Medication primary Indications

Question 1

Adrenaline

Answer 1

1.Cardiac arrest- VF/VT, Asystole or PEA
2.Shock
3.Bradycardia with poor perfusion
4.Anaphylaxis
5.Severe Asthma
6.Croup

Question 2

Aspirin

Answer 2

ACS

Question 3

Ceftriaxone

Answer 3

1.Suspected Meningococcal septicaemia
2.Severe Sepsis

Question 4

Dexamethasone

Answer 4

1. Bronchospams (severe adult, critical paed, Anaphylaxis as additonal therapy)
2. croup
3. COPD
4. Stridor
5. Severe COVID 19

Question 5

Dextrose 10%

Answer 5

BGL<4 in patients altered conscious

Question 6

Droperidol

Answer 6

Moderate agitation or behavioural disturbance

Question 7

Fentanyl

Answer 7

1. to facilitate Intubation
2. To maintain intubation
3. To facilitate transthoracic pacing
4. To Facilitate synchronised cardioversion
5. CPR interfering patient
6. Analgesia

Question 8

Glucagon

Answer 8

1. BGL <4 and altered conscious
2. Anaphylaxis adult who remains hypotensive following adrenaline and past hx of heart failure and taking betablockers

Question 9

GTN

Answer 9

1. Chest pain (ACS)
2. Hypertension (ACS)
3. APO
4. AD
5. Preterm Labour

Question 10

Heparin

Answer 10

Acute Stemi

Question 11

Hydrocortison

Answer 11

Acute adrenal Insufficency

Question 12

Ipratropium Bromide

Answer 12

1. severe resp distress associated with bronchospasm
2. Exacerbation of COPD

Question 13

Ketamine

Answer 13

1. Intubation
2. Analgesia
3. Sedation (agitation, patient movement)

Question 14

Lignocaine

Answer 14

Local anaesthetic to reduce pain associated with
-IM Cef
-Needle thoracostomy
-IO medication administration

Question 15

Methoxyflurane

Answer 15

Analgesia

Question 16

Midazolam

Answer 16

1. status epilepticus
2. Sedation to maintain intubation
3. To facilitate intubation
4. To facilitate synchronised cardioversion
5. To facilitate transthroacic pacing
6. Sedation in the agitated patient
7. Sedation in psychostimulant OD
8. Alcohol withdrawal syndrome

Question 17

Morphine

Answer 17

1.Analgesia
2.Sedation to maintain intubation
3.Sedatiom to facilitate intubation where fentanyl not appropriate)

Question 18

Naloxone

Answer 18

1.Altered Conscious state and resporatory depression secondary to administration of opioids or related drugs

Question 19

NS

Answer 19

1.As replacement if volume depleted patients
2.Cardiac arrest secondary to hypovalemia or where patient may be fluid responsive
3.To expand Intravascular volume in the non-cardia, non hypovalemic hypotensive patient e.g. burns, anaphylaxis, sepsis
4.Fluid challenge in Asthma
5.TKVO
6.Fluids for diluting medication

Question 20

Olanzapine

Answer 20

Mild agitation

Question 21

Ondansetron

Answer 21

1. Undifferentiated N&V
2. Prophylaxis

Question 22

Oxytocin

Answer 22

PPH

Question 23

Paracetamol

Answer 23

1.Mild pain or in combination
2.Headache

Question 24

Prochlorperazine

Answer 24

1.N&V in patient >21y with allergy to ondans or vestibular nausea
2.headache (Irrespective of nausea/vomiting

Question 25

Salbutamol

Answer 25

1. Respiratory distress with suspected bronchospasm
2. Hyperkalaemia

Question 26

Tenecteplase

Answer 26

Acute STEMI

Question 27

Tranexamic Acid

Answer 27

1.Severe Postpartum Haemorrhage
2.Severely Injured patients at risk of acute traumatic coagulopathy