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ASNSW ICP STUDY > Pharmacology Use > Flashcards

Pharmacology Use Flashcards

1
Q

ADRENALINE – USE

A
  • Cardiac arrest
  • Bradycardia
  • Cardiogenic shock
  • Severe/life threatening asthma
  • Anaphylaxis
  • Severe croup (nebulised)
  • Newborn Care
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2
Q

AMIODARONE – use

A
  • Ventricular fibrillation/ pulseless tachycardia refractory to DC shocks and adrenaline
  • Dysrhythmias - tachycardia
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3
Q

ASPIRIN - Use

A

Suspected acute coronary syndrome

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4
Q

ATROPINE - Use

A
  • Bradycardia
  • Excessive parasympathetic effects resulting from organophosphate poisoning or funnel-web spider envenomation
  • Nerve agent/organophosphate poisoning if authorised by HSFAC
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5
Q

CALCIUM GLUCONATE – use

A

Emergency treatment of hyperkalaemia as a cardio protectant

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6
Q

FENTANYL - Use

A
  • First line moderate to severe pain management patients <16 years of age
  • Patients >16 years of age where morphine is ineffective or contraindicated

Note: During active labour fentanyl may be administered if methoxyflurane is ineffective. Neonatal respiratory depression may occur therefore neonatal resuscitation equipment must be readily available

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7
Q

FEXOFENADINE - Use

A

Allergic reactions (localised, minor in severity)

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8
Q

FRUSEMIDE - Use

A

Cardiogenic pulmonary oedema provided BP ≥ 100 mmHg systolic, to increase urine output and decrease venous return

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9
Q

GLUCAGON - Use

A

Hypoglycaemia if unable to cannulate for administration of Glucose 10%

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10
Q

GLUCOSE 10% - Use

A

Hypoglyceamia

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11
Q

GLUCOSE GEL - Use

A

Correction of hypoglycaemia

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12
Q

GLYCERYLTRINITRATE - Use

A
  • Suspected acute coronary syndrome
  • Cardiogenic pulmonary oedema
  • Autonomic dysreflexia
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13
Q

HARTMANN’S - Use

A
  • Traumatic hypovolaemia (Protocol T10)
    * Traumatic cardiac arrest
  • Burns with TBSA > 25%
  • Medical hypoperfusion/hypotension (Protocol M25)
    * Meningococcal septicaemia
    * Moderate to severe anaphylaxis and allergic reactions
    * Moderate to severe dehydration
    * Sepsis
    * Cardiogenic shock
    * Diving emergencies
  • To keep IV patent and flush medications
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14
Q

IPRATROPIUM BROMIDE - Use

A
  • Moderate to severe asthma
  • COPD
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15
Q

Lignocaine – use

A
  • If ventricular fibrillation/pulseless VT persists after the maximum dose of amiodarone
  • Local anaesthesia of the skin prior to cannulation (1% preparation only)
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16
Q

METHOXYFLURANE - Use

A
  • Moderate to severe pain in patients where a paramedic is not authorised to administer an opioid or an opioid is contraindicated
  • Mild pain in patients > 1year of age and < 12 years of age
  • Multiple victim situations
  • Initial pain management in environments which may present with safety concerns to facilitate prompt patient movement
  • Second or third line pain management where previous medication has not achieved the desired outcome
  • Active labour
17
Q

METOCLOPRAMIDE – use

A

Severe nausea and/or active vomiting in patients > 16 years of age where ondansetron has been ineffective after 10 minutes or is contraindicated

18
Q

MORPHINE - Use

A
  • Pain management
  • Post intubation sedation
19
Q

NALOXONE - Use

A
  • Life threatening opioid overdose
  • Opioid overdose
  • Etorphine or Buprenorphine overdose
20
Q

ONDANSETRON - Use

A
  • For first line management of severe nausea and/or vomiting
  • **Suspected penetrating eye injury **
21
Q

SALBUTAMOL - Use

A

To relieve bronchospasm

22
Q

SODIUM BICARBONATE – use

A
  • Emergency treatment of hyperkalaemia
  • Tricyclic overdoses with conduction delay (wide QRS complex) presenting with shock, fitting or coma
23
Q

MIDAZOLAM - USE

A
  • Control seizures
  • Post intubation sedation
  • Limb realignment and/or difficult extrication
  • Patient management
  • Management of distressing psychological reaction post ketamine unresponsive to reassurance after consultation with AMRS
24
Q

Ketamine - Use

A

Management of moderate to severe pain in patients ≥ 14 years of age requiring limb realignment and/or difficult extrication with orthopaedic injuries with a ≤ 2 point decrease in the patient’s pain score post:

  • 15mg morphine or 300mcg IN fentanyl

or

  • 7.5mg morphine or 150mcg IN fentanyl in patients with limited
     physiological reserve ( reference Protocol A6 - Pain Management)
25
Q

SODIUM CHLORIDE 0.9% - Use

A
  • Trapped patient with compression prior to removal of compressive force
  • Hypovolaemia in conjunction with suspected hyperkalaemia
  • Hyperglycaemia with moderate to severe dehydration

ASNSW ICP STUDY (10 decks)

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