Medications Flashcards
What do we use Adrenaline 1:1000 for?
- Anaphylaxis
- Life threatening asthma
What is the ADULT dosage for adrenaline 1:1000
500mcg (0.5ml)
How is adrenaline 1:1000 administered?
IM
What bag is adrenaline 1:1000 in?
Black bag
What is the dosage for adrenaline 1:10,000 in cardiac arrest
1mg (10ml)
What is the dosage for adrenaline 1:10,000 for POST ROSC
50-100mcg (0.5-1ml)
How do we give adrenaline 1:10,000
IV
What bag is the adrenaline 1:10,000 in?
Cardiac bag - green
What are the indications for POST ROSC adrenaline
POST ROSC BP of less than 100mmHg
What are the special circumstances for adrenaline 1:10,000 in cardiac arrest
HYPOTHERMIA
- do not administer if temperature <30°c
- HALF the dose (5mg/5ml) OR DOUBLE the time interval (6-10 minutes) if temp between 30-35°c)
What is the route of adrenaline 1:10,000
IV / IO
What do we use amiodarone for?
Shockable rhythms in cardiac arrest (VF/VT)
(works as an anti-arrhythmic)
What is the dosage for amiodarone
After 3rd shock - 300mg
After 5th shock -150mg
(only 2 doses)
What bag is the amiodarone in?
Cardiac bag- green
What is the route of amiodarone
IV / IO
What do we use aspirin for?
-Myocardial infarctions / ECG suggesting ischemia
- TIA
What id the dose for Aspirin
300mg
What bag is the aspirin kept in?
Red bag
What is the route of aspirin
oral tablet
-Chewed in MI
What is atropine used for?
Symptomatic bradycardia and bradycardia POST ROSC
What is the dose of atropine?
600mcg (1ml) every 3-5 mins
What bag is the atropine in?
Red
What is the route of atropine
IV
What is Benzylpenicillin (BenPen) used for?
Suspected meningitis
What is the dose of BenPen?
1200mg / 1.2g
What bag is the BenPen in?
Red bag
What is the route of Ben Pen
IV / IM
What is Chlorphenamine used for?
-Symptomatic allergic reactions
- Anaphylaxis (after giving adrenaline)
What is the dose of Chlorphenamine
10mg
What bag is chlorphenamine in?
black
What is the route of chlorphenamine
IV / IM
What is co-amoxiclav used for?
- open fractures
- traumatic amputation
-blast injuries with underlying fractures
(WITHIN 3 HOURS OF INJURY)
What is the dose of co-amoxiclav?
1.2g over 3-4 minutes
Who carries co-amoxiclav?
-HART
-SP
-sometimes FRV
What is the route of co-amoxiclav
IV
What is dexamethasone used for?
Croup
What is the dosage of dexamethasone?
2mg
What bag is the dexamethasone in?
Black bag / on the FRV
What is the route of dexamethasone?
tablet / oral
What is diazepam used for
-prolonged convulsions (longer than 5 mins0
-3 or more convulsions in and hour and currently fitting
-eclamptic convulsions
-symptomatic cocaine toxicity
What is the dosage of diazepam
10mg
(MAX DOSE-20mg)
What is the route of diazepam
rectal or IV
What bag is diazepam in?
BLUE
Why do we use entonox?
-pain
-labour
What are the contraindications of entonox
- chest injury
-head injury with reduced GCS
-Decompression sickness (DIVING)
-Abdominal pain with suspected obstruction
What is furosemide used for
pulmonary oedema
respiratory distress due to HF
What is the dose of furosemide
40mg
What bag is the Furosemide in?
black
What is glucogel used for?
Hypoglycaemia (in a patient that can swallow)
What is the dosage of glucogel
10-20g
What bag is the glucogel kept in?
RED
What route do we give glucogel?
Oral
What is Glucagon used for?
Hypoglycaemia
- patients that are unable to swallow / reduced GCS
What is the dosage of glucagon
1mg
What route do we give glucagon
IM
What bag is the glucagon in?
Red
What is Glucose 10% used for
Hypogylcemia
patients that have reduced GCS and are unable to swallow
Route of Glucose 10%
IV / IO
What is the dose of Glucose 10%
10 g (100ml)
MAX DOSE - 30g (300ml)
What is GTN used for
-Chest pain in MI (BP above 90 mmHg)
- breathlessness in heart failure with BP above 110mmHg
-cocaine toxicity
What is the dose of GTN
400mcg per spray
What bag is the GTN kept in?
red
What route do we give GTN
sublingual
What is hydrocortisone used for?
- severe / life threatening asthma
- Acute COPD exacerbation
-Adrenal crisis
-prevention of adrenal crisis in Addisons patients with trauma or acute illness
What is the dosage of Hydrocortisone
100mg
(reconstituted with 2ml of Water for Injection)
What route do we give hydrocortisone
IM / IV
what bag is the hydrocortisone in
Black
What is ibuprofen used for?
- pain
-pyrexia
What dose is ibuprofen
400mg
what bag is ibuprofen in?
red
What is ipratropium bromide used for
-severe / life threatening asthma
- asthma unresponsive to salbutamol
-COPD
What is the dose of ipratropium bromide
500mcg
What bag is ipratropium in?
black
What is misoprostol used for
- post partum haemmorhage
-life threatening bleeding less than 24 weeks pregnant in confirmed miscarriage
Dose of misoprostol
800mcg
Route to give misoprostol
sublingual
rectal
what bag is misoprostol in
pretty sure its not on the truck and its FRVs that carry it
What is morphine used for
- Severe pain
- Chest pain associated with MI
-EoL
What is the dosage of morphine
10-20mg
What route is morphine given
IV / IM
Where is morphine kept?
vehicle safe
What is naloxone used for
opioid overdose / toxicity with respiratory arrest / depression
What is the dose of naloxone
400mcg
What bag is naloxone kept in
RED
What route do we give naloxone
-intranasally
-IM
-IV
What is ondansetron used for
prevention and treatment of nausea and vomiting
What is the dose of ondansetron
4mg
What route do we give ondansetron
IV / IM
What bag is ondansetron kept in
Red
What is salbutamol used for
Expiratory wheeze
-asthma
-COPD
-allergy
-other lower airway cause
What dose is salbutamol
5mg
What bag is salbutamol in
Black
What is TxA used for?
suspected / severe haemorrhage in the following
- trauma
-head injury with GCS less than 12
-time critical injuries
-Post partum (heammorhage)
- any patient you have used a tourniquet on
What is the dose of TxA
1g (10ml)
What bag is Txa in
BLUE