Methoxyflurane (Green Whistle) Flashcards

1
Q

Presentation

A

3ml glass bottle

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2
Q

Indications

A

Pain relief

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3
Q

Contraindications

A

Pre existing renal disease or impairment
Concurrent use of tetracycline antibiotics
Exceeding the total dose of 6ml in 24 hours

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4
Q

Side Effects

A
Drowsiness
Nausea from the smell
Low blood pressure (hypotension)
Bradycardia
Renal toxicity if >6ml administered in 24 hours
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5
Q

Route (self)

A

Via penthrox inhaler
Commences after 8-10 breaths
Lasts 3-5 mins once discontinued
3ml provides 25 mins of analgesia

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6
Q

Other Notes

A

Do not administer in a confined space!

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7
Q

Type of Drug

A

Inhalation analgesic agent at low concentrations

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8
Q

Precautions

A

Patient must hold the inhaler themselves or be directly supervised by a paramedic holding it for them
Pre-eclampsia
Concurrent use with oxytocin may cause hypotension

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