Pharmacology Use Flashcards
ADRENALINE – USE
- Cardiac arrest
- Bradycardia
- Cardiogenic shock
- Severe/life threatening asthma
- Anaphylaxis
- Severe croup (nebulised)
- Newborn Care
AMIODARONE – use
- Ventricular fibrillation/ pulseless tachycardia refractory to DC shocks and adrenaline
- Dysrhythmias - tachycardia
ASPIRIN - Use
Suspected acute coronary syndrome
ATROPINE - Use
- Bradycardia
- Excessive parasympathetic effects resulting from organophosphate poisoning or funnel-web spider envenomation
- Nerve agent/organophosphate poisoning if authorised by HSFAC
CALCIUM GLUCONATE – use
Emergency treatment of hyperkalaemia as a cardio protectant
FENTANYL - Use
- 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
FEXOFENADINE - Use
Allergic reactions (localised, minor in severity)
FRUSEMIDE - Use
Cardiogenic pulmonary oedema provided BP ≥ 100 mmHg systolic, to increase urine output and decrease venous return
GLUCAGON - Use
Hypoglycaemia if unable to cannulate for administration of Glucose 10%
GLUCOSE 10% - Use
Hypoglyceamia
GLUCOSE GEL - Use
Correction of hypoglycaemia
GLYCERYLTRINITRATE - Use
- Suspected acute coronary syndrome
- Cardiogenic pulmonary oedema
- Autonomic dysreflexia
HARTMANN’S - Use
- 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
IPRATROPIUM BROMIDE - Use
- Moderate to severe asthma
- COPD
Lignocaine – use
- If ventricular fibrillation/pulseless VT persists after the maximum dose of amiodarone
- Local anaesthesia of the skin prior to cannulation (1% preparation only)
METHOXYFLURANE - Use
- 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
METOCLOPRAMIDE – use
Severe nausea and/or active vomiting in patients > 16 years of age where ondansetron has been ineffective after 10 minutes or is contraindicated
MORPHINE - Use
- Pain management
- Post intubation sedation
NALOXONE - Use
- Life threatening opioid overdose
- Opioid overdose
- Etorphine or Buprenorphine overdose
ONDANSETRON - Use
- For first line management of severe nausea and/or vomiting
- **Suspected penetrating eye injury **
SALBUTAMOL - Use
To relieve bronchospasm
SODIUM BICARBONATE – use
- Emergency treatment of hyperkalaemia
- Tricyclic overdoses with conduction delay (wide QRS complex) presenting with shock, fitting or coma
MIDAZOLAM - USE
- 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
Ketamine - Use
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)
SODIUM CHLORIDE 0.9% - Use
- Trapped patient with compression prior to removal of compressive force
- Hypovolaemia in conjunction with suspected hyperkalaemia
- Hyperglycaemia with moderate to severe dehydration
