Side Effects

Question 1

Paracetamol

Answer 1

2
1. Hypersensitivity reactions including severe skin rashes
2. Haematological reactions (rare)

Question 2

Ketamine

Answer 2

5
1. CV : hypertension, tachycardia
2. CNS : emergence reactions ( e.g. vivid dreams, restlessness, confusion, hallucinations, irrational behavior); increased skeletal tone (may resemble seizures)
3. Respiratory : transient respiratory depression and apnoea (rare)
4. GI : Nausea and vomiting
5. Other: injection site pain, lacrimation, hypersalivation, diplopia, nystagmus

Question 3

Morphine

Answer 3

6 CNS
1. Drowsiness
2. Respiratory distress
3. Euphoria
4. Nausea and vomiting
5. Addiction
6. Pin point pupils

2 Cardiovascular
1. Hypotension
2. Bradycardia

Question 4

Fentanyl side effect

Answer 4

4
1. Respiratory depression And Rigidity of diagram and intercostal muscles
2. Bradycardia
3. Nausea vomiting
4. Rash erythema

Question 5

Methoxyflurane

Answer 5

3
1. Drowsiness
2. Decrease in BP and Bradycardia
3. Exceeding the maximum dose in a 24 hr period may cause renal toxicity

Question 6

Glyceryl Trinitrate

Answer 6

5
1. Tachycardia
2. Hypotension
3. Headache
4. Skin flushing
5. Bradycardia (occasionally)

Question 7

Heparin

Answer 7

4
1. Bleeding
2. Bruising and Pain at injection site
3. Hyperkalemia
4. Thrombocytopaenia

Question 8

Ventolin

Answer 8

2
1. Sinus tachycardia
2. Muscle Tremors

Question 9

Ipratropium Bromide

Answer 9

7
1. Headache
2. Nausea
3. Dry mouth
4. Skin rash
5. Tachycardic (rare)
6. Palpitations (rare)
7. Acute angle closure glaucoma secondary to direct eye contact

Question 10

Dexamethasone

Answer 10

Nil of significance in the above indication

Question 11

Normal Saline

Answer 11

Nil of significance in the noted indications

Question 12

Olanzapine

Answer 12

2
1. CNS: Sedation, Dizziness
2. Other: Extrapyramidal symptoms and QT prolongation are unlikely when administered at the approved doses

Question 13

Midazolam

Answer 13

4
1. Depressed level of consciousness
2. Respiratory depression
3. Loss of airway control
4. Hypotension

Question 14

Adrenaline

Answer 14

7
1. Sinus tachycardia
2. Supraventricular tachycardia
3. Hypertension
4. Pupillary dilation
5. May increase size of MI
6. Feeling of anxiety/palpitations in the conscious patient

Question 15

Aspirin

Answer 15

3
1. Heartburn, Nausea, Gastrointestinal bleeding
2. Increased bleeding time
3. Hypersensitivity reactions

Question 16

Ondansetron

Answer 16

5 common 7 uncommon (<1%)
1. Constipation 1. Hypersensitivity reactions
2. Headache 2. QT Prolongation
3. Fever 3. Widened QRS complex
4. Dizziness 4. Tachyarrhythmias (inc AF SVT)
5. Rise of liver enzymes 5. Seizures
6. Extrapyramidal reactions
7. Visual disturbances (inc transient loss of vision)

Question 17

Prochlorperazine

Answer 17

6
1. Drowsiness
2. Blurred vision
3. Hypotension
4. Sinus tachycardia
5. Skin rash
6. Extrapyramidal reactions

Question 18

Oxytocin

Answer 18

Adverse effects
- N & V

Question 19

Naloxone

Answer 19

Symptoms of opioid withdrawal
- Sweating, goose flesh
- N&V
- Agitation
- Dilation of pupils, excessive lacrimation
- Convulsions