Pain relief contras Flashcards
1
Q
Paracetamol Contraindications (1)
A
- Children under 1 month of age
2
Q
Paracetamol Precautions
A
- Do not administer if given in the last 4 hours
- Max dose 4g in 24hrs (adult) or 60mg/kg (paeds)
- Risk of hepatotoxicity in following circumstances
- Impaired hepatic function / liver disease
- Elderly / frail
- Malnourished
3
Q
Paracetamol presentation
A
500mg oral tablet
Liquid (paeds)
4
Q
Morphine Presentation
A
10mg in 1mL
5
Q
Morphine contras (3)
A
- Hypersensitivity
- Renal impairment/failure
- Late second stage labour
6
Q
Morphine precautions (8)
A
CHAAMBER
- Current asthma presentation
- Hypotension
- Acute alcoholism
- Addiction - Known addiction to opioids
- MAOI’s - Pts on MAOIs
- Burns - Resp tract burns
- Elderly/frail
- Resp depression
7
Q
Fentanyl Contras (3)
A
- Serotonin syndrome
- Monoamine oxidase inhibitors (MAOIs) within the last 14 days
- Late 2nd stage labour
8
Q
Fentanyl precautions (5)
A
- Elderly/frail
- Resp depression
- Current asthma presentation
- Impaired hepatic function
- Rhinitis, rhinorrhoea, or facial trauma (IN route)
9
Q
Ketamine contras (1)
A
- Suspected non-traumatic brian injury with severe hypertension (SBP over 180)
10
Q
Ketamine precautions (1)
A
- May exacerbate CV conditions due to effects on HR and BP - eg uncontrolled hypertension, stroke, recent MI, cardiac failure
11
Q
Methoxy contras (2)
A
- Pre-existing renal disease (renal impairment or failure)
- Known or genetic susceptibility to malignant hyperthermia
12
Q
Methoxy precautions (2)
A
- Do not exceed max dose 6mL in 24 hrs (nephrotoxicity)
- Do not administer in confined space - ensure adequate ventilation in ambulance - place penthrox in closed plastic bag when not in use - limit occupational exposure
13
Q
Methoxy presentation
A
3mL vial
14
Q
Fentanyl presentation
IV, IN
A
100mcg in 2mL ampoule
250mcg in 1mL cartridge
