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LIVES Level 4 PMA > LIVES Level 4 Adrenaline PMA > Flashcards

LIVES Level 4 Adrenaline PMA Flashcards

Adrenaline Auto-Injector, Prescription Medicine Authorisation for LIVES Level 4

1
Q

Adrenaline Auto-Injector

Inclusion Criteria
3 Criteria

A
  • Sudden onset and rapid progression of symptoms
  • Life threatening Airway and/or Breathing and/or Circulatory Problems
  • Skin and/or mucosal changes (flushing, uticaria, angioedema)
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2
Q

Anaphylaxis ABCDE Assessment: Airway

3

A

Swelling
Hoarseness
Stridor

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3
Q

Anaphylaxis ABCDE Assessment: Breathing

5

A 
Tachypnoea
Wheeze
Fatigue
Cyanosis
SpO2 < 92%
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4
Q

Anaphylaxis ABCDE Assessment: Circulation

4

A

Pale & Clammy
Hypotensive
Faintness

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5
Q

Anaphylaxis ABCDE Assessment: Disability

2

A

Confusion

Drowsy or Comatose

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6
Q

Anaphylaxis ABCDE Assessment: Pt Hx

1

A

Exposure to known allergen

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7
Q

Percentage of anaphylaxis patients with subtle or absent skin / mucosal changes

A

20%

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8
Q

Adrenaline Auto-Injector
Exclusion Criteria
(1)

A

Known allergy to adrenaline

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9
Q

Adrenaline Auto-Injector
Cautions - Medical History
(11)

A 
Arrhythmias
Heart Disease
Hypertension
Phaeochromocytoma
Hyperthyroidism
Diabetes Mellitus
Cerebrovascular Disease
Cerebral Arteriosclerosis
Narrow Angle Glaucoma
Pregnancy

Hypothermic patients (do not give repeat doses)

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10
Q

Adrenaline Auto-Injector
Cautions - Medications
(3)

A

Antidepressants
Non-Selective Beta Blockers
Cocaine Users

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11
Q

Adrenaline Auto-Injector

Legal Status

A

Prescription Only Medicine
Covered by Schedule 19 of Human Medicines Regulations 2012: Can be administered by non-healthcare professionals in an emergency

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12
Q

Adrenaline Auto-Injector

Medication Name

A

Adrenaline (Epinephrine) 1:1000 solution for injection

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13
Q

Adrenaline Auto-Injector

Route of Administration

A

Intramuscular Injection
(preferably anterolateral thigh or upper arm)

Inject IM, hold for 10 sec, rub injection site for 10 sec

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14
Q

Adrenaline Auto-Injector

Adult (> 12 yrs) Dose

A

0.3 mg

Repeat at 5 min intervals according to Pt response to Rx

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15
Q

Adrenaline Auto-Injector

Child (2-11 yrs) Dose

A

0.15 mg

Repeat at 5 min intervals according to Pt response to Rx

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16
Q

Adrenaline Auto-Injector

Child (< 2 yrs) Dose

A

NOT SUITABLE FOR ADMINISTRATION TO CHILD UNDER 2 YEARS

17
Q

Adrenaline Auto-Injector

Monitoring of Patient Response

A 
Monitor:
Blood Pressure
Pulse Rate
Respiratory Rate
SpO2
18
Q

Adrenaline Auto-Injector
Adverse Effects
(10 named on PMA)

A 
(Sympathetic NS Effects)
Anxiety
Nausea
Tremor
Sweating
Tachycardia
Vomiting
Headache
Dizziness
Cold Peripheries
Dyspnoea
19
Q

Adrenaline Auto-Injector

Follow Up Patient Advice

A

Explain Rx and Actions
Warn of Biphasic Anaphylaxis
Discuss Cause

20
Q

Adrenaline Auto-Injector

Actions if Pt Excluded

A

Contact LIVES desk immediately

Call 999 to escalate call to highest priority

LIVES Level 4 PMA (7 decks)

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