Jrcalc - Drug Know How Flashcards
What is the presentation of midazolam
Oral solution
2.5, 5, 7.5, 10mg
What is the max dose for ipratropium bromide
500mcg in 2ml
One max dose
What is the recommended oxygen need for effective nebulisation
6-8 litres
What is the dosage of ipratropium bromide
500mcg in 2ml
One dose = max dose
In COPD patients nebuliser should be limited to how much time
6 minutes before reassessment
Side effects of ipratropium bromide
Proxmal chest tightness
Allergic reaction
Tachycardia
Sickness
What is the action of ipratropium bromide
Bronchodilator - by working as a antimuscarinic
May have more benefit in paediatric asthma / adult COPD
What are the indicators for ipratropium bromide
Asthma - life threatening/ moderate
Asthma/ COPD - non responsive to salbutamol
Ibuprofen can be given with caution in which patient apart from asthma patients
Chron/ ulcerative colitis - may cause exacerbation
Patient with coagulation problems
Hypertension
what are the Contraindications for ibuprofen
Hypovolemic
Kidney problems
Gi problem - ulcers
Pregnancy - last 1/3
Chickenpox (children)
Allergic
If they had any other NSAID
Why should a clinician make sure a patient has eaten before giving ibuprofen.(NSAID)
As this drug disrupts the gastric lining causing ulcers - eat first = that creates a barrier
What drug can be given to asthma patient with caution
Asprin and ibuprofen (NSAIDS) due to chance of bronchoconstriction
- prostaglandin
What are the action of ibuprofen
Anti-pyrexia
Analgesia
Anti inflammatory*****
What is the indicator for ibuprofen
Pain
Pyrexia with discomfort
Soft tissue injury’s
What is the maximum dosage for ibuprofen
1.2g
3× 400mg dosage = 1.2g
3 dosage in a 24hour period
What is the dosage interval for ibuprofen
8 hours
What is the dosage of ibuprofen
400mg
Is there a repeat dosage after the initial 200mg of hydrocortisone in patient with anaphylaxis
No
One max dose
Is there a repeat dosage after the initial 100mg of hydrocortisone in patient with life threatening asthma
No
One max dose
What is the dosage of hydrocortisone for patients in anaphylaxis
200mg in 2ml
200mg in 4ml
What is the dosage of hydrocortisone of patients in life threatening asthma
100mg given over 2 minutes IV PREFERABLY
Or
IM
Is there a toxic dose for hydrocortisone
No
HOWEVER
Under PGD’s there is a max dosage
Which patient should be administered IM hydrocortisone
Those with suspected adrenal insufficient
Those who are at risk of adrenal insufficient such as patients who are unwell due to long term steroid use
When should hydrocortisone be administered in patient with confirmed adrenal crisis
As soon as - prior to conveyance