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ADVANCED CLINICAL CARE for PARAMEDICS > JRCALC indications > Flashcards

JRCALC indications Flashcards

1
Q

Adrenaline (ADM/ADX)

Indications

A

Cardiac Arrest (IV)
Anaphylaxis (IM)
Life-threatening Asthma with failing ventilation unresponsive to nebuliser therapy (IM)

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2
Q

Amiodarone (AMO)

Indications

A

Cardiac Arrest - shockable rhythms unresponsive to defibrillation.

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3
Q

Aspirin (ASP)

Indications

A

Adults with clinical or ECG evidence of MI or ischaemia

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4
Q

Atropine (ATR)

Indications

A

Symptomatic bradycardia in presence of any of:

  • Absolute bradycardia (pulse <40 beats per minute).
  • Systolic blood pressure below expected for age
  • Paroxysmal ventricular arrhythmias requiring suppression.
  • Inadequate perfusion causing confusion, etc.
  • Bradycardia following return of spontaneous circulation (ROSC).
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5
Q

Benzylpenicillin (BPN)

Indications

A

Suspected meningococcal disease in the presence of a non-blanching rash and signs and symptoms of meningococcal septicaemia.

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6
Q

Chlorphenamine (CPH)

Indications

A

Severe anaphylactic reactions (2ndry to ADM)

Symptomatic allergic reaction falling short of anaphylaxis but causing patient distress.

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7
Q

Clopidogrel (CLO)

Indications

A

Acute STEMI:

  • in pts not already taking clopidogrel
  • receiving thrombolytic treatment
  • anticipated thrombolytic treatment
  • anticipated Primary PCI
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8
Q

Dexamethasone (DEX)

Indications

A

Moderate/severe croup

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9
Q

Diazepam (DZP)

Indications

A
  • Fits longer than 5 mins and still fitting
  • Repeated fits - not 2ndry to hypothermia or hypoglycaemia
  • Status epilepticus
  • Eclamptic fits (if >2-3mins or recurrent)
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10
Q

Furosemide (FRM)

Indications

A

Pulmonary oedema secondary to LVF

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11
Q

Entonox (NOO)

Indications

A
  • Moderate to severe pain

- Labour pains

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12
Q

Glucagon (GLU)

Indications

A
  • Hypoglycaemia (BM <4 millimoles per litre)

- If oral glucose administration is not possible or ineffective

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13
Q

Glucose 10% (GLX)

Indications

A

Hypoglycaemia

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14
Q

Glucose 40% Oral Gel (GLG)

Indications

A

Hypoglycaemia in conscious pt with no risk of choking or aspiration

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15
Q 
Glyceryl Trinitrate (GTN)
Indications
A
  • Cardiac chest pain due to angina or MI

- Acute cardiogenic pulmonary oedema

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16
Q

Hydrocortisone (HYC)

Indications

A
  • Severe or life-threatening asthma - call to hospital time is >30mins
  • Anaphylaxis
  • Adrenal crisis
17
Q

Ibuprofen (IBP)

Indications

A
  • Relief of mild to moderate pain and/or high temperature
  • Soft tissue injuries
  • Part of balanced analgesia regimen
18
Q 
Ipratropium Bromide (IPR)
Indications
A
  • Acute severe or life-threatening asthma
  • Acute asthma unresponsive to salbutamol
  • Exacerbation of COPD unresponsive to salbutamol
19
Q 
Morphine sulphate (MOR)
Indications
A
  • Pain associated with suspected myocardial infarction (analgesic of first choice).
  • Severe pain as a component of a balanced analgesia regimen.

Adults at the End of Life

  • A patient’s own medication for pain or breathlessness has not been prescribed.
  • The patient’s own medication is not yet available or has run out.
  • Medicines are in place without a patient-specific document signed by an independent prescriber.
20
Q 
Naloxone Hydrochloride (NLX)
Indications
A
  • Opioid overdose producing resp, CVS or CNS depression.
  • Overdose of opioid analgesic or compound analgesic.
  • Unconsciousness with resp depression where opioid overdose is possible.
  • Reversal of neonatal respiratory or CNS depression where maternal opioid use during labour (unless mother is opioid addicted).
21
Q

Ondansetron (ODT)

Indications

A
  • Prevention and treatment of opioid-induced nausea and vomiting.
  • Treatment of nausea & vomiting.
  • Travel sickness in children.
22
Q

Oxygen (OXG) - High flow rate

Indications

A

Critical Illnesses (e.g.):

  • Cardiac arrest/resus
  • Major Trauma
  • Active convulsions
  • Anaphylaxis
  • Carbon monoxide poisoning
  • Hypothermia
  • Major pulmonary haemorrhage
  • Sepsis (e.g. Meningococcal septicaemia)
  • Shock
23
Q

Oxygen (OXG) - High flow rate

Indications

A

Critical Illnesses (e.g.):

  • Cardiac arrest/resus
  • Major Trauma
  • Active convulsions
  • Anaphylaxis
  • Carbon monoxide poisoning
  • Hypothermia
  • Major pulmonary haemorrhage
  • Sepsis (e.g. Meningococcal septicaemia)
  • Shock
24
Q

Oxygen (OXG) - High flow rate

Indications

A

Critical Illnesses (e.g.):

  • Cardiac arrest/resus
  • Major Trauma
  • Active convulsions
  • Anaphylaxis
  • Carbon monoxide poisoning
  • Hypothermia
  • Major pulmonary haemorrhage
  • Sepsis (e.g. Meningococcal septicaemia)
  • Shock
25
Q

Oxygen (OXG) - Moderate flow rate

Indications

A

Serious illnesses (e.g.):

  • Acute Hypoxaemia
  • Deterioration of lung fibrosis or other interstitial lung disease.
  • Acute asthma
  • Acute heart failure
  • Pneumonia
  • Lung cancer
  • Postoperative breathlessness
  • Pulmonary embolism
  • Pleural effusions
  • Pneumothorax
  • Severe anaemia
  • Sickle cell crisis
26
Q

Oxygen (OXG) - controlled or low flow rate

Indications

A
  • COPD
  • Exacerbation of cystic fibrosis
  • Chronic neuromuscular disorders
  • Chest wall disorders
  • Morbid obesity (BMI >40kg/m2)
27
Q

Oxygen (OXG) - not requiring O2 unless hypoxemic

Indications

A
  • MI & ACS
  • CVA
  • Cardiac arrhythmia
  • Non-traumatic chest pain
  • ICD firing
  • Pregnancy & obstetric emergency
  • Abdo pain
  • Headache
  • Hyperventilation
  • Most poisoning and drug overdoses
  • Metabolic & renal disorders
  • Acute and sub-acute neuro and muscular conditions
  • Post convulsion
  • GI bleeds
  • Glycaemic emergencies
  • Heat exhaustion or heat stroke
  • Paraquat poisoning
28
Q

Paracetamol (PAR)

Indications

A
  • Relief of mild/moderate pain and/or pyrexia.

- Part of balanced analgesia regimen for severe pain (IV Paracetamol)

29
Q

Salbutamol (SLB)

Indications

A
  • Acute asthma attack where normal inhaler therapy has failed.
  • Expiratory wheeze associated with allergy, anaphylaxis, smoke inhalation or other lower airway cause.
  • Exacerbation of COPD.
  • Severe breathing difficulty due to LVF (2ndary treatment)
30
Q 
Sodium Chloride (SCP)
Indications
A 
Adult fluid therapy
- Medical conditions with or without haemorrhage.
- Trauma related haemorrhage
- Burns
- Limb crush injury
Child fluid therapy
- Medical conditions
- Trauma related haemorrhage
- Burns
Flush
31
Q

Syntometrine (SYN)

Indications

A
  • Postpartum haemorrhage within 24hrs of delivery where uterine massage is ineffective.
  • Miscarriage with life-threatening bleeding and a confirmed diagnosis.
32
Q 
Tranexamic Acid (TXA)
Indications
A
  • Time-critical injury where suspected internal or external haemorrhage.
  • injured pt’s fulfilling step 1 or step 2 trauma triage protocol.

ADVANCED CLINICAL CARE for PARAMEDICS (4 decks)

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