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DipIMC > JRCALC > Flashcards

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)

A

1.2g

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
Q

Carbetocin - Indications

A

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
Q

Carbetocin - Contraindications

A
  • 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
Q

Carbetocin - Side effects

A
  • Chest pain
  • Chills
  • Dizziness
  • Dyspnea
  • Feeling hot
  • Flushing
  • Headache
  • Hypotension
  • Nausea
  • Metalic taste
  • Tremor
  • Vomiting
28
Q

Carbetocin - Dose

A

100mcg

29
Q

Chlorphenamine - Indications

A
  • 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
Q

Chlorphenamine - Contraindications

A
  • 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
Q

Chlorphenamine - Actions

A

Antihistamine - blocks the effect of histamine

32
Q

Chlorphenamine - Side effects

A 
Sedation
Dry mouth
Headache
Blurred vision
Urinary retention
GI disturbance
Psychomotor impairment
33
Q

Chlorphenamine - Dose (Adult)

A

10mg

34
Q

Co-Amoxiclav - Indications

A

Treatment of

  • Obvious open fracture
  • Signs consistent with open fracture
  • Major trauma to limb where significant wounds and high suspicion of fracture.
35
Q

Co-Amoxiclav - Contraindications

A
  • <1 year old
  • Allergy to penicillin
  • Severe renal impairment
  • Glandular fever
  • History of penicillin associated jaundice or hepatic dysfunction
36
Q

Diazepam - Indications

A

Prolonged concussions lasting >5mins
or
Repeated convulsions and are currently convulsing

Eclamptic convulsions

Symptomatic cocaine toxicity (Hypertension, chest pain or convulsions)

37
Q

Diazepam - Side effects

A 
CVS depression - hypotension
Resp depression
Light headed
Drowsiness
Confusion
38
Q

Diazepam - Dose (IV) (Adult)

A

10mg

Repeat 10mg after 10 mins, Max 20mg

39
Q

Furosemide - Indications

A

Pulmonary oedema and/or respiratory distress due to acute heart failure

40
Q

Furosemide - Contraindications

A
  • Reduced GCS with Liver cirrhosis
  • Cardiogenic shock
  • Severe renal failure with anuria
  • Children under 18
41
Q

Furosemide - Side effects

A
  • Hypotension

- GI disturbance

42
Q

Furosemide - Dose

A

40mg

43
Q

Glucagon - Contraindications

A
  • Pheochromocytoma

- IV route (Glucagon is IM ONLY)

44
Q

Glucagon - Indications

A
  • 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
Q

Glucagon - Actions

A

Glucagon is a hormone that induces the conversion of glycogen to glucose in the liver, thereby raising glucose levels

46
Q

Glucagon - Side effects

A
  • Nausea/Vomiting
  • Abdominal pain
  • Diarrhoea
  • Hypokalaemia
  • Hypotension
  • Acute hypersensitivity reaction
47
Q

Glucagon - Dose

A

1mg (IM Only)

48
Q

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

A

b. 10 mg of lidocaine/ml

DipIMC (27 decks)

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