PARA1006 Flashcards

(73 cards)

1
Q

When do you use Adrenaline IM

A

Life threatening asthma

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2
Q

Contraindications for adrenaline

A

Heart problems

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3
Q

How does adrenaline come

A

1mg/1ml glass ampoule

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4
Q

Dosage of IM adrenaline

A

Adults: 500 microg
Paeds: 10 microg/kg up to 500 mg

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5
Q

When do you use adrenaline NEB

A

Croup

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6
Q

Dosage of adrenaline in a NEB

A

<6 months: 2.5mg

>6months: 5mg

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7
Q

How do you prepare adrenaline NEB

A

Draw up 5mL and eject into nebuliser bowl

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8
Q

How to administer NEB adrenaline

A

8-10L/min O2

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9
Q

What system is affected by the administration of adrenaline

A

Sympathetic nervous system

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10
Q

When do you use aspirin

A

Chest pain

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11
Q

Contraindications of aspirin

A

Allergies

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12
Q

Dosage of aspirin

A

300mg

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13
Q

How do you administer aspirin

A

Ask patient to chew one 300mg tablet

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14
Q

When do you administer benzyl penicillin

A

Meningococcal

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15
Q

Contraindications of benzylpenicillin administration

A

Allergy to penicillin

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16
Q

How does benzyl penicillin come

A

1200mg glass vial

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17
Q

Dosages for benzyl penicillin

A

> 10 y/o: 2400mg
<9y/o: 1200mg
<1y/o: 600mg
Once only

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18
Q

How do you prepare benzyl penicillin

A

Reconstitute with 3.2mL with sterile H2O for a total volume of 4mL

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19
Q

How is benzylpenicillin administered

A

IM

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20
Q

What to keep an eye on after administration of benzyl penicillin

A

Drop in BP

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21
Q

When do you give fentanyl

A

Pain

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22
Q

Contraindications of fentanyl

A

Reduced GCS

Under 16 years old

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23
Q

How does fentanyl come

A

Nasal actuator

250mg/1mL

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24
Q

Dosage of IN fentanyl

A

Up to 200 microg every 5 minutes to max of 400 microg

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25
How do you administer IN fentanyl
Attach actuator to medication and prime with one spray alternating nostrils
26
When do you use glucagon
Patient has low BGL and can’t swallow
27
Dosage of glucagon
1mg
28
How to administer glucagon
Reconstitute with 1ml sterile H2O for total volume of 1ml IM
29
When do you use glucose paste
Patient had low BGL and can swallow
30
Dosage of glucose paste
15g
31
When do you use GTN spray
Ischaemic cardiac chest pain | APO
32
Contraindications of GTN
Low BP Tachycardia Taken erectile dysfunction medication in previous 24h
33
Dosage of GTN spray
400 microg/spray 1 spray every 5 mins as needed with adequate BP and HR
34
When do you give ipratropium (INH)
Moderate asthma
35
Contraindications of ipratropium
Allergy
36
How does ipratropium INH come
Metered dose inhaler (MDI) 21 microg/spray
37
Dosage of ipratropium
21microg up to 168microg (max 8 sprays)
38
How to administer ipratropium INH
Attach MDI to spacer and prime with 1 spray | 4 breaths per spray
39
What system does ipratropium effect
Parasympathetic nervous system
40
When do you use ipratropium NEB
Severe asthma
41
How does ipratropium NEB come
500microg/1mL plastic nebule
42
Dosage of ipratropium NEB
500microg given once with salbutamol neb
43
How to administer ipratropium NEB
Pour into neb bowl | 8-10L/min O2
44
When do you use methoxyflurane
Pain
45
Contraindications of methoxyflurane
Severe kidney dysfunction
46
Dosage of methoxyflurane
3mL
47
When do you use midazolam
Seizures (lasting longer than 5 mins, when causing harm, or when causing airway problems)
48
Contraindications of midazolam
Partial or absent seizures
49
How does midazolam come
5mg/5ml glass ampoule
50
Dosage of midazolam
0.1mg/kg up to 10mg (repeat for further seizures)
51
How to administer midazolam
Draw up required volume for patient weight | 5mL max volume per injection site, rotate sites
52
When do you administer Naloxone
Opiate overdose
53
How does Naloxone come?
400 microg/ 1ml glass ampoule
54
Dosage for Naloxone IN
120 microg every 30-60 secs
55
How to administer Naloxone IN
Draw up 0.3ml for dose plus 0.1ml to prime | Eject dose into nostril
56
Dosage for Naloxone IM
400 microg every 1-2 min as needed
57
How to administer Naloxone IM
Draw up 1ml
58
When to administer ondansetron
Nausea and vomiting
59
Contraindications for ondansetron
<2 years
60
How does ondansetron come
4mg/2ml glass ampoule
61
Dosage of ondansetron
4mg repeat as needed to max 8 mg
62
How to administer ondansetron
Draw up 2ml
63
When to administer Panadol
Pain
64
Contraindications of Panadol
Had within the previous 4 hours
65
How does Panadol come
Either in 500mg tablets or in a 60ml bottle with 50mg/ml
66
Dosage of Panadol
1000mg (2 tablets) | Paeds: 15 mg/kg up to 1000mg
67
When to administer salbutamol INH
Mild asthma
68
When to administer salbutamol NEB
Severe asthma
69
Contraindications for salbutamol
Allergies
70
Dosage of salbutamol INH
100 microg up to 1200microg (max 12 sprays) 4 breaths per spray
71
Dosage of salbutamol NEB
15mg nebulised 8-10L O2/min
72
What are the 5 mandatory registration standard all paramedics must meet to register with AHPRA
1. Continuing professional development 2. Criminal history check 3. English language skills 4. Professional indemnity insurance arrangements 5. Regency of practice
73
To meet the regency of practice standards how many hours do you need to complete
450 hours in 3 years 150 hours in 12 months 750 hours in 5 years with no continuous absence of greater than 2 years