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Paramedic science > Medications > Flashcards

Medications Flashcards

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1
Q

Prior to administration of drugs what requires to be checked

A

5 R’s Indication
Right patient Contraindication
Right drug Cautions
Right dose
Right route
Right time

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2
Q

Adrenaline 1 in 1000

A

Drug action.
Acts on alpha and beta receptions increasing heart rate and oxygenation, promotes vasodilation and vasoconstriction

Indication
Anaphylaxis
Life threatening asthma

Cautions
Hypertension - patients who take channel blockers
Only to be given IM

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3
Q

Adrenaline 1 in 10,000

A

Indication
Cardiac arrest - Non shockable immediately / after 3rd shock in shockable
Post ROSC

Caution
Do not give to patients who are hyperthermic - less than 30 degree

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4
Q

Amiodarone

A

Drug action
Acts as an anti arrhythmia drug helping treat arrhythmias such as VT / VF

Indication
Cardiac arrest - Shockable rhythm after the 3rd shock and 5th shock.

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5
Q

Atropine

A

Drug action
Inhibits over stimulation of the vagal system within the heart.

^ vagal stimulation = Decreased heart rate

Indication
Bradycardia (HR>40)

Caution
Heart transplant / Hypothermia

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6
Q

Aspirin

A

Drug action
Inhibits the acts of proglabastin which include pain, inflammation and blot clotting.

Indication
ECG evidence of Myocardial infarction/ ischemia
Evidence of TIA

Caution
Anybody >16 yo, allergy, Known GI bleed, blood clotting condition.

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7
Q

Cefotaxime

A

Drug action
An antibiotic that interferes with bacterial cell well synthesis and causes bacterial death
Indication
Indicated in suspected meningitis where benzylpenicillin cannot be used
Indicated for long bone open fractures
Contraindication
Known Allergy

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8
Q

Benzylpenicillin

A

Indicated
Suspected meningitis

Caution
Allergy to penicillin

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9
Q

Clopidegral

A

Drug action
Clopidegral is a blood thinner that acts by stopping platelets from sticking together

Indicated
Clopidegral is indicated in STEMI patients over the age of 18 years old

Contraindication.
Known Internal bleeding

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10
Q

Chlorophenamine

A

Drug action
Chlorophenamine is an antihistamine that works by blocking the effects of histamine.

Indicated
Symptomatic stable allergic reaction
Anaphylaxis where all treatment has been completed successfully and patient can not take oral meds.

Contraindication
Known allergy

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11
Q

Dexamethasone

A

Drug action
Acts as a cortisosteriod helping to reduce inflammation.

Indicated in croup in children

Avoid with known allergy

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12
Q

Diazepam

A

Drug action
Acts by increasing the amount of GABA therefore increasing muscle relaxation, reducing anxiety and increasing drowsiness

Indicated in convulsions lasting more than 5 minutes, or 3 or more convulsions in a hour and still seizing.
Eclamptic convulsions lasting more than 2 minutes, or repeated convulsions. Symptomatic cocaine toxicity where patient has chest pain, hypertension or convulsions.

Contraindication
Known allergy.

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13
Q

How much adrenaline 1 in 1000 do you give

A

500 micrograms

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14
Q

How much adrenaline 1 in 10000 do you give

A

1mg

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15
Q

How much amiodarone do you give

A

300mg 3rd shock 150 5th shock

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16
Q

How much atropine do you give

A

600mg

17
Q

How much aspirin do you give

A

300mg

18
Q

How much benzylpenicillin do you give

A

1.2g

19
Q

How much Cefotaxime do you give

A

2g

20
Q

How much Clopidegral do you give

A

300mg (<75) 75mg (>75)

21
Q

How much Chlorophenamine do you give

A

10mg

22
Q

How much Dexamethasone do you give

A

6mg

23
Q

How much diazepam do you give

A

Rectal - (>70) 10mg (<70) 20mg (11-5) 10mg (<4) 5mg

IV/IO - 10mg

24
Q

Furosemide

A

Drug action
Acts as a diuretic which removes extra fluid from the body
Indicated
Respiratory distress due to acute heart failure. Pulmonary odema
Contraindication
Cardiogenic shock, <18 yo. Liver cyrosis.

25
Q

How much furosemide do you give ?

A

40mg

26
Q

Glucagon

A

Drug action
Glucagon promotes the breakdown of glycogen to glucose within the liver
Indicated
Hypoglycaemia where Oral or IV access is not possible.
Contraindication
Do not ever give IV

27
Q

How much glucagon do we give?

A

1mg

28
Q

Glucose 10%

A

Drug action
Provides the body with more glucose
Indication
Hypoglycaemia where oral access is not available due to low GCS ( conscious level )
Contraindication
Never give IM or subcut

29
Q

How much glucose 10% do we give ?

A

10g per 100ml

30
Q

Glucose 40%

A

Drug action
Provides the body with more glucose
Indication
Given to hypoglycaemia in conscious patients where there is no risk of chocking.

31
Q

How much glucose 40% do we give ?

A

10-20g ( 1-2 tubes )

32
Q

Heparin

A

Drug action.
Initiates rapid anticoagulant properties
Indicated
ST elevation where PPCI are involved

33
Q

How much heparin do we give ?

A

4000-5000 units depending on weight

> 67 kg 4000. <67 kg 5000

34
Q

Hydrocortisone

A

Drug action
Works as a corticosteroid with anti inflammatory properties and vasodilation
Indicated
Life threatening asthma, acute COPD, Adrenal crisis
Contraindication
Allergy

35
Q

How much hydrocortisone do we give ?

A

100mg

36
Q

Ipatroprium bromide

A

Drug action.
A bronchodilator with long term affects.
Indication
Acute asthma and copd with salbutamol being in affective.

37
Q

How much Ipatroprium bromide do we give?

A

500 micrograms.

38
Q

Ibruprofen

A

Drug action.
Inhibits cyclogenase which is involved in pain and fever.
Indications.
Relief of mild to moderate pain/ fever.

Paramedic science (3 decks)

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