QAS: Drug Therapies Protocol Flashcards
Oxygen: Metabolism
Nil
Oxygen: Indications
A wide range of conditions resulting (potentially) in systemic and/or localised hypoxia
Oxygen: Contraindications
Paraquat poisoning
Bleomycin therapy
Avoid Oxygen unless Pt is hypoxaemic (SpO2 > 88 %)
Oxygen: Side Effects
Hypoventilation in some COPD Pt with hypoxic drive
Drying of mucosal membranes
Oxygen: Presentations
Size C: 450 L Oxygen
Size D: 1600 L Oxygen
100% Oxygen should be administered for:
Intra-arrest
CO poisoning
Cyanide poisoning
Preoxygenation for RSI
Oxygen should be titrated to achieve an SpO2 of 88 - 92% for:
Paraquat toxicity Bleomycin treatment Obesity COPD Cystic fibrosis Neuromuscular disease
Oxygen should be titrated to achieve an SpO2 of 92- 96% for:
All other presentations
Oxygen: Driving accidents
Administer high-flow Oxygen
For Pts with COPD, a nebulised salbutamol must be delivered via nebuliser mask at a rate of:
6 L/minute
8 L/ minute for all other Pts
Methoxyflurane: Drug Class
Analgesic
Methoxyflurane: Pharmacology
Volatile, self-administered inhalation analgesic
Short-term pain relief
Greater propensity to diffuse into fatty tissue
Methoxyflurane: Metabolism
By the liver
Excreted by the lungs
Methoxyflurane: Indications
Pain
Methoxyflurane: Contraindications
Allergy/adverse drug reaction
Pts < 1 year old
History of significant liver/renal disease
History of malignant hyperthermia
Methoxyflurane: Precautions
ALOC
Intoxicated
Methoxyflurane: Side Effects
ALOC
Cough
Renal/hepatic failure
Methoxyflurane: Presentation
3 mL bottle
Methoxyflurane: Onset and Duration
Onset @ 1 - 3 minutes
Duration @ 5 - 10 minutes
Methoxyflurane: Schedule
Schedule 4 (Restricted drugs)