCAINE

A

LOCAL ANALGESIA FOR

      - IV CANNULATION
      - IO INFUSION
      - SUTURING
      - FINGER THORACOSTOMY IN CONSCIOUS PT

Cardiac arrest with persistent/recurrent VF/pulseless VT, refractory to defibrillation strategies and max. dose of AMIODARONE as per cardiac arrest CPG

17
Q

KETAMINE

A
  • IV: SECOND LINE FOR SEVERE TRAUMATIC PAIN POST IV FENTANYL ADMINISTRATION (ASMA consult needed if IV fentanyl minimum dose not given)
  • IM: FIRST LINE AGENT FOR SEVERE TRAUMATIC PAIN WHERE OTHER ADMINISTRATION MEANS NOT AVAILABLE
  • COMBATIVE TRAUMATIC BRAIN INJURY
  • RASS 4: first line agent for severely disturbed or abnormal behavior where there is an immediate risk to safety and rapid tranquilisation is required and no other sedative medications have already been administered.
18
Q

IPRATROPIUM BROMIDE

A

SEVERE BRONCHOSPASM

ADULT: SEVERE TO LIFE-THREATENING ASTHMA/COPD

PAED: SEVERE TO LIFE-THREATENING ASTHMA

19
Q

SALINE

A

FLUID REPLACEMENT

  • SHOCK
  • FLUID LOSS
  • CARDIAC ARREST
20
Q

HEPARIN SODIUM

A

PTS WITH STEMI GOING DIRECTLY TO CATH LAB AS PER RECEIVING HOSPITAL 12-LEAD ECG INTERPRETATION

21
Q

GTN

A
  • CHEST PAIN/DISCOMFORT OF PRESUMED CARDIAC ORIGIN NOT RELIEVED BY REST/REASSURANCE WITH SYSTOLIC BP >90mmHg
  • ACPO WITH BP >90mmHg
  • AUTONOMIC DYSREFLEXIA WITH BP >160mmHg
22
Q

GLUCOSE 10% IV

A
  • ALTERED CONSCIOUS STATE IN A KNOWN DIABETIC OR OF OTHERWISE UNKNOWN CAUSE WHERE BGL < 4 mmol/L
  • CARDIAC ARREST - only if hypoglycaemia is suspected as a contributory cause of the arrest, not an early indication
23
Q

GLUCOSE ORAL GEL

A

ALTERED CONSCIOUS STATE IN A KNOWN DIABETIC
Altered conscious statebof unknown medical cause where BGL < 4 mmol/L

24
Q

DROPERIDOL

A
  • Disturbed and abnormal behavior @(RASS 1-3) if considered appropriate where risk to safety is evident and de-escalation has not been effective.
  • Dementia and frail patients where olanzepine cannot be administered or is ineffective
25
Q

OLANAZAPINE

A
  • RASS 1-3: if considered appropriate where risk to safety is evident and de-escalation has not been effective.
  • patient is able to tolerate or self-administee an oral wafer.
  • preferred first line sedation agent in frail patients and those with dementia.
26
Q

TXA

A
  • significant trauma (<3 hours) with signs of hypovolemia or
  • significant active haemorrhage that requires the use of
    - TOURNIQUETS
    - HAEMOSTATIC/PRESSURE DRESSINGS
  • suspected head injury (<3 hours) with a GCS motor score <4
  • severe primary or secondary PPH (>1L) or PPH with signs of hypovolemia (birth/bleed occured <3hrs)
  • significant post-tonsillectomy haemorrhage

Medications (7 decks)

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