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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
What is the dose and IVoD of fentanyl
Small elderly or frail = 120mcg * Adult = 180mcg ** IVoD = 2x 0.2ml * 3x 0.2ml**
26
what is the route, syringe, and repeat of Fentanyl
Route = IN Syringe = 1ml Repeat = 60mcg after 5 mins
27
Indications of Glucagon
Hypoglycaemia 3rd line agent
28
what is the route, dose, IVoD, Dilution, syringe and repeat of glucagon
Route = IM Dose = 1mg IVoD = 1ml Dilution = use hypokit Syringe = 1ml repeat = 5 mins repeat once
29
what are the contraindications of glucagon
1. hypersensitivity | 2. known pheochromocytoma
30
what is the indication for glucose 10%
hypoglycaemia (1st line agent if patient unable to swallow
31
what is the route, dose IVoD Dilution and repeat of glucose 10%
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
contraindications of Glucose 10%
not to be used if no patent IV access
33
Glucose gel indication
hypoglycaemia (1st line agent if alert and can swallow)
34
what is the route, dose, IVoD, repeat for glucose gel
Route = PO Dose = 15g IVoD = single tube Repeat = PRN
35
what are the contraindications for glucose gel
none
36
what is the indication for Gyceryl Trinitrate (GTN)
ACS/cardiogenic APO (BP>90mmHg) Autonomic Dysreflexia (BP>160mmHg)
37
what is the Route, Dose IVoD and repeat for GTN
Route = SL Dose = o.4mg IVoD = 1 spray Repeat = 5 mins no max
38
What are the contraindications for GTN
1. hypersensitivity 2. Hypotension < 90mmHg 3. Medications used for erectile disfunction within 24 hours
39
what is the indication for Ipratropium Bromide
Severe Bronchospasm
40
what is the Route, Dose IVoD, dilution and repeat for Ipratropium Bromide
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
what are the contraindications of Ipratropium Bromide
1. hypersensitivity
42
what is the indication for Ketamine Wafer
second line agent for traumatic pain
43
what is the route, dose, IVoD and repeat of the Ketamine WAFER
Route = SL Dose = 50mg IVoD = 50 mg Repeat = 5 mins, 25mg wafer to a max of 125mg
44
What are the contraindication for ketamine wafer
1. < 12 years of age
45
What is the indication of Lignocaine 1%
1. Local anaesthesia for IV cannulation
46
What is the route, dose, IVoD syringe and Repeat of Lignocaine 1%
Route = ID Dose = 0.1mg IVoD = 0.1mg Syringe = 1ml Repeat = single sight dose
47
contraindications for lignocaine 1%
1. hypersensitivity
48
what is the indication for methoxyflurane
pain
49
what is the route, dose, IVoD and repeat for methoxyflurane
Route = IH Dose = 3ml IVoD = 3ml Repeat = 15 mins, single repeat
50
what are the contraindications of methoxyflurane
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
what is the indication for Naloxone
Respiratory depression in suspected narcotic overdose
52
what is the route, dose, IVoD, Dilution, syringe, repeat for naloxone
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
what are the contraindications for Naloxone
no contraindications
54
what is the indication for Midazolam
Seizures
55
what is the route, dose, IVoD, Dilution, syringe, repeat for Midazolam
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
what are the contraindications for midazolam
1. hypersensitivity
57
What is the indication for ondansatron
moderate to sever nausea, active vomiting, prophylaxis for eye and spinal injuries
58
what is the route, dose, IVoD, dilution, syringe and repeat for ondansatron
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
what are the contraindications for Ondansatron
1. hypersensitivity | 2. children < 2 years
60
what is the indication for paracetamol
moderate to severe pain
61
what is the route, dose, IVoD, and repeat for paracetamol
Route = PO Dose = 500-1000mg IVoD = 1-2 tablets Repeat = 4 hours, max dose 4g in 2 hours
62
what are the contraindications for Paracetamol
1. hypersensitivity | 2. previous dose in last 4 hours or greater than 4g in 24 hours
63
what are the indications for salbutamol
Bronchospasm and respiratory distress associated with a wheeze
64
what is the route, dose, IVoD and repeat for salbutamol
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
What are the contraindications for salbutamol
1. hypersensitivity 2. cardiogenic APO 3. Children < 12 month
66
what are the 3 indications for Sodium Chloride 0.9%
1. hypovolaemic shock/ hyperosmolar hyperglycaemic state 2. hypovolaemic cardiac arrest 3. ROSC
67
what is the route dose and repeat of Sodium Chloride 0.9% when treating hypovolaemic shock/hyperosmolar hyperglycaemic state
Route = IV Dose = 20ml/kg (250ml bolus) IVoD = 250mls Repeat = PRN titrated
68
what is the route dose and repeat of Sodium Chloride 0.9% when treating hypovolaemic cardiac arrest
Route = IV Dose = 20ml/kg IVoD = weight based Repeat = once only max 2L
69
what is the route dose and repeat of Sodium Chloride 0.9% when treating ROSC
Route = IV Dose = 250ml IVoD = 250ml Repeat = As required until BP > 100mmHg, max 2 boluses prior to adrenaline
70
what are the contraindications of Sodium Chloride 0.9%
1. severe pulmonary Oedema

Med Studies PST2235 (1 decks)

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