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All Drugs > Respiratory Drugs > Flashcards

Respiratory Drugs Flashcards

1
Q

Presentation of Salbuatomol

A

Nebuliser liquid, 2.5mg in 2.5ml
Nebuliser liquid, 5mg in 2.5ml

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2
Q

Indications of Salbuatamol

A
  • Acute asthma attack where normal inhalers don’t relieve symptoms
  • Expiratory wheeze assc w/ allergy, anaphylaxis, bet-blocker overdose, smoke inhalation and other lower airway cause
  • Exacerbation of COPD
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3
Q

Contra-Indications of Salbutamol

A

None in the emergency situation

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4
Q

Route Adminstration of Salbutamol

A

Nebuliser with 6-8L of oxygen

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5
Q

Dose of Salbutamol

A

Adult:
- 5mg in 5ml for 5 minutes
REPEAT DOSE: 5mg in 5ml for 5 minutes
MAX DOSE: no limit

Child (<5yrs):
- 2.5mg in 2.5ml for 5 minutes
REPEAT DOSE: 2.5mg in 2.5ml for 5 minutes
MAX DOSE: no limit

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6
Q

Cautions of Salbutamol

A
  • If COPD is a possibility, limit nebulisation with oxygen to 6 minutes
  • If pulse over 140 with paeds after signifigant doses of salbutamol, can ignore and shouldn’t prevent further doses
  • Repeat doses should be discontinued if the side effects are becoming significant (eg tremors, tachycardia over 140)
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7
Q

Presentation of Hydrocortisone

A

Solution for injection; 100mg in 1ml
Powder; 100mg for reconstruction with up to 2ml of water
Ampoule; 100mg for reconstruction with up to 2ml of water

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8
Q

Indications of Hydrocortisone

A
  • Severe or life-threatening asthma
  • Acute exacerbation of COPD
  • Adrenal crisis (incl Addisonian crisis)
  • Prevention of adrenal crisis from long term conditions
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9
Q

Contra-Indications of Hydrocortisone

A
  • Known allergy
  • Where a pt has adrenal crisis it is preferable to give whatever preparation is available
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10
Q

Route of Hydrocortisone

A

IM
IV - slow over 2 minutes

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11
Q

Dose of Hydrocortisone

A

100mg in 1ml
Powder; 100mg in 2ml
NO REPEAT DOSE

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12
Q

Actions of Hydrocortisone

A
  • A glucocorticoid drug/steroidal hormone that replaces steroids that are normally in the body
  • This helps reduce inflammation and swelling by blocking certain proteins in the immune response
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13
Q

Presentation of Ipatropium Bromide

A

Nebuliser liquid, 250mcg per 1ml liquid vial#
Nebuliser liquid, 500mcg per 2ml liquid vial

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14
Q

Indications of Ipatropium Bromide

A
  • Acute, severe or life-threatening asthma
  • Acute asthma, unresponsive to salbutamol
  • Exacerbation of COPD, unresponsive to salbutamol
  • Expiratory wheeze
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15
Q

Contra-Indications of Ipatropium Bromide

A

None in the emergency situation

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16
Q

Route Adminstration of Ipatropium Bromide

A

Nebuliser with 6-8L of oxygen

17
Q

Dose of Ipatropium Bromide

A

Adult:
500mcg in 2ml
NO REPEAT DOSE

Child (<11):
250mcg in 1ml (half)
COPD: 6 minutes administration only ONLY

18
Q

Presentation of Adrenaline 1:1000

A

Pre-filled syringe or ampoule of 1mg in 1ml

19
Q

Indications of Adrenaline 1:1000

A
  • Anaphylaxis
  • Life-threatening asthma with failing ventilations and continued deteriorations despite nebuliser therapy
20
Q

Contra-Indications of Adrenaline 1:1000

A

Only administer IM

21
Q

Route of Adrenaline 1:1000

A

IM ONLY

22
Q

1:1000 Adrenaline Dose

A

Adult:
500mcg in 0.5ml (half)
REPEAT DOSE: after 5 minutes, 500mcg in 0.5ml (other half)
MAX DOSE: No limit

Child:
See page for age

23
Q

Actions of Adrenaline 1:1000

A
  • Reverses allergic manifestations of acute anaphylaxis
  • Relieves bronchospasm in acute severe asthma
24
Q

Indications of Oxygen

A
  • Significant illness or injury in paeds
  • Critical illnesses requiring high levels of oxygen
  • Serious illness requiring moderate levels of oxygen
  • COPD and other conditions requiring controlled or low dose oxygen therapy
  • Conditions for which pts should be monitored closely but oxygen therapy is not required unless the pt is hypoxemic
25
Q

Contra-Indications of Oxygen

A

Explosive environments

26
Q

Actions of Oxygen

A
  • Oxygen is for cell metabolism and function
  • Reversing hypoxia
27
Q

Route of Oxygen

A

Dependant on litres administering. Nasal cannula can administer up to six but above 3 may be uncomfortable

28
Q

Dose of Oxygen

A

Paeds:
All children with significant illness and or injury should receive high levels of supplementary oxygen

Adults:
- If the desired O2 lvl can’t be maintained with a simple face mask, must upgrade to high concentration oxygen mask
- Follow what is normal for the patient and do not administer above these levels

All Drugs (7 decks)

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