Pharmacology Protocols Indications and Contraindications Flashcards
Adrenaline (epinephrine) Indications
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
Adrenaline (epinephrine) Contraindications
Adrenaline (epinephrine) Contraindications
- Nil
Glucagon Indications
Glucagon Indications
Symptomatic Hypoglycaemia with inability to self administer
Glucagon Contraindications
Glucagon Contraindications
KSAR
Midazolam Indications
Midazolam Indications
Generalised seizure/focal seizures (GCS ≤12)
Morphine Indications
Morphine Indications
Significant pain
Morphine Contraindications
Morphine Contraindications
- KSAR
- Renal failure
- Pregnancy ≥20wks gestation in labour
- Pts <1yr
Salbutamol Indications
Salbutamol Indications
Bronchospasm
Salbutamol Contraindications
Salbutamol Contraindications
- KSAR
- Pts <1yr
Oxygen Indications
Oxygen Indications
- Hypoxia
- Respiratory distress
- Diving or obstetric emergencies
- Drive gas for nebulised medications
Oxygen Contraindications
Oxygen Contraindications
Nil
Aspirin Indications
Aspirin Indications
- Suspected Acute Coronary Syndrome
- Acute Cardiogenic Pulmonary Oedema
Aspirin Contraindications
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
Glucose 10% Indications
Glucose 10% Indications
- Symptomatic hypoglycaemia with inability to self administer glucose gel
- Fluid replacement when BGL under 4mmol
Glucose 10% Contraindications
Glucose 10% Contraindications
Nil
Glyceril Trinitrate (GTN) Indications
Glyceril Trinitrate (GTN) Indications
- Suspected acute coronary syndrome (ACS)
- Acute cardiogenic pulmonary oedema
- Autonomic Dysreflexia ( systolic BP ≥ 160mmHg)
- Irukanjdi Syndrome ( systolic BP ≥ 160mmHg)
Glyceril Trinitrate (GTN) Contraindications
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
Paracetamol Indications
Paracetamol Indications
- Minor pain
- Fever
Paracetamol Contraindications
Paracetamol Contraindications
- KSAR
- Pts <1mth
Metoclopramide Indications
Metoclopramide Indications
- Nausea and/or vomiting associated with:
- Cardiac chest pain
- Severe gastroenteritis
- Previously diagnosed migraine headaches
Metoclopramide Contraindications
Metoclopramide Contraindications
- KSAR
- Suspected intestinal/bowel obstruction
- Suspected or known haematemesis or melaena (vomiting blood, bloody faeces)
- Pts < 15 yrs
- Pregnancy
Fentanyl Indications
Fentanyl Indications
- Significant pain
Fentanyl Contraindications
Fentanyl Contraindications
- KSAR
- Pts <1 yr
Sodium Chloride 0.9% Indications
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
Sodium Chloride 0.9% Contraindications
Sodium Chloride 0.9% Contraindications
Nil
Ondansetron Indications
Ondansetron Indications
- Nausea and/or vomiting
Ondansetron Contraindications
Ondansetron Contraindications
- KSAR
- Long QT syndrome
- Current apomorphine therapy (Parkinson’s treatment)
- Pts <2yrs
Glucose Gel Indications
Glucose Gel Indications
Symptomatic Hypoglycaemia with swallowing ability
Glucose Gel Contraindications
- Unconsciousness
- Difficulty swallowing
- Pts <2yrs
Methoxyflurane Indications
Methoxyflurane Indications
Pain
Methoxyflurane Contraindications
Methoxyflurane Contraindications
- KSAR
- Severe renal or hepatic impairment
- Pre-eclampsia or eclampsia
- Hx malignant hyperthermia
- Concurrent tetracycline use (eg doxycycline)
- Pts <1yr
Naloxone (Narcan) Indications
Naloxone (Narcan) Indications
Suspected opioid overdose with respiratory depression
Naloxone (Narcan) Contraindications
Naloxone (Narcan) Contraindications
- KSAR
- Newborns
Ceftriaxone Indications
Ceftriaxone Indications
Suspected meningococcal septicaemia with a non-blanching rash and/or purpuric rash
Ceftriaxone Contraindications
Ceftriaxone Contraindications
- KSAR
- KSAR to penicillin
Midazolam Contraindications
Midazolam Contraindications
KSAR
Ibuprofen Indications
Ibuprofen Indications
Moderate pain caused by tissue injury and acute inflammation
Ibuprofen Contraindications
Ibuprofen Contraindications
- KSAR
- Current GI bleed or peptic ulcers
- Dehydration
- Hypovolaemia
- Renal impairment
- Pregnancy
- Heart failure
Fexofenadine Indications
Fexofenadine Indications
- Allergy/hayfever (sneezing, runny nose, itchy nose and eyes, watery eyes)
- Urticaria (hives)
- Itchy skin/swelling/rash related to suspected uncomplicated allergy
Fexofenadine Contraindications
Fexofenadine Contraindications
- KSAR
- Pts ≤12yrs
- Previous dose within 24 hours
Drive Gas for Nebulised Medications
Drive Gas for Nebulised Medications
Oxygen
Ipratropium Bromide Indications
Ipratropium Bromide Indications
Moderate to severe bronchospasm (not responsive to initial salbutamol nebulisation)
Ipratropium Bromide Contraindications
Ipratropium Bromide Contraindications
- KSAR
- Pts <1 year
Loratadine Indications
Loratadine Indications
Allergic reactions (urticaria, with no evidence of anaphylaxis)
Loratadine Contraindications
Loratadine Contraindications
- KSAR
- Anaphylaxis
- Pts <8 years
Water for Injection Indications
Water for Injection Indications
Used to dilute ceftriaxone for IV use
Water for Injection Contraindications
Water for Injection Contraindications
Nil
Droperidol Indications
Droperidol Indications
Acute behavioural disturbance
Droperidol Contraindications
Droperidol Contraindications
- KSAR
- Parkinson’s disease
- Previous dystonic reaction to Droperidol
- Pts < 14yrs
