Pharmacology Flashcards

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1
Q

What are side effects of Midazolam administration?

A

Decreased LOC leading to:

  1. Respiratory depression
  2. Loss of airway control
  3. Hypotension
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2
Q

What is the usual dose of Midazolam for seizures?

A

0.1mg/kg IM, repeat after 10 mins PRN

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3
Q

What are the actions of Midazolam?

A
  1. Anticonvulsant - reduces seizure activity
  2. Minor tranquilizer
  3. Muscle relaxant
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4
Q

What is the time of onset for Midazolam?

A

IM - 2-5 mins

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5
Q

What is the duration of action for Midazolam?

A

IM - 2-3 hours

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6
Q

What are the contraindications for Midazolam?

A
  1. Known hypersensitivity
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7
Q

What are the precautions for Midazolam administration?

A

2,

  1. Haemodynamic instability
  2. Respiratory depression
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8
Q

What is the presentation of Midazolam?

A

5mg in 5mL or 15mg in 3mL glass ampoules

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9
Q

What type of drug is Midazolam?

A

S4 - Anticonvulsant and sedative agent, benzo

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10
Q

What type of drug is Aspirin?

A

NSAID - S2

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11
Q

What is the presentation of Aspirin?

A

300mg tablet

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12
Q

What are the actions of Aspirin?

A
  1. Inhibits platelet function for up to 7 days

2. Suppresses inflammation, reduces fever, relieves pain (rapidly absorbed from the stomach and small bowel).

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13
Q

What is the use for Aspirin in paramedic practice?

A

In suspected myocardial ischaemia - reducing platelet aggregation and limiting clot development

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14
Q

What are the adverse effects of Aspirin?

A
  1. Allergic reaction - asthma, angioneurotic oedema, urticaria, rhinitis, shock)
  2. Aggravation of bleeding tendencies
  3. Gastric irritation (unlikely with 1 tablet)
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15
Q

What are the contraindication to Aspirin administration?

A
  1. Known or suspected allergy to salicylates
  2. known or suspected active bleeding
  3. known bleeding tendency
  4. Chest pain associated with psychostimulant overdose (due to increased risk of cerebral haemorrhage).
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16
Q

What is the dose for Aspirin administration?

A

1 tablet - 300mg chewed and swallowed, or dissolved in a small amount of water.
1/2 tablet if on warfarin
Single dose
Administer even if on slow release aspirin