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JRCALC Flashcards

1
Q

Dexamethasone - Indications

A

Mild, Moderate and Severe/Life threatening croup. (Children aged 1 month to 10 years)

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2
Q

Buccal Midazolam - Contraindications

A
  • IV or IO access established
  • Prior administration of 2 doses of a benzodiazepine
  • Known hypersensitivity to benzodiazepines
  • Presenting with psychogenic non epileptic seizure (PNES)
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3
Q

Adrenaline 1:10,000 - Adult Dose

A

1mg

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4
Q

Adrenaline 1:1000 - Indications

A
  • Anaphylaxis

- Life threatening Asthma

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5
Q

Adrenaline 1:1000 - Dose & Route

A

500mcg

IM only

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6
Q

Nebulised Adrenaline (1:1000) - Indications

A

Life threatening croup

>1 year old = 5mg

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7
Q

Amiodarone - Dose

A

300mg - 3rd shock

150mg - 5th shock

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8
Q

Amiodarone - Actions

A
  • Antiarrhythmic
  • Lengthens cardiac action potential and therefore effective refractory period
  • Blocks sodium and potassium channels in myocardium
  • Acts to stabilise and reduce electrical irritability of myocardium
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9
Q

Aspirin - Indications

A

Adults with clinical or ECG evidence suggestive of MI or ischaemia

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10
Q

Aspirin - Dose

A

300mg

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11
Q

Aspirin - Contraindications

A
  • Known allergy or sensitivity
  • Children under 16 years
  • Active GI bleed
  • Haemophilia or other known clotting disorder
  • Severe hepatic failure with jaundice
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12
Q

Aspirin - Side effects

A
  • Wheezing in some asthmatics

- Increased risk of GI bleeding

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13
Q

Atropine - Indications

A

Symptomatic Bradycardia in the presence of ANY of these adverse signs:

  • Absolute bradycardia (<40bpm)
  • Systolic BP below expected for age
  • Paroxysmal ventricular arrhythmias
  • Inadequate perfusion causing confusion
  • Bradycardia following ROSC
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14
Q

Atropine - Contraindications

A
  • Should not be given to treat bradycardia in hypothermia

- Patients with cardiac transplants

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15
Q

Atropine - Actions

A
  • Reverses the effect of vagal overdrive
  • Increase heart rate by blocking vagal activity in sinus bradycardia, second or third degree heart block
  • Enhances A-V conduction
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16
Q

Atropine - Dose/Repeat/Max

A

600mcg
3-5 mins repeat
3mg Max

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17
Q

Atropine - Side effects

A
  • Dry mouth
  • Visual blurring
  • Dilated pupils
  • Confusion
  • Tachycardia
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18
Q

Benzylpenicillin - Contraindications

A
  • Known allergy
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19
Q

Benzylpenicillin - Indications

A

Suspected meningococcal disease in the presence of:
1) a non-blanching rash
and/or
2) signs/symptoms suggestive of meningococcal septicaemia

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20
Q

Benzylpenicillin - Dose (Adult)

21
Q

Calcium Chloride - Indications

A
  • Cardiac arrest related to hyperkalaemia, hypocalcaemia or overdose of calcium channel blockers (e.g. nifedipine, amlodipine, diltiazem, verapamil)
22
Q

Calcium Chloride - Contraindications

A
  • Known hypersensitivity
  • Patients taking cardiac glycosides (e.g. Digoxin)
  • Patients with known hypercalcaemia
  • Co-administration of ceftriaxone in:
    • Premature newborns
    • Full term newborns up to 28 days of age
23
Q

Calcium Chloride - Side effects

A
  • Acidosis
  • HypoKalaemia
  • Hypercalcaemia
  • Cardiac arrhythmias
  • Vasodilation
  • Hypotension
  • Hypertension
  • Extravasation and tissue necrosis
  • Circulatory collapse
  • Feeling hot
  • Hyperhidrosis
  • Vomiting
24
Q

Calcium Chloride - Dose (Adult and Child)

A

A - 10ml

C - 0.2ml/kg (up to 10ml)

25
Carbetocin - Indications
PPH when the following criteria are met: - >20 weeks gestation - within 24 hours of birth - When bleeding from the uterus is uncontrolled by uterine massage
26
Carbetocin - Contraindications
- Significant ongoing bleeding after delivery, before 20 weeks gestation - Patients who have already received syntometrine - Baby in utero - During delivery - Possible multiple pregnancy - Known hypersensitivity
27
Carbetocin - Side effects
- Chest pain - Chills - Dizziness - Dyspnea - Feeling hot - Flushing - Headache - Hypotension - Nausea - Metalic taste - Tremor - Vomiting
28
Carbetocin - Dose
100mcg
29
Chlorphenamine - Indications
- Symptomatic allergic reaction falling short of anaphylaxis but causing patient distress - Alleviating distressing cutaneous symptoms in anaphylaxis (only in a stable patient after emergency treatment with adrenaline)
30
Chlorphenamine - Contraindications
- Known hypersensitivity - Patients treated with MAOI's in the last 14 days (MAOI's - antidepressants e.g. Isocarboxazid (Marplan), Phenelzine (Nardil), Selegiline (Emsam), Tranylcypromine (Parnate))
31
Chlorphenamine - Actions
Antihistamine - blocks the effect of histamine
32
Chlorphenamine - Side effects
``` Sedation Dry mouth Headache Blurred vision Urinary retention GI disturbance Psychomotor impairment ```
33
Chlorphenamine - Dose (Adult)
10mg
34
Co-Amoxiclav - Indications
Treatment of - Obvious open fracture - Signs consistent with open fracture - Major trauma to limb where significant wounds and high suspicion of fracture.
35
Co-Amoxiclav - Contraindications
- <1 year old - Allergy to penicillin - Severe renal impairment - Glandular fever - History of penicillin associated jaundice or hepatic dysfunction
36
Diazepam - Indications
Prolonged concussions lasting >5mins or Repeated convulsions and are currently convulsing Eclamptic convulsions Symptomatic cocaine toxicity (Hypertension, chest pain or convulsions)
37
Diazepam - Side effects
``` CVS depression - hypotension Resp depression Light headed Drowsiness Confusion ```
38
Diazepam - Dose (IV) (Adult)
10mg | Repeat 10mg after 10 mins, Max 20mg
39
Furosemide - Indications
Pulmonary oedema and/or respiratory distress due to acute heart failure
40
Furosemide - Contraindications
- Reduced GCS with Liver cirrhosis - Cardiogenic shock - Severe renal failure with anuria - Children under 18
41
Furosemide - Side effects
- Hypotension | - GI disturbance
42
Furosemide - Dose
40mg
43
Glucagon - Contraindications
- Pheochromocytoma | - IV route (Glucagon is IM ONLY)
44
Glucagon - Indications
- Hypoglycaemia, clinically suspected hypoglycaemia or unconscious patients where hypoglycaemia is considered likely. - Should only be given if oral glucose is contraindicated and IV/IO access cannot be established.
45
Glucagon - Actions
Glucagon is a hormone that induces the conversion of glycogen to glucose in the liver, thereby raising glucose levels
46
Glucagon - Side effects
- Nausea/Vomiting - Abdominal pain - Diarrhoea - Hypokalaemia - Hypotension - Acute hypersensitivity reaction
47
Glucagon - Dose
1mg (IM Only)
48
16.Plain 1% lidocaine contains: a. 1mg of lidocaine/ml b. 10 mg of lidocaine/ml c. 100 mg of lidocaine/ml d. 10 micrograms of lidocaine/ml e. 100microgramsoflidocaine/ml
b. 10 mg of lidocaine/ml

DipIMC (27 decks)

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