Meds Flashcards
Dose and route of adrenaline
500 mcg
IMI
Indication of adrenaline
Anaphylactic shock
Contraindications for adrenaline
Nil
Side effects of adrenaline
Palpations Tachycardia Hypertension Anxiety Restlessness Pupil dilation Tremor
Onset of adrenaline
1-3 minutes
Peak of adrenaline
3-10 minutes
Duration of adrenaline
10-30 minutes
When can you repeat adrenaline
3-5 minutes
Dose of methoxyflurane
3ml
Indication for methoxy
Moderate to severe pain >5
Contraindications for methoxy
Hypersensitive Head injury RR <10 Kidney disease Pregnancy
Side effects of methoxy
Cough
Drowsy
Dizzy
Hypotension
Onset of methoxy
1-3 minutes
Duration of methoxy
5-20 minutes
When can you repeat methoxy
20 mins
Consideration for methoxy
Must be able to self administer
Max dose of methoxy
6ml
Dose of morphine
7.5 or 5mg
IMI
Indication for morphine
Severe pain over 7
Contraindications for morphine
Hypersensitivity
Head injury
RR under 8
BP under 90
Side effects of morphine
Hypotension Respiratory depression Nausea Drowsiness Loss of consciousness Pin point pupils
Onset of morphine
5-10 minutes
Peak of morphine
25 -40 mins
Duration of morphine
1-3 hours
When can you repeat morphine
20 mins
Considerations for morphine
Must have naloxone
Ensure monitoring of abc and neuro
Dose of naloxone
IMI 0.2mg
Indication for naloxone
RR under 10 BP under 80 or LOC following morphine administration
Contraindications for naloxone
Hypersensitive
Side effects of naloxone
Return of pain Vomiting Sweating Tachycardia Hypertension
Onset of naloxone
2-5 mins
Peak of naloxone
10-15 mins
Duration of naloxone
60-90 mins
When can you repeat naloxone
2-3 mins if RR under 12
Consideration for naloxone
Respiratory depression may reoccur as half life shorter than morphine
Max dose of naloxone
2mg
Dose of salbutamol
100mcg 4/4/4
Neb 2.5 or 5mg
Indication for salbutamol
Wheeze due to asthma or allergies
Contraindications for salbutamol
Hypersensitive
Side effects of salbutamol
Fine tremors of skeletal muscle
Anxiety
Tachycardia
Onset of salbutamol
Rapid
When can you repeat salbutamol
20-30 minutes or sooner for first hour as needed
Consideration for salbutamol
May induce non responsive state
Dose of ondansetron
4mg
IMI PO
Indication for ondansetron
Nausea and vomiting
Contraindications for ondansetron
Hypersensitive
Side effects of ondansetron
Headache Flushing Hypertension Transient blindness Sedation Arrhythmia
Onset of ondansetron
Rapid
Peak of ondansetron
40 minutes
Duration of ondansetron
4 hours
Consideration for ondansetron
Use with care on people with impaired liver function, elderly or pregnant
What are the 3 care categories in TCCC
Care under fire
Tactical field care
Tactical evacuation care
What are the priority categories and times
Urgent - under 1 hour
Priority- 2-6 hours
Routine - under 24 hours
Signs of hypovolemic shock
Cool pale moist skin
Reduced bp
High hr weak
Signs decreased icp
Cushings triad
Increased bp
Decreased hr
Cheyenne stokes breathing
Altered mental state
Signs of base of skull fracture
Raccoon eyes
Battles sign
ICF from ears and nose
Pain
Cause of spinal injury
Fall 3 m Object fall in you 3 m MVA 60km Motorcycle 30km Pedestrian hit my car Dive shallow water Unconscious not sure why
