JRCALC 2013, DRUGS Flashcards
Indications, Contraindications and Doses
ADRENALINE
indications
Cardiac Arrest
Anaphylaxis
Life-Threatening Asthma
ADRENALINE
doses
Cardiac Arrest
1mg 1:10,000 IV/IO
Anaphylaxis/Asthma
500mcg 1:1,000 IM
ADRENALINE
contraindications
NO REPEAT DOSES IN HYPOTHERMIC PATIENTS
AMIODARONE
indications
Cardiac Arrest
Non-Refractory VT/VF (3 Shocks)
AMIODARONE
dose
300mg IV/IO
ASPIRIN
indication
Clinical or ECG evidence suggestive of Myocardial Infarction
ASPIRIN
contraindications
Known allergy <16 years of age Active GI bleed Haemophilia or other clotting disorder Severe Hepatic disease
ASPIRIN
dose
300mg Oral
ATROPINE
indication
Symptomatic Bradycardia with:
Absolute Brady <90mmHg
Paroxysmal Ventricular Arrhythmia
Perfusion related confusion
ATROPINE
contraindication
Not for hypothermia related Bradycardia
ATROPINE
dose
Rapid 5-600mcg IV/IO up to 3mg
3-5 minute interval
BENZYLPENICILLIN
indication
Suspected Meningoccal Disease with:
A non-blanching rash AND Meningoccal Symtoms
BENZYLPENICILLIN
contraindication
Known Penicillin allergy worse than a simple rash
BENZYLPENICILLIN
dose
- 2g in 20ml IV/IO
1. 2g in 4ml IM
CHLORPHENAMINE
indication
Severe Anaphylactic reaction
Symptomatic Allergic reaction
CHLORPHENAMINE
contraindication
Known Allergy
<1 year of age
CHLORPHENAMINE
dose
10mg IV/IO
10mg IM
DEXAMETHASONE
indication
Moderate/Severe Croup
DEXAMETHASONE
contraindication
Hypertension
Sepsis
DEXAMETHASONE
dose
4mg Oral (18 months - 6 years) 2mg Oral (12 months - 1 month)
DIAZEPAM
indications
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
DIAZEPAM
dose
10mg IV/IO/Rectal
repeat to 20mg IV/IO after 5 minutes
ENTONOX
indication
Moderate/Severe Pain
Labout Pains
ENTONOX
contraindications
Severe Head Injury with reduced GCS
Decompression Sickness risk
Violently disturbed Psychiatric patients
GLUCAGON
indications
Hypoglycaemia (<4mmol)
Clinically suspected Hypoglycaemia and oral glucose not possible
Unconscious patient where Hypoglycaemia is a likey cause
GLUCAGON
contraindications
Low glycogen stores
Hypoglycaemic seizures
GLUCAGON
dose
1mg IM