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PARA1006 Flashcards

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
Q

How do you administer IN fentanyl

A

Attach actuator to medication and prime with one spray alternating nostrils

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26
Q

When do you use glucagon

A

Patient has low BGL and can’t swallow

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27
Q

Dosage of glucagon

A

1mg

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28
Q

How to administer glucagon

A

Reconstitute with 1ml sterile H2O for total volume of 1ml

IM

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29
Q

When do you use glucose paste

A

Patient had low BGL and can swallow

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30
Q

Dosage of glucose paste

31
Q

When do you use GTN spray

A

Ischaemic cardiac chest pain

APO

32
Q

Contraindications of GTN

A

Low BP
Tachycardia
Taken erectile dysfunction medication in previous 24h

33
Q

Dosage of GTN spray

A

400 microg/spray

1 spray every 5 mins as needed with adequate BP and HR

34
Q

When do you give ipratropium (INH)

A

Moderate asthma

35
Q

Contraindications of ipratropium

36
Q

How does ipratropium INH come

A

Metered dose inhaler (MDI) 21 microg/spray

37
Q

Dosage of ipratropium

A

21microg up to 168microg (max 8 sprays)

38
Q

How to administer ipratropium INH

A

Attach MDI to spacer and prime with 1 spray

4 breaths per spray

39
Q

What system does ipratropium effect

A

Parasympathetic nervous system

40
Q

When do you use ipratropium NEB

A

Severe asthma

41
Q

How does ipratropium NEB come

A

500microg/1mL plastic nebule

42
Q

Dosage of ipratropium NEB

A

500microg given once with salbutamol neb

43
Q

How to administer ipratropium NEB

A

Pour into neb bowl

8-10L/min O2

44
Q

When do you use methoxyflurane

45
Q

Contraindications of methoxyflurane

A

Severe kidney dysfunction

46
Q

Dosage of methoxyflurane

47
Q

When do you use midazolam

A

Seizures (lasting longer than 5 mins, when causing harm, or when causing airway problems)

48
Q

Contraindications of midazolam

A

Partial or absent seizures

49
Q

How does midazolam come

A

5mg/5ml glass ampoule

50
Q

Dosage of midazolam

A

0.1mg/kg up to 10mg (repeat for further seizures)

51
Q

How to administer midazolam

A

Draw up required volume for patient weight

5mL max volume per injection site, rotate sites

52
Q

When do you administer Naloxone

A

Opiate overdose

53
Q

How does Naloxone come?

A

400 microg/ 1ml glass ampoule

54
Q

Dosage for Naloxone IN

A

120 microg every 30-60 secs

55
Q

How to administer Naloxone IN

A

Draw up 0.3ml for dose plus 0.1ml to prime

Eject dose into nostril

56
Q

Dosage for Naloxone IM

A

400 microg every 1-2 min as needed

57
Q

How to administer Naloxone IM

A

Draw up 1ml

58
Q

When to administer ondansetron

A

Nausea and vomiting

59
Q

Contraindications for ondansetron

60
Q

How does ondansetron come

A

4mg/2ml glass ampoule

61
Q

Dosage of ondansetron

A

4mg repeat as needed to max 8 mg

62
Q

How to administer ondansetron

A

Draw up 2ml

63
Q

When to administer Panadol

64
Q

Contraindications of Panadol

A

Had within the previous 4 hours

65
Q

How does Panadol come

A

Either in 500mg tablets or in a 60ml bottle with 50mg/ml

66
Q

Dosage of Panadol

A

1000mg (2 tablets)

Paeds: 15 mg/kg up to 1000mg

67
Q

When to administer salbutamol INH

A

Mild asthma

68
Q

When to administer salbutamol NEB

A

Severe asthma

69
Q

Contraindications for salbutamol

70
Q

Dosage of salbutamol INH

A

100 microg up to 1200microg (max 12 sprays) 4 breaths per spray

71
Q

Dosage of salbutamol NEB

A

15mg nebulised 8-10L O2/min

72
Q

What are the 5 mandatory registration standard all paramedics must meet to register with AHPRA

A
  1. Continuing professional development
  2. Criminal history check
  3. English language skills
  4. Professional indemnity insurance arrangements
  5. Regency of practice
73
Q

To meet the regency of practice standards how many hours do you need to complete

A

450 hours in 3 years
150 hours in 12 months
750 hours in 5 years with no continuous absence of greater than 2 years

Drug Dosages (1 decks)

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