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Diploma Paramedic Science > Pharmacology Protocols Indications and Contraindications > Flashcards

Pharmacology Protocols Indications and Contraindications Flashcards

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1
Q

Adrenaline (epinephrine) Indications

A

Adrenaline (epinephrine) Indications

  • Cardiac Arrest
  • Anaphylaxis or severe allergic reaction
  • Severe life threatening bronchospasm or silent chest
  • Shock unresponsive to adequate fluid resuscitation
  • Bradycardia with poor perfusion
  • Croup
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2
Q

Adrenaline (epinephrine) Contraindications

A

Adrenaline (epinephrine) Contraindications

  • Nil
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3
Q

Glucagon Indications

A

Glucagon Indications

Symptomatic Hypoglycaemia with inability to self administer

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4
Q

Glucagon Contraindications

A

Glucagon Contraindications

KSAR

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5
Q

Midazolam Indications

A

Midazolam Indications

Generalised seizure/focal seizures (GCS ≤12)

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6
Q

Morphine Indications

A

Morphine Indications

Significant pain

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7
Q

Morphine Contraindications

A

Morphine Contraindications

  • KSAR
  • Renal failure
  • Pregnancy ≥20wks gestation in labour
  • Pts <1yr
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8
Q

Salbutamol Indications

A

Salbutamol Indications

Bronchospasm

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9
Q

Salbutamol Contraindications

A

Salbutamol Contraindications

  • KSAR
  • Pts <1yr
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10
Q

Oxygen Indications

A

Oxygen Indications

  • Hypoxia
  • Respiratory distress
  • Diving or obstetric emergencies
  • Drive gas for nebulised medications
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11
Q

Oxygen Contraindications

A

Oxygen Contraindications

Nil

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12
Q

Aspirin Indications

A

Aspirin Indications

  • Suspected Acute Coronary Syndrome
  • Acute Cardiogenic Pulmonary Oedema
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13
Q

Aspirin Contraindications

A

Aspirin Contraindications

  • KSAR to aspirin or any non-steroidal anti-inflammatory drug (NSAID)
  • Chest pain associated with psychostimulant overdose
  • Bleeding or clotting disorders
  • Current GI bleeding or peptic ulcers
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14
Q

Glucose 10% Indications

A

Glucose 10% Indications

  • Symptomatic hypoglycaemia with inability to self administer glucose gel
  • Fluid replacement when BGL under 4mmol
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15
Q

Glucose 10% Contraindications

A

Glucose 10% Contraindications

Nil

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16
Q

Glyceril Trinitrate (GTN) Indications

A

Glyceril Trinitrate (GTN) Indications

  • Suspected acute coronary syndrome (ACS)
  • Acute cardiogenic pulmonary oedema
  • Autonomic Dysreflexia ( systolic BP ≥ 160mmHg)
  • Irukanjdi Syndrome ( systolic BP ≥ 160mmHg)
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17
Q

Glyceril Trinitrate (GTN) Contraindications

A

Glyceril Trinitrate (GTN) Contraindications

  • KSAR
  • HR <50 or >150bpm
  • Systolic BP <100mmHg
  • Acute CVA (Cerebrovascular Accident)
  • Head trauma
  • Viagra, Cialis or Levitra in previous 24hrs
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18
Q

Paracetamol Indications

A

Paracetamol Indications

  • Minor pain
  • Fever
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19
Q

Paracetamol Contraindications

A

Paracetamol Contraindications

  • KSAR
  • Pts <1mth
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20
Q

Metoclopramide Indications

A

Metoclopramide Indications

  • Nausea and/or vomiting associated with:
    • Cardiac chest pain
    • Severe gastroenteritis
    • Previously diagnosed migraine headaches
21
Q

Metoclopramide Contraindications

A

Metoclopramide Contraindications

  • KSAR
  • Suspected intestinal/bowel obstruction
  • Suspected or known haematemesis or melaena (vomiting blood, bloody faeces)
  • Pts < 15 yrs
  • Pregnancy
22
Q

Fentanyl Indications

A

Fentanyl Indications

  • Significant pain
23
Q

Fentanyl Contraindications

A

Fentanyl Contraindications

  • KSAR
  • Pts <1 yr
24
Q

Sodium Chloride 0.9% Indications

A

Sodium Chloride 0.9% Indications

  • Initial replacement of lost fluid volume such as blood loss, fuuid and electrolyte loss
  • Drug dilution and preparation
  • Flushing IV lines and following drug administration
  • To keep vein open during treatment
25
Q

Sodium Chloride 0.9% Contraindications

A

Sodium Chloride 0.9% Contraindications

Nil

26
Q

Ondansetron Indications

A

Ondansetron Indications

  • Nausea and/or vomiting
27
Q

Ondansetron Contraindications

A

Ondansetron Contraindications

  • KSAR
  • Long QT syndrome
  • Current apomorphine therapy (Parkinson’s treatment)
  • Pts <2yrs
28
Q

Glucose Gel Indications

A

Glucose Gel Indications

Symptomatic Hypoglycaemia with swallowing ability

29
Q

Glucose Gel Contraindications

A
  • Unconsciousness
  • Difficulty swallowing
  • Pts <2yrs
30
Q

Methoxyflurane Indications

A

Methoxyflurane Indications

Pain

31
Q

Methoxyflurane Contraindications

A

Methoxyflurane Contraindications

  • KSAR
  • Severe renal or hepatic impairment
  • Pre-eclampsia or eclampsia
  • Hx malignant hyperthermia
  • Concurrent tetracycline use (eg doxycycline)
  • Pts <1yr
32
Q

Naloxone (Narcan) Indications

A

Naloxone (Narcan) Indications

Suspected opioid overdose with respiratory depression

33
Q

Naloxone (Narcan) Contraindications

A

Naloxone (Narcan) Contraindications

  • KSAR
  • Newborns
34
Q

Ceftriaxone Indications

A

Ceftriaxone Indications

Suspected meningococcal septicaemia with a non-blanching rash and/or purpuric rash

35
Q

Ceftriaxone Contraindications

A

Ceftriaxone Contraindications

  • KSAR
  • KSAR to penicillin
36
Q

Midazolam Contraindications

A

Midazolam Contraindications

KSAR

37
Q

Ibuprofen Indications

A

Ibuprofen Indications

Moderate pain caused by tissue injury and acute inflammation

38
Q

Ibuprofen Contraindications

A

Ibuprofen Contraindications

  • KSAR
  • Current GI bleed or peptic ulcers
  • Dehydration
  • Hypovolaemia
  • Renal impairment
  • Pregnancy
  • Heart failure
39
Q

Fexofenadine Indications

A

Fexofenadine Indications

  • Allergy/hayfever (sneezing, runny nose, itchy nose and eyes, watery eyes)
  • Urticaria (hives)
  • Itchy skin/swelling/rash related to suspected uncomplicated allergy
40
Q

Fexofenadine Contraindications

A

Fexofenadine Contraindications

  • KSAR
  • Pts ≤12yrs
  • Previous dose within 24 hours
41
Q

Drive Gas for Nebulised Medications

A

Drive Gas for Nebulised Medications

Oxygen

42
Q

Ipratropium Bromide Indications

A

Ipratropium Bromide Indications

Moderate to severe bronchospasm (not responsive to initial salbutamol nebulisation)

43
Q

Ipratropium Bromide Contraindications

A

Ipratropium Bromide Contraindications

  • KSAR
  • Pts <1 year
44
Q

Loratadine Indications

A

Loratadine Indications

Allergic reactions (urticaria, with no evidence of anaphylaxis)

45
Q

Loratadine Contraindications

A

Loratadine Contraindications

  • KSAR
  • Anaphylaxis
  • Pts <8 years
46
Q

Water for Injection Indications

A

Water for Injection Indications

Used to dilute ceftriaxone for IV use

47
Q

Water for Injection Contraindications

A

Water for Injection Contraindications

Nil

48
Q

Droperidol Indications

A

Droperidol Indications

Acute behavioural disturbance

49
Q

Droperidol Contraindications

A

Droperidol Contraindications

  • KSAR
  • Parkinson’s disease
  • Previous dystonic reaction to Droperidol
  • Pts < 14yrs

Diploma Paramedic Science (8 decks)

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