Precautions

Question 1

ADRENALINE

Answer 1

• IHD

- DONT WALK PT IN ANAPHYLAXIS

Question 2

AMIODARONE

Answer 2

• HF

- THYROID DYSFUNCTION

Question 3

ASPIRIN

Answer 3

• ACTIVELY BLEEDING PEPTIC ULCERS
• SUSPECTED AAA
• ASPIRIN/SALICYLATE SENSITIVE ASTHMATICS

Question 4

ATROPINE

Answer 4

• ADVISABLE TO CONDUCT 12 LEAD ECG PRIOR TO ADMINISTRATION TO RULE OUT STEMI AND 3RD DEGREE HB
• ISOLATED BRADYCARDIAOR LINK TO TRAUMATIC CAUSE IS NOT AND INDICATION FOR ATROPINE
  - ALL REVERSIBLE CAUSES SHOULD BE ADDRESSED

Question 5

COPHENYCAINE

Answer 5

• CAUTION IN PTS WITH cvs, HEPATIC AND/OR RENAL DISEASE

Question 6

FENTANYL

Answer 6

• ELDERLY PTS
• RESP DEPRESSION –> COPD PTS
• PATIENTS ON MAOI
• CAUTION OF LARGER DOSES IN WOMEN IN LABOUR
• RAMPED PTS DO NOT GET A LOADING DOSE

Question 7

GLUCAGON

Answer 7

• EFFECTIVE ONLY IF SUFFICIENT LIVER GLYCOGEN IS PRESENT - ALCOHOL/ANOREXIA INDUCED HYPOGLYCAEMIA

Question 8

GLUCOSE 10%

Answer 8

• CANNULATE WITH LARGE GAUGE CANNULA INTO LARGE VEIN WITH LARGE BOLUS FLUSH
• HIGH CONC. MAY AGGRAVATE DEHYDRATION DUE TO HYPERTONICITY - DRAWING WATER AWAY FROM CELLS
• HEAD INJURED PTS –> GLUCOSE LEAKING INTO CNS WILL AGGRAVATE INJURY –> CEREBRAL OEDEMA
• DONT WAIT ON SCENE FOR GLUCOSE TO TAKE EFFECT

Question 9

GLUCOSE ORAL GEL

Answer 9

• IF UNCONSCIOUS, PLACE PT IN LATERAL POSITION WITH PATENT AIRWAY

Question 10

GTN

Answer 10

• ADMINISTER IN SEATED/SEMI-RECUMBENT POSITION
• ASSESS BP BEFORE EVERY DOSE
• SEVERE hT IS UNCOMMON SIDE EFFECT

Question 11

HEPARIN

Answer 11

• RISK OF HAEMORRHAGE IN POSSIBLE TRAUMA

Question 12

NORMAL SALINE

Answer 12

• ADULTS WITH PENETRATING TRAUMA, ECTOPIC PREGNANCY OF AORTIC ANEURYSM WITH hT AND SIGNS OF IMPAIRED ORGAN PERFUSION MAY BENEFIT FROM PERMISSIVE hT. BP <70mmHg

Question 13

IPRATROPIUM

Answer 13

• GLAUCOMA

- AVOID CONTACT WITH EYES

Question 14

KETAMINE

Answer 14

• USED WITH CAUTION IN PTS WITH STABLE PSYCHIATRIC DISORDERS
• CAUTION IN PTS WITH HYPERTHYROIDISM OR RECEIVING THYROID REPLACEMENT DUE TO INCREASED RISK OF HTN OF TACHYCARDIA
• MINIMUM IV FENTANYL DOSE SHOULD BE GIVEN PRIOR TO IV KETAMINE ADMINISTRATION
• WAFER CAN BE GIVEN TO PTS WITH NON-TRAUMATIC PAIN WHERE METHOXY HAS PROVEN INEFFECTIVE OT CANT BE ADMINISTERED

Question 15

LIGNOCAINE

Answer 15

• ADRs ARE RARE

Question 16

METHOXYFLURANE

Answer 16

• USE CHARCOAL FILTER

- IN TRANSIT, REAR EXTRACTOR FAN MUST BE USED

Question 17

MIDAZOLAM

Answer 17

• PSYCHOSTIMULANTS IN TOXIC LEVELS CAN PRODUCE SEVERE AGITATION AND PSYCHOTIC BEHAVIOUR
• EARLY MONITORING

Question 18

NALOXONE

Answer 18

• POLYPHARMACY OVERDOSE

- NALOXONE HALF-LIFE MAY BE LESS THAT THE OPIOID

Question 19

ONDANSETRON

Answer 19

• ORAL WAFER IS PREFERRED METHOD OF ADMINISTRATION UNLESS ACTIVELY VOMITING
• ADMINISTER IV SLOWLY OVER 2/60 TO PREVENT BLURRED VISION AND DIZZINESS

Question 20

OXYGEN

Answer 20

• OXYGEN INCREASES TOXICITY IN PARAQUAT (HERBICIDE) POISONING –> AIM FOR 88-92%
• SOME CONDITIONS AFFECT READINGS –> CO POISONING, RAYNAUDS DISEASE

Question 21

PARACETAMOL

Answer 21

• DONT USE IN <6 MONTH OLD

- SUSPENSION IS SINGLE PT USE ONLY

Question 22

PREDNISOLONE

Answer 22

• SINGLE USE ONLY

- IMPAIRED IMMUNE RESPONSIVENESS

Question 23

SALBUTAMOL

Answer 23

• IF HYPOXIC, NEBULISED OVER MDI