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chest pain Exam prep & osce prep > Medication > Flashcards

Medication Flashcards

1
Q

Adrenaline 1:1000 indications

A

Anaphylaxis or life threatening asthma (after other treatment)

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2
Q

Arenaline 1:10 000 indications

A

Cardiac arrest or after ROSC

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3
Q

Amiadarone indications

A

Cardiac arrest with shockable rhythm

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4
Q

Aspirin indications

A

Clinical or ECG evidence of MI

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5
Q

Atropine indications

A

Bradycardia below 40 BPM
Systolic blood pressure lower than expected
Inadequate perfusion with confusion
Bradycardia after ROSC

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6
Q

Chlorphenamine indications

A

Symptomatic allergy (except anaphylaxis)

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7
Q

Dexamethasone indications

A

Croup

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8
Q

Diazepam (injection) indications

A

Symptomatic cocaine toxicity

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9
Q

Diazepam (rectal) indications

A

Symptomatic cocaine toxicity

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10
Q

Furosemide indications

A

Pulmonary oedema
Respiratory distress caused from heart failure

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11
Q

Glycerol Trinitrate indications

A

Systolic BP over 90 with angina or MI
Heart failure with uncontrolled hypertension
Cocaine toxicity with chest pain

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12
Q

Heparin indications

A

STEMI when PPCI unavailable
Given with tencteplase

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13
Q

Hydrocortisone indications

A

Severe/ life threatening asthma
COPD exacerbation

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14
Q

Ibuprofen indications

A

Mild to moderate pain
Soft tissue injury

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15
Q

Ipratropium Bromide indications

A

Severe/ life threatening asthma
Asthma unresponsive to salbutamol
COPD exacerbation unresponsive to salbutamol
Expiratory wheeze

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16
Q

Magnesium Sulphate indications

A

Severe asthma unresponsive to salbutamol
Torsades de pointes (after resus and amiodarone)

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17
Q

Metoclopramide indications

A

Nausea or vomiting
Can be given with morphine

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18
Q

Morphine indications

A

Pain from MI
Moderate to severe pain

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19
Q

Naloxone indications

A

Opiate toxicity csusing respiratory arrest/ depression

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20
Q

Nitrous Oxide indications

A

Moderate to severe pain

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21
Q

Ondansetron indications

A

Nausea and vomiting
Can be given with morphine

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22
Q

Oxygen indications

A

Hypoxaemia
Significant illness in children

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23
Q

Paracetamol indications

A

Mild to moderate pain
IV for moderate to severe pain

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24
Q

Prednisolone indications

A

Severe/ life threatening asthma
Exacerbation of COPD

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25
Q

Salbutamol indications

A

Asthma
Expiratory wheeze
Exacerbation of COPD

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26
Q

Sodium chloride indications

A

Fluid therapy for hypovolaemia
Anaphylaxis

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27
Q

Sodium lactate indications

A

Fluid therapy when sodium chloride unavailable

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28
Q

Tenecteplase indications

A

STEMI when PPCI not available
Given with heparin

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29
Q

Adrenaline 1:1000 contra indications (and cautions)

A

Do not give IV
Caution for hypertension with other medication

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30
Q

Adrenaline 1:1000 administration

A

Intra muscular

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31
Q

Adrenaline 1:1000 actions

A

Relieves bronchospasm
Reverses symptoms of anaphylaxis

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32
Q

Arenaline 1:10 000 contra indications (and cautions)

A

Hypothermia under 30
Caution for hypertension with other medication

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33
Q

Arenaline 1:10 000 administration

A

Intravenous or Intraosseous

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34
Q

Arenaline 1:10 000 actions

A

Increseases blood flow to heart

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35
Q

Amiadarone contra indications (and cautions)

A

Hypothermia under 30

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36
Q

Amiadarone administration

A

Intravenous / Intraosseous

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37
Q

Amiadarone actions

A

Antiarrythmatic

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38
Q

Aspirin contra indications (and cautions)

A

Allergy
Under 16
Bleeding/ clotting disorders
Hepatic failure
Consent
Caution for pregnancy, asthma etc.

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39
Q

Aspirin administration

A

Oral in pill form

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40
Q

Aspirin actions

A

Antiplatelet

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41
Q

Atropine contra indications (and cautions)

A

Hypothermia
Cardiac transplant

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42
Q

Atropine administration

A

Intravenous/ Intraosseous as rapid bolus

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43
Q

Atropine actions

A

Blocks vagal activity in sinus bradycardia and second/ third degree hart block to increase heart rate
Increases atrioventricular conduciton

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44
Q

Chlorphenamine contra indications (and cautions)

A

Hypersensitivity
Recent MAOI treatment
Consent
Caution for pregnancy/ breastfeeding, hypotension etc.

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45
Q

Chlorphenamine administrations

A

Oral pill/ oral solution/ intramuscular/ intravenous

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46
Q

Chlorphenamine actions

A

Antihistamine preventing/ reducing hypersensitivity reactions

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47
Q

Dexamethasone contra indications (and cautions)

A

Respiratory failure
Consent (from responsible guardian)
Caution for distressed children

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48
Q

Dexamethasone adminstrations

A

Oral solution/ oral pill

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49
Q

Dexamethasone actions

A

Corticosteroid that reduces inflamation of subglottis

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50
Q

Diazepam (injection) contra indications (and cautions)

A

Known hypersensitivity
Caution for recent CNS depressent use (includng alcohol and antidepressants)

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51
Q

Diazepam (rectal) contra indications (and cautions)

A

Known hypersensitivity
Caution for recent CNS depressent use (includng alcohol and antidepressants)

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52
Q

Diazepam administration

A

Intravenous/ Intraosseous
Rectal tube

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53
Q

Diazepam actions

A

CNS depressent to act as anticovulsant and sedative

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54
Q

Furosemide contra indications (and cautions)

A

Cardiogenic shock
Under 18 years
Renal failure
Caution for pregnancy, hypotension, hypokalaemia

55
Q

Furosemide administration

A

Intravenous

56
Q

Furosemide actions

A

Potent diuretic

57
Q

Glycerol Trinitrate contra indications (and cautions)

A

Hypotension
Hypovolaemia
Unconcious
Aortic/ mitral stenosis
Recent viagra use
Caution for posterior or right ventricular infarciton

58
Q

Glycerol Trinitrate administration

A

Sublingual spray (must be moist)

59
Q

Glycerol Trinitrate actions

A

Potent vasodilator to reduce blood pressure, relief of spasm and lower preload

60
Q

Heparin contra indications (and cautions)

A

Hypertension
Blood/ clotting disorders
Liver disease

61
Q

Heparin administration

A

Intravenous

62
Q

Heparin actions

A

Anticoagulant

63
Q

Hydrocortisone contra indications (and cautions)

A

Allergy
Adrenal crisis

64
Q

Hydrocortisone administration

A

Intravenous / Intramuscular

65
Q

Hydrocortisone actions

A

Steroid that suppresses inflamation and immune responses

66
Q

Ibuprofen contra indications (and cautions)

A

Dehydration
Hypovolaemia
Allergy
On anticoagulants
Severe heart failure
Consent
Caution for asthma, hypertension etc.

67
Q

Ibuprofen administration

A

Oral pill

68
Q

Ibuprofen actions

A

Anti-inflammatory, antipyretic and pain relief

69
Q

Ipratropium Bromide contra indications (and cautions)

A

Caution for pregnancy/ breastfeeding, COPD (nebulise under 6 mins)

70
Q

Ipratropium Bromide administration

A

Nebulised

71
Q

Ipratropium Bromide actions

A

Bronchodilator

72
Q

Magnesium Sulphate contra indications (and cautions)

A

Hypermagnesaemia
Caution for hypotension, kidney disease etc.

73
Q

Magnesium Sulphate administration

A

Intravenous

74
Q

Magnesium Sulphate actions

A

Relaxes bronchial muscles and reduces neuromuscular transpission

75
Q

Metoclopramide contra indications (and cautions)

A

Under 18
Drug overdose
Kidney failure

76
Q

Metoclopramide administration

A

Intramuscular/ Intravenous

77
Q

Metoclopramide actions

A

Anti-emetic

78
Q

Morphine contra indications (and cautions)

A

Under 1 years
Hypotension
Respiratory depression
Hypersensitivity
Caution for pregnancy, CNS depressants etc.

79
Q

Morphine administration

A

Intravenous/ intraosseous/ intramuscular/ subcutaneous/ oral solution

80
Q

Morphine actions

A

Opioid pain relief

81
Q

Naloxone contra indications (and cautions)

A

Newborns to opiate addicted mothers

82
Q

Naloxone administration

A

Intravenous/ Intraosseus/ Intramuscular/ Intranasal

83
Q

Naloxone actions

A

Reverses opiate respitory depression

84
Q

Nitrous Oxide contra indications (and cautions)

A

Pneumothorax
Decompression sickness
Caution for patients at risk of pneumo conditions

85
Q

Nitrous Oxide administration

A

Inhaled through face mask

86
Q

Nitrous Oxide actions

A

Pain relief

87
Q

Ondansetron contra indications (and cautions)

A

Newborns
Hypersensitivity
Long QT
Caution for pregnancy/breastfeeding, liver disease etc.

88
Q

Ondansetron administration

A

Intravenous/ Intramuscular

89
Q

Ondansetron actions

A

Anti emetic

90
Q

Oxygen contra indications (and cautions)

A

Explosive environments
Caution for fire hazard, defib pads can spark

91
Q

Oxygen administration

A

Inhalation through face mask

92
Q

Oxygen actions

A

Reverses hypoxia

93
Q

Paracetamol contra indications (and cautions)

A

Allergy
Check dosage already administered
Consent

94
Q

Paracetamol administration

A

Oral solution/ oral pill/ intravenous

95
Q

Paracetamol actions

A

Pain relief
Antipyretic

96
Q

Prednisolone contra indications (and cautions)

A

Hypersensitivity
Vomiting
Systemic infection
Caution for hypertension, heart failure, pregnancy/ breast feeding etc.

97
Q

Prednisolone administration

A

Oral tablet/ oral solution

98
Q

Prednisolone actions

A

Steroid that suppresses immune system and reduces inflammation

99
Q

Salbutamol contra indications (and cautions)

A

Caution for hypertension, angina etc
Limit to 6 mins nebulised for COPD

100
Q

Salbutamol administration

A

Nebulised

101
Q

Salbutamol actions

A

Relaxes smooth muscle in airways

102
Q

Sodium chloride contra indications (and cautions)

A

Not to be usd to keep vein open

103
Q

Sodium chloride administration

A

Intravenous

104
Q

Sodium chloride actions

A

Increases fluid volume to raise cardiac output

105
Q

Sodium lactate contra indications (and cautions)

A

Newborns
Diabetics
Caution for liver or kidney failure

106
Q

Sodium lactate administration

A

Intravenous/ Inraosseous

107
Q

Sodium lactate actions

A

Increases fluid volume to raise cardiac output

108
Q

Tenecteplase contra indications (and cautions)

A

See JRCALC checklist

109
Q

Tenecteplase administration

A

Intravenous

110
Q

Tenecteplase actions

A

Breaks up thrombi and emboli

111
Q

Amiodarone side effects

A

Bradycardia
Hypotension
Bronchospasm
Arrythmia

112
Q

Aspirin side effects

A

Gastric bleeding
Wheezing in asthmatics

113
Q

Atropine side effects

A

Confusion
Blurred vision
Tachycardia
Bradycardia (in small doses)

114
Q

Chlorphenamine side effects

A

Sedation
Blurred vision
GI disturbance

115
Q

Dexamethasone side effects

A

GI upset
Hypersensitivity

116
Q

Diazepam side effects

A

Respiratory depression
Hypotension
Drowsiness/ confusion

117
Q

Furosemide side effects

A

Hypotension
GI disturbance

118
Q

Glycerol trinitrate side effects

A

Hypotension
Headache
Dizziness

119
Q

Heparin side effects

A

Haemmorhage

120
Q

Hydrocortisone side effects

A

Stinging or buning on administration

121
Q

Ibuprofen side effects

A

Nausea/ vomiting
Tinnitis

122
Q

Ipratropium side effects

A

Nausea
Allergy
Tachycardia

123
Q

Magnesium sulfate side effects

A

Hypersensitivity
Electrolyte imbalance
Hypercalcaemia

124
Q

Metoclopramide side effects

A

ECG abnormalities
Drowsiness
Diarrhoea

125
Q

Morphine side effects

A

Respiratory depression
Cardiovascular depression
Nausea/ vomiting

126
Q

Naloxone side effects

A

Vomiting
Withdrawal symptoms to opiate addicted patients

127
Q

Ondansetron side effects

A

Hypotension
Bradycardia
Arrythmia

128
Q

Oxygen side effects

A

Irritation of mucous membranes
Hypercapnia in COPD patients

129
Q

Paracetamol side effects

A

Hypotension

130
Q

Salbutamol side effects

A

Tachycardia
Tremor
Palpitations

131
Q

Sodium chloride side effects

A

Can cause pulmonary oedema

132
Q

Sodium lactate side effects

A

Hypervolaemia leading to heart failure

133
Q

Tenecteplase side effects

A

Haemorrhage
Arrythmia
Hypotension
Anaphylaxis

chest pain Exam prep & osce prep (12 decks)

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