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Med Studies PST2235 > Second year medications > Flashcards

Second year medications Flashcards

1
Q

what are the 3 indications for Adrenaline

A
  1. anaphylaxis and life threatening asthma
  2. Cardiac Arrest
  3. Post return of spontaneous circulation (ROSC)
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2
Q

What does adrenaline come as

A

1mg/1ml

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3
Q

What is the route, dose, Initial Volume of dose, syringe and repeat for Adrenaline to treat anaphylaxis or life threatening asthma

A

Route = IM

Dose = 0.5mg

IVoD = 0.5ml (1:1000)

Syringe = 3ml

Repeat = 5 mins no max

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4
Q

What is the route, dose, Initial Volume of dose, syringe and repeat for Adrenaline to treat Cardiac Arrest

A

Route = IV

Dose = 1mg

IVoD = 1ml (1:1000)

Syringe = 10ml

Repeat = 3-5 mins, every second loop

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5
Q

What is the route, dose, Initial Volume of dose, syringe and repeat for Adrenaline to treat Post ROSC

A

Route = IV

Dose = 50mcg

IVoD = 0.5ml (1:10000)

Syringe = 10ml

Repeat = As required until BP>90mmHg (post 2x 250ml
saline boluses)

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6
Q

What are the contraindications for Adrenaline

A

None

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7
Q

What does Amiodorone come as

A

150mg/3ml

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8
Q

What is the indication for amioderone

A

Cardiac arrest (persistant/shock resistance VF/VT post 3 shocks)

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9
Q

what is the route, dose, IVoD, syringe and repeat for amioderone

A

Route = IV

Dose = 300mg

IVoD = 6ml

Syringe = 10ml

Repeat = 150mg/3mls after 5 shocks

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10
Q

what are the contraindications for amioderone

A

None for cardiac arrest

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11
Q

What is the indication for Aspirin

A

ACS (Acute Coronary Syndrome)

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12
Q

what is the Route, Dose, IVoD and repeat for aspirin

A

Route = PO (chew it)

Dose = 300mg

IVoD = 1 tablet

Repeat = single dose

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13
Q

what are the contraindications of Aspirin

A
  1. known hypersensitivity to aspirin or other salicylates

2. Children < 12 years old

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14
Q

how does Cophenylcaine come

A

comes as lignocaine 50mg/ml, phenylephrine 5mg/m

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15
Q

What is the indication for Cophenylcaine

A

epistaxis, oral haemorrhage, local pain (abrasions)

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16
Q

what is the Route, Dose, IVoD and repeat for cophenylcaine

A

Route = IN, PO

Dose: IN= 10sprays,
PO = 5 sprays

IVoD = 1 spray

Repeat: IN = max 5 sprays,
PO = Max 1- sprays

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17
Q

what are the contraindications of cophenylcaine

A
  1. hypersensitivity to lignocaine, phenylephrine or other salicylates
  2. pregnancy
  3. children < 2 years
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18
Q

what is the indication for Fentanyl Citrate

A

moderate to severe pain

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19
Q

what does fentanyl citrate come as

A

100mcg/2ml IV

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20
Q

what is the route of administration for Fentanyl Citrate

A

IV

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21
Q

What is the dose and initial volume of dose for Fentanyl Citrate

A

< 70 yrs = 1mvg/kg (max 100mcg)
> 70 yrs = 0.5mcg/kg (max 50mcg)

IVoD = weight based

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22
Q

what is the dilution, syringe and repeat for fentanyl citrate

A

dilution = add 8 mls NaCl to make 100mcg in 10 mls

Syringe = 10 mls

Repeat = 25mcg after 5 mins

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23
Q

what are the contraindications of Fentanyl and Fentanyl Citrate

A
  1. Hypersensitivity
  2. < 1 yr of age (IV/IO only)
  3. Occluded nasal passages or epistaxis (IO only)
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24
Q

What is the indication for Fentanyl

A

moderate to severe pain

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25
Q

What is the dose and IVoD of fentanyl

A

Small elderly or frail = 120mcg *
Adult = 180mcg **

IVoD = 2x 0.2ml *
3x 0.2ml**

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26
Q

what is the route, syringe, and repeat of Fentanyl

A

Route = IN

Syringe = 1ml

Repeat = 60mcg after 5 mins

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27
Q

Indications of Glucagon

A

Hypoglycaemia 3rd line agent

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28
Q

what is the route, dose, IVoD, Dilution, syringe and repeat of glucagon

A

Route = IM

Dose = 1mg

IVoD = 1ml

Dilution = use hypokit

Syringe = 1ml

repeat = 5 mins repeat once

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29
Q

what are the contraindications of glucagon

A
  1. hypersensitivity

2. known pheochromocytoma

30
Q

what is the indication for glucose 10%

A

hypoglycaemia (1st line agent if patient unable to swallow

31
Q

what is the route, dose IVoD Dilution and repeat of glucose 10%

A

route = IV

dose = 15g

IVoD = 150ml

Dilution = have IV fluid bag insitu for immediate flush

Repeat = 5-10mins max as required (titrate to max 10mg)

32
Q

contraindications of Glucose 10%

A

not to be used if no patent IV access

33
Q

Glucose gel indication

A

hypoglycaemia (1st line agent if alert and can swallow)

34
Q

what is the route, dose, IVoD, repeat for glucose gel

A

Route = PO

Dose = 15g

IVoD = single tube

Repeat = PRN

35
Q

what are the contraindications for glucose gel

A

none

36
Q

what is the indication for Gyceryl Trinitrate (GTN)

A

ACS/cardiogenic APO (BP>90mmHg) Autonomic Dysreflexia (BP>160mmHg)

37
Q

what is the Route, Dose IVoD and repeat for GTN

A

Route = SL

Dose = o.4mg

IVoD = 1 spray

Repeat = 5 mins no max

38
Q

What are the contraindications for GTN

A
  1. hypersensitivity
  2. Hypotension < 90mmHg
  3. Medications used for erectile disfunction within 24
    hours
39
Q

what is the indication for Ipratropium Bromide

A

Severe Bronchospasm

40
Q

what is the Route, Dose IVoD, dilution and repeat for Ipratropium Bromide

A

Route = NEB, MDO

Dose : NEB = 500mcg,
MDI = 12 puffs

IVoD : NEB = 2ml

Dilution = administer with 5mg salbutamol (2.5mls)

Repeat = As required for NEB, 1 breath per puff only once
MDI

41
Q

what are the contraindications of Ipratropium Bromide

A
  1. hypersensitivity
42
Q

what is the indication for Ketamine Wafer

A

second line agent for traumatic pain

43
Q

what is the route, dose, IVoD and repeat of the Ketamine WAFER

A

Route = SL

Dose = 50mg

IVoD = 50 mg

Repeat = 5 mins, 25mg wafer to a max of 125mg

44
Q

What are the contraindication for ketamine wafer

A
  1. < 12 years of age
45
Q

What is the indication of Lignocaine 1%

A
  1. Local anaesthesia for IV cannulation
46
Q

What is the route, dose, IVoD syringe and Repeat of Lignocaine 1%

A

Route = ID

Dose = 0.1mg

IVoD = 0.1mg

Syringe = 1ml

Repeat = single sight dose

47
Q

contraindications for lignocaine 1%

A
  1. hypersensitivity
48
Q

what is the indication for methoxyflurane

A

pain

49
Q

what is the route, dose, IVoD and repeat for methoxyflurane

A

Route = IH

Dose = 3ml

IVoD = 3ml

Repeat = 15 mins, single repeat

50
Q

what are the contraindications of methoxyflurane

A
  1. patients who are unable to understand or cooperate
  2. severe renal impairment
  3. head injury and altered conscious state that prevents cooperation with its use
  4. Hypersensitivity e.g. malignant hyperthermia
51
Q

what is the indication for Naloxone

A

Respiratory depression in suspected narcotic overdose

52
Q

what is the route, dose, IVoD, Dilution, syringe, repeat for naloxone

A

Route = IM, IV

Dose = 400-800mcg

IVoD : IM = 1ml,
IV = 10ml

Dilution = IV - ADD 9MLS NACL TO MAKE O.4MG IN 10ml

Syringe : IM = 3ml, IV = 10mls (titrated)

Repeat = every 2 mins as required

53
Q

what are the contraindications for Naloxone

A

no contraindications

54
Q

what is the indication for Midazolam

A

Seizures

55
Q

what is the route, dose, IVoD, Dilution, syringe, repeat for Midazolam

A

Route = IM, IV

Dose : IM = 5mg,
IV = 2.5mg

IVoD : IM = 1ml,
IV = 2.5ml

Dilution = IV - add 12 mls NaCl to make 15mg in 15 mls

Syringe : IM = 3ml, IV = 20ml

Repeat : IM = 5mg repeat once after 10mins
IV = 2.5mg repeat every 5 mins (max dose
15mg)

56
Q

what are the contraindications for midazolam

A
  1. hypersensitivity
57
Q

What is the indication for ondansatron

A

moderate to sever nausea, active vomiting, prophylaxis for eye and spinal injuries

58
Q

what is the route, dose, IVoD, dilution, syringe and repeat for ondansatron

A

Route = SL, IM, IV

Dose = 4mg

IVoD : SL= 1 wafer
IM = 2mls
IV = 10ml slow push

Dilute = IV - add 8mls NaCl to make 4mg in 10mls

Syringe : IM = 3ml
IV = 10ml

Repeat = 30 mins repeat once

59
Q

what are the contraindications for Ondansatron

A
  1. hypersensitivity

2. children < 2 years

60
Q

what is the indication for paracetamol

A

moderate to severe pain

61
Q

what is the route, dose, IVoD, and repeat for paracetamol

A

Route = PO

Dose = 500-1000mg

IVoD = 1-2 tablets

Repeat = 4 hours, max dose 4g in 2 hours

62
Q

what are the contraindications for Paracetamol

A
  1. hypersensitivity

2. previous dose in last 4 hours or greater than 4g in 24 hours

63
Q

what are the indications for salbutamol

A

Bronchospasm and respiratory distress associated with a wheeze

64
Q

what is the route, dose, IVoD and repeat for salbutamol

A

Route = NEB, MDI

Dose : NEB = 5mg
MDI = 4-12 puffs, 400-1200mg

IVoD : NEB = 1 nebule

Repeat : NEB = PRN, no max
MDI = every 20mins or sooner if needed for the
first hour

65
Q

What are the contraindications for salbutamol

A
  1. hypersensitivity
  2. cardiogenic APO
  3. Children < 12 month
66
Q

what are the 3 indications for Sodium Chloride 0.9%

A
  1. hypovolaemic shock/ hyperosmolar hyperglycaemic state
  2. hypovolaemic cardiac arrest
  3. ROSC
67
Q

what is the route dose and repeat of Sodium Chloride 0.9% when treating hypovolaemic shock/hyperosmolar hyperglycaemic state

A

Route = IV

Dose = 20ml/kg (250ml bolus)

IVoD = 250mls

Repeat = PRN titrated

68
Q

what is the route dose and repeat of Sodium Chloride 0.9% when treating hypovolaemic cardiac arrest

A

Route = IV

Dose = 20ml/kg

IVoD = weight based

Repeat = once only max 2L

69
Q

what is the route dose and repeat of Sodium Chloride 0.9% when treating ROSC

A

Route = IV

Dose = 250ml

IVoD = 250ml

Repeat = As required until BP > 100mmHg, max 2 boluses prior to adrenaline

70
Q

what are the contraindications of Sodium Chloride 0.9%

A
  1. severe pulmonary Oedema

Med Studies PST2235 (1 decks)

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