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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
GLUCAGON | indications
Hypoglycaemia (<4mmol) Clinically suspected Hypoglycaemia and oral glucose not possible Unconscious patient where Hypoglycaemia is a likey cause
26
GLUCAGON | contraindications
Low glycogen stores | Hypoglycaemic seizures
27
GLUCAGON | dose
1mg IM
28
GLUCOSE 10% | indications
Hypoglycaemia (<4mmol) Clinically suspected Hypoglycaemia and oral glucose not possible Unconscious patient where Hypoglycaemia is a likey cause
29
GLUCOSE 10% | dose
10g (100ml) IV | Repeat after 5 mins up yo 30g (300ml)
30
GLUCOSE 40% GEL | indication
Known or suspected hypoglycaemia in a conscious patient where there is no risk of choking or aspiration
31
GLUCOSE 40% GEL | dose
10g Buccal | Repeat after 5 mins
32
GTN | indications
Cardiac Chest Pain due to Angina or Mycardial Infarction | Acute Pulmonary Oedema
33
GTN | contraindications
``` Hypotension <90mmHg Hypovolaemia Head Trauma Cerebral Haemorrhage Sildenafil in last 24hrs Unconscious ```
34
GTN | dose
400mcg in 1x metered dose, Sub-Lingual | Repeat after 5-10 mins
35
HYDROCORTISONE | indications
Anaphylaxis Severe/Life-Threatening Asthma Adrenal Crisis (Addisonian Crisis)
36
HYDROCORTISONE | contraindications
Known Allergy
37
HYDROCORTISONE | dose
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
IBUPROFEN | indications
Mild/Moderate Pain/Pyrexia
39
IBUPROFEN | contraindications
``` Dehydration Hypovolaemia Renal Insufficiency Active Upper GI Disturbance Pregnancy ```
40
IBUPROFEN | dose
400mg Oral
41
IPRATROPIUM BROMIDE | indications
Acute Severe/Life-Threatening Asthma Acute Asthma Unresponsive to Salbutamol Exacerbation of COPD Unresponsive to Salbutamol
42
IPRATROPIUM BROMIDE | dose
500mcg Nebulised once only
43
METACLOPRAMIDE | indications
Nausea and Vomiting | Prevention of Nausea and Vomiting post Morphine Sulphate administration
44
METACLOPRAMIDE | contraindications
``` < 20 years old Renal Failure Phaeochromocytoma GI Obstruction Perforation/Haemorrhage/3-4 days post GI Surgery. ```
45
METACLOPRAMIDE | dose
10mg IV/IO
46
MISOPROSTOL | indications
PPH within 24hrs of delivery unresponsive to uterine massage Life-Threatening Haemorrhage with confirmed Miscarriage Contraindicated Syntometrine
47
MISOPROSTOL | contraindications
Known Allergy Active Labour Known/Suspected Fetus in Utero
48
MISOPROSTOL | dose
``` 600mcg Oral (3x 200mcg tablets) 1mg Rectal (5x 200mcg tablets) ```
49
MORPHINE SULPHATE | indications
Pain associated with Myocardial Infarction | Severe Pain
50
MORPHINE SULPHATE | contraindications
Respiratory Depression Hypotension (

51
MORPHINE SULPHATE | dose
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
NALOXONE | indications
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
NALOXONE | contraindications
Neonates born to opiate addicted mothers
54
NALOXONE | dose
400mcg IV/IO/IM Repeat after 3 minutes, max dose 4400mcg Neonate reversal post opiate use in labour 200mcg IM
55
ONDANSETRON | indications
Treatment of Nausea and Vomiting (Travel induced for children) Prevention and treatment of opiate-induced Nausea and Vomiting
56
ONDANSETRON | contraindications
Known Allergy | <1 month of age
57
ONDANSETRON | dose
4mg IV
58
PARACETAMOL | indications
Mild/Moderate Pain/Pyrexia Severe Pain Severe Pain with Opiate Allergy
59
PARACETAMOL | contraindications
Known Allergy | Cumulative Dose
60
PARACETAMOL | dose
1g Oral/IV
61
SALBUTAMOL | indications
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
SALBUTAMOL | dose
5mg Nebulised
63
SYNTOMETRINE | indications
PPH within 24hrs of delivery unresponsive to uterine massage | Life-Threatening Haemorrhage with confirmed Miscarriage
64
SYNTOMETRINE | contraindications
``` Known Allergy Active Labour Severe Cardiac/Hepative/Renal Disease HTN and Severe Pre-Eclampsia Known/Suspected Fetus in Utero ```
65
SYNTOMETRINE | dose
500mcg IM
66
TRANEXAMIC ACID | indications
Patients with TIME-CRITICAL injury where significant Haemorrhage expected Injured patients triggering Step 1-2 on the Major Trauma Decision Tool
67
TRANEXAMIC ACID | contraindications
Isolated Head Injury Other more critical interventions required Haemostatis
68
TRANEXAMIC ACID | dose
1g in 10ml IV only | Over 10 mins or in 10 x 1 minute aliquots

Paramedic Science (2 decks)

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