Side Effects

Question 1

Adrenaline

Answer 1

• Sinus Tachycardia
• SVTs
• Ventricular arrhythmias
• Hypertension
• Pupillary dilatation
• May increase size of MI
• Anxiety/palpitations

Question 2

Aspirin

Answer 2

• Heartburn, nausea, GI bleeding
• Increased bleeding time
• Hypersensitivity reactions

Question 3

Ceftriaxone

Answer 3

• Nausea
• Vomiting
• Skin rash

Question 4

Dexamethasone

Answer 4

Nil

Question 5

Dextrose

Answer 5

Nil

Question 6

Fentanyl

Answer 6

BARR
- Bradycardia
- Apnoea
- Rigidity of diaphragm and intercostals
- Respiratory depression

Question 7

Glucagon

Answer 7

• Nausea and vomiting (rare)

Question 8

GTN

Answer 8

• Tachycardia
• Bradycardia (occasionally)
• Hypotension
• Headache
• Dizziness/syncope
• Skin flushing

Question 9

Heparin

Answer 9

• Bleeding
• Bruising and pain at injection site
• Hyperkalaemia
• Thrombocytopaenia

Question 10

Ipratropium bromide

Answer 10

Toilet Paper HANDS
- Tachycardia (rare)
- Palpitations (rare)
- Headache
- Acute angle closure glaucoma after direct eye contact
- Nausea
- Dry mouth
- Skin rash

Question 11

Ketamine

Answer 11

• Hypertension
• Tachycardia
• Emergence reactions (hallucinations, confusion etc)
• Increased skeletal muscle tone
• Respiratory depression/apnoea (rare)
• Nausea and vomiting
• Injection site pain
• Hyper-salivation
• Lacrimation (tears)
• Eye movement
• Diplopia (double vision)

Question 12

Lignocaine

Answer 12

ALLERGIC REACTIONS - localised oedema, urticaria, bronchospasm, anaphylaxis
SYSTEMIC TOXICITY:
- CV - hypotension, bradycardia arrhythmias, arrest
- CNS- tinnitus, blurred vision, change in conscious state, agitation

Question 13

Methoxyflurane

Answer 13

• Drowsiness
• Dizziness
• Hypotension
• Nausea and vomiting

Question 14

Midazolam

Answer 14

• Decreased LOC
• Respiratory depression
• Loss of airway control
• Hypotension

Question 15

Morphine

Answer 15

DR HB PANE
CNS effects:
- Drowsiness
- Respiratory depression
- Euphoria
- Nausea & vomiting
- Addiction
- Pin point pupils
CV effects:
- Hypotension
- Bradycardia

Question 16

Naloxone

Answer 16

Symptoms of opioid withdrawal: DANCS
- Sweating, goosebumps, tremors
- Nausea and vomiting
- Agitation
- Dilatation of pupils, lacrimation (tears)
- Convulsions

Question 17

Olanzapine

Answer 17

• Sedation
• Dizziness
• Over-sedation if administered with alcohol

Question 18

Ondansetron

Answer 18

• Constipation
• Headache
• Dizziness
  Rare
• Q-T prolongation
• Visual disturbances/transient loss of vision - usually from quick IV admin.

Question 19

Oxytocin

Answer 19

Nausea and vomiting

Question 20

Paracetamol

Answer 20

• Hypersensitivity reactions (skin rashes etc - rare)
• Haematological reactions (rare)
• Hypotension with IV administration

Question 21

Prochlorperazine

Answer 21

SHEBQ
- Sedation
- Hypotension
- Extrapyramidal reactions
- QT Prolongation
- Blurred vision

Question 22

Salbutamol

Answer 22

• Sinus tachycardia
• Muscle tremor

Question 23

Tenecteplase

Answer 23

• Bleeding (injection sites, internal, ICH)
• Hypotension
• Allergic reactions - fever, chills, rash, nausea etc
• Cholesterol embolism (rare)

Question 24

Hydrocortisone

Answer 24

Nil

Question 25

Droperidol

Answer 25

CNS effects: Oversedation, dizziness
CVS: hypotension, tachycardia, QY prolongation
Extrapyramidal reactions