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Paramedic Science > JRCALC 2013, DRUGS > Flashcards

JRCALC 2013, DRUGS Flashcards

Indications, Contraindications and Doses

1
Q

ADRENALINE

indications

A

Cardiac Arrest
Anaphylaxis
Life-Threatening Asthma

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2
Q

ADRENALINE

doses

A

Cardiac Arrest
1mg 1:10,000 IV/IO

Anaphylaxis/Asthma
500mcg 1:1,000 IM

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3
Q

ADRENALINE

contraindications

A

NO REPEAT DOSES IN HYPOTHERMIC PATIENTS

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4
Q

AMIODARONE

indications

A

Cardiac Arrest

Non-Refractory VT/VF (3 Shocks)

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5
Q

AMIODARONE

dose

A

300mg IV/IO

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6
Q

ASPIRIN

indication

A

Clinical or ECG evidence suggestive of Myocardial Infarction

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7
Q

ASPIRIN

contraindications

A 
Known allergy
<16 years of age
Active GI bleed
Haemophilia or other clotting disorder
Severe Hepatic disease
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8
Q

ASPIRIN

dose

A

300mg Oral

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9
Q

ATROPINE

indication

A

Symptomatic Bradycardia with:
Absolute Brady <90mmHg
Paroxysmal Ventricular Arrhythmia
Perfusion related confusion

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10
Q

ATROPINE

contraindication

A

Not for hypothermia related Bradycardia

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11
Q

ATROPINE

dose

A

Rapid 5-600mcg IV/IO up to 3mg

3-5 minute interval

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12
Q

BENZYLPENICILLIN

indication

A

Suspected Meningoccal Disease with:

A non-blanching rash AND Meningoccal Symtoms

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13
Q

BENZYLPENICILLIN

contraindication

A

Known Penicillin allergy worse than a simple rash

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14
Q

BENZYLPENICILLIN

dose

A
  1. 2g in 20ml IV/IO

1. 2g in 4ml IM

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15
Q

CHLORPHENAMINE

indication

A

Severe Anaphylactic reaction

Symptomatic Allergic reaction

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16
Q

CHLORPHENAMINE

contraindication

A

Known Allergy

<1 year of age

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17
Q

CHLORPHENAMINE

dose

A

10mg IV/IO

10mg IM

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18
Q

DEXAMETHASONE

indication

A

Moderate/Severe Croup

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19
Q

DEXAMETHASONE

contraindication

A

Hypertension

Sepsis

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20
Q

DEXAMETHASONE

dose

A 
4mg Oral (18 months - 6 years)
2mg Oral (12 months - 1 month)
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21
Q

DIAZEPAM

indications

A 
Fitting (Longer than 5 minutes and still fitting)
Repeated Fits with no recovery period in between
Status EP
Eclamptic Fits
Symptomatic Cocaine Toxicity:
-Hypertension
-Chest Pain
-Fitting
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22
Q

DIAZEPAM

dose

A

10mg IV/IO/Rectal

repeat to 20mg IV/IO after 5 minutes

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23
Q

ENTONOX

indication

A

Moderate/Severe Pain

Labout Pains

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24
Q

ENTONOX

contraindications

A

Severe Head Injury with reduced GCS
Decompression Sickness risk
Violently disturbed Psychiatric patients

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25
Q

GLUCAGON

indications

A

Hypoglycaemia (<4mmol)
Clinically suspected Hypoglycaemia and oral glucose not possible
Unconscious patient where Hypoglycaemia is a likey cause

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26
Q

GLUCAGON

contraindications

A

Low glycogen stores

Hypoglycaemic seizures

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27
Q

GLUCAGON

dose

A

1mg IM

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28
Q

GLUCOSE 10%

indications

A

Hypoglycaemia (<4mmol)
Clinically suspected Hypoglycaemia and oral glucose not possible
Unconscious patient where Hypoglycaemia is a likey cause

29
Q

GLUCOSE 10%

dose

A

10g (100ml) IV

Repeat after 5 mins up yo 30g (300ml)

30
Q

GLUCOSE 40% GEL

indication

A

Known or suspected hypoglycaemia in a conscious patient where there is no risk of choking or aspiration

31
Q

GLUCOSE 40% GEL

dose

A

10g Buccal

Repeat after 5 mins

32
Q

GTN

indications

A

Cardiac Chest Pain due to Angina or Mycardial Infarction

Acute Pulmonary Oedema

33
Q

GTN

contraindications

A 
Hypotension <90mmHg
Hypovolaemia
Head Trauma
Cerebral Haemorrhage
Sildenafil in last 24hrs
Unconscious
34
Q

GTN

dose

A

400mcg in 1x metered dose, Sub-Lingual

Repeat after 5-10 mins

35
Q

HYDROCORTISONE

indications

A

Anaphylaxis
Severe/Life-Threatening Asthma
Adrenal Crisis (Addisonian Crisis)

36
Q

HYDROCORTISONE

contraindications

A

Known Allergy

37
Q

HYDROCORTISONE

dose

A

Anaphylaxis
Slow bolus of 200mg IV/IO or IM if not possible to gain access

Asthma/Adrenal
Slow bolus of 100mg IV/IO or IM if not possible to gain access

38
Q

IBUPROFEN

indications

A

Mild/Moderate Pain/Pyrexia

39
Q

IBUPROFEN

contraindications

A 
Dehydration
Hypovolaemia
Renal Insufficiency
Active Upper GI Disturbance
Pregnancy
40
Q

IBUPROFEN

dose

A

400mg Oral

41
Q

IPRATROPIUM BROMIDE

indications

A

Acute Severe/Life-Threatening Asthma
Acute Asthma Unresponsive to Salbutamol
Exacerbation of COPD Unresponsive to Salbutamol

42
Q

IPRATROPIUM BROMIDE

dose

A

500mcg Nebulised once only

43
Q

METACLOPRAMIDE

indications

A

Nausea and Vomiting

Prevention of Nausea and Vomiting post Morphine Sulphate administration

44
Q

METACLOPRAMIDE

contraindications

A 
< 20 years old
Renal Failure
Phaeochromocytoma
GI Obstruction
Perforation/Haemorrhage/3-4 days post GI Surgery.
45
Q

METACLOPRAMIDE

dose

A

10mg IV/IO

46
Q

MISOPROSTOL

indications

A

PPH within 24hrs of delivery unresponsive to uterine massage
Life-Threatening Haemorrhage with confirmed Miscarriage
Contraindicated Syntometrine

47
Q

MISOPROSTOL

contraindications

A

Known Allergy
Active Labour
Known/Suspected Fetus in Utero

48
Q

MISOPROSTOL

dose

A 
600mcg Oral (3x 200mcg tablets)
1mg Rectal (5x 200mcg tablets)
49
Q

MORPHINE SULPHATE

indications

A

Pain associated with Myocardial Infarction

Severe Pain

50
Q

MORPHINE SULPHATE

contraindications

A

Respiratory Depression
Hypotension (<P AVPU)
Known Allergy

51
Q

MORPHINE SULPHATE

dose

A

10mg in 10ml IV/IO
Repeat after 5 mins, max dose 20mg

20mg in 10ml Oral
Repeat after 60 mins, max dose 40mg

10mg in 1ml IM/SC
Repeat after 60 mins, max dose 20mg

52
Q

NALOXONE

indications

A

Opiate/Compound Analgesic OD causing respiratory/cardiovascular/CNS depression

Unconsciousness, associated with respiratory depression of unknown cause, where opiate OD is possible

Reversal of respiratory/CNS depression in a neonate post opiate use during labour

53
Q

NALOXONE

contraindications

A

Neonates born to opiate addicted mothers

54
Q

NALOXONE

dose

A

400mcg IV/IO/IM
Repeat after 3 minutes, max dose 4400mcg

Neonate reversal post opiate use in labour
200mcg IM

55
Q

ONDANSETRON

indications

A

Treatment of Nausea and Vomiting (Travel induced for children)
Prevention and treatment of opiate-induced Nausea and Vomiting

56
Q

ONDANSETRON

contraindications

A

Known Allergy

<1 month of age

57
Q

ONDANSETRON

dose

58
Q

PARACETAMOL

indications

A

Mild/Moderate Pain/Pyrexia
Severe Pain
Severe Pain with Opiate Allergy

59
Q

PARACETAMOL

contraindications

A

Known Allergy

Cumulative Dose

60
Q

PARACETAMOL

dose

A

1g Oral/IV

61
Q

SALBUTAMOL

indications

A

Acute Asthma where own inhaler therapy not effective
Expiratory Wheeze associated with Allergy/Anaphylaxis/Smoke Inhalation/other LRT cause
Exacerbation of COPD
Secondary treatment for SOB in LVF

62
Q

SALBUTAMOL

dose

A

5mg Nebulised

63
Q

SYNTOMETRINE

indications

A

PPH within 24hrs of delivery unresponsive to uterine massage

Life-Threatening Haemorrhage with confirmed Miscarriage

64
Q

SYNTOMETRINE

contraindications

A 
Known Allergy
Active Labour
Severe Cardiac/Hepative/Renal Disease
HTN and Severe Pre-Eclampsia
Known/Suspected Fetus in Utero
65
Q

SYNTOMETRINE

dose

66
Q

TRANEXAMIC ACID

indications

A

Patients with TIME-CRITICAL injury where significant Haemorrhage expected
Injured patients triggering Step 1-2 on the Major Trauma Decision Tool

67
Q

TRANEXAMIC ACID

contraindications

A

Isolated Head Injury
Other more critical interventions required
Haemostatis

68
Q

TRANEXAMIC ACID

dose

A

1g in 10ml IV only

Over 10 mins or in 10 x 1 minute aliquots

Paramedic Science (2 decks)

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