Medications

Question 1

Adrenaline (1mg/ml)

Answer 1

Contraindications: Nill
Indication: Anaphylaxis / severe asthma
Route: IM
Dose:0.5mg
initial volume of dose: 0.5ml - 1:1000

Question 2

Asprin (300mg tablet)

Answer 2

Contraindications: Known hypersensitivity to asprin / salicylates
Indication: Chest pain/discomfort of presumed cardiac arest
Route: PO
Dose: 300mg
initial volume of dose: 1 tablet

Question 2

Cophenylcaine (lignocaine 50mg/ml, phenylephrine 5mg/ml)

Answer 2

Contraindications: hypersensitivity, pregnancy
Indication: Local pain/abrasions, mild-moderate epistaxis, post tonsillectomy, haemorrhage, intra-oral haemorrhage
Route: In / PO/ topical
Dose: 10 sprays (topical 5 sprays)
initial volume of dose: 1 spray

Question 3

Fentanyl (450mcg/1.5ml IN)

Answer 3

Contraindications: Hypersensitivity to fentanyl, occluded nasal passages
Indication: moderate to severe pain (smalll/elderly/ frail + moderate to severe pain (adult)
Route: IN
Dose: 120mcg for frail, 180mg for adult
Initial volume of dose: 2x0.2ml for frail, 3 o.2ml for adult

Question 4

Glucagon

Answer 4

Contraindications: hypersensitivity, known pheochromocytoma
Indication: Hypoglycaemia (2nd line agent), hypoglycaemia (1st line agent if patient is able to swallow)
Route: PO
Dose: 15mg
Initial volume of dose: single tube

Question 5

Glucose Gel

Answer 5

Contraindications: NILL
Indication: Hypoglycaemia (1st line agent if patient is able to swallow)
Route: PO
Dose: 15g
Initial volume of dose: single tube

Question 6

Glyceryl Trinitrate

Answer 6

Contraindications: Hypersensitivity, Hypotension <90mmHg: recent use of erectile dysfunction medications
Indication: Chest pain/discomfort of presumed cardiac origin, systolic BP>90mmHg; ACPO systolic BP>90mmHg; autonomic Dysreflexia, systolic BP>160mmHg
Route:SL
Dose: 400mcg
Initial volume of dose: 1 spray

Question 7

Ketamine Water

Answer 7

Contraindications: Hypersensitivity, active cardiovascular disease including cardiac chest pain, heart failure, severe or poorly controlled hypotension
Indication: 2nd line agent for moderate-severe pain
Route: PO
Dose: 50mg
Initial volume of dose: 2 x 25mg wafer

Question 8

Methoxyflurane

Answer 8

Contraindications: patient unable to understand, severe renal impairment, head injury and altered consciousness preventing co-operation, hypersensitive
Indication: Pain
Route: IH
Dose: 3ml
Initial volume of dose: 3ml

Question 9

Ondansetron

Answer 9

Contraindications: Hypersensitivity
Indication: Nausea/vomiting. Prophylaxis for eye and spinal injuries
Route: PO
Dose:4mg
Initial volume of dose: 1 wafer

Question 10

Paracetamol

Answer 10

Contraindications: Known hypersensitivity to paracetamol
Indication: Mold to moderate pain / headache
Route: PO
Dose: 500-1000mg
Initial volume of dose: 1-2 tablets