Tech Drugs full Flashcards
atropine
CBRNE
atropine
2mg dose every 3 minutes
Paracetamol full
Paracetamol
Contra indication
Do not give if paracetamol has been given within 4hr or 6hrs renal
Indications for use
Mild to moderate pain or high temperature with discomfort
Dose
1g over 12yo 0.5g if under 50kg
route
Oral and IV
Actions
Analgesic and anti pyretic
Caution
Check weight
Oxygen
Oxygen
Contra indication
Explosive environment
Indications for use
Critical illness requiring high 02
COPD 88-94
Dose
Various
Route
02 given through various masks
Actions
Essential for cell metabolism Reverse hypoxia
cautions
hypoxic drive
Aspirin full
Aspirin full
Contra indications
Known Allergies
Children under 16
Active gastrointestinal bleeding
Haemophilia
Severe hepatic disease
Indications for use
Clinical or ecg evidence of mi
Dose
300mg oral max one dose adults acetylsalicylic acid
Route
oral
Actions
Anti platelet action
Cautions
Asthma
Pregnancy
Renal
Ulcer
Current treatment anticoagulants
Salbutamol full
Salbutamol
Contra indication none in a emergency situation
Indications for use
Acute asthma attack, where normal inhaler hasn’t worked Expiratory wheeze, associated with Anaphylaxis Smoke inhalation Other lower airway cause Exacerbation of COPD
Dose 2.5mg in 2.5ml 5mg adults Interval every 5mins no limit 2.5mg under 11 every 5min no limit
Route Nebuliser
Actions
Selective beta2 adrenoceptor
Relaxant effect on the smooth muscle in the medium and smaller airways
Cautions
HTN
Angina
Thyroid
Late pregnancy
COPD limit to 6 mins
Ipratropium bromide atrovent full
pratropium bromide atrovent
Contra indications
None in emergency
Indications
Acute severe or life threatening asthma
Unresponsive to salbutamol
Exacerbation of copd
Presentation
Nebulas containing ipratropium bromide 250mcg in 1ml or 500mcg in 2ml
Dose
500mcg for over 12yo no repeat dose
Actions
Ipratropium bromide is an anti muscarinic bronchodilator
Cautions
Glaucoma Pregnancy and breastfeeding Prostatic hyperplasia
calpol
calpol
Contra indication
Presentation
Dose
120mg in 5ml
Route
Actions
Cautions
Glucagon full
Glucagon
Contra indication
Pheochromocytoma
IV
Indications for use
Hypoglycaemia blood glucose <4mmols
Dose
Glucagon injection 1mg of powder in vial for reconstitution with water for injection.
max dose 1 Dose 1mg more than 8yo
Route
intramuscular
Actions
Glucagon is a hormone that induces the conversation of glycogen to glucose, there by raising blood glucose
Cautions
Low glycogen stores
For hypoglycaemia seizures IV glucose is preferred method
Ibuprofen full
Ibuprofen
Contra indication
Dehydration
Dyspepsia
Hypovolaemic
Renal
Pregnant
Peptic ulcer
Indications for use
mild to moderate pain and or high temperature
soft tissue injuries
best in balanced analgesic regimen
Dose
100mg in 5ml suspension
200 or 400mg tablet
12yo to adult 400mg every 8hrs pref after food
route oral
Actions
Analgesic Antipyretic
Anti inflammatory
Caution
Asthma
Older people
Entonox full
Entonox
Contra indications
Severe head injuries
Bends caisson
Violently disturbed psychiatric patient
Abdo pain where obstruction is suspected Intraocular injection in last 4 weeks
indications for use
Moderate to severe pain
Labour pains
Dose
varible Cylinder blue body white top takes 3-5 minutes to be affective
Actions
Inhaled analgesic agent
Cautions
Chest trauma pneumothorax etc
Adrenaline full
Adrenaline
Contra indications
Do not give repeated doses to hypothermic
Indications for use
Anaphylaxis
Life threatening asthma with failing ventilation
Dose
500mcg dose interval every 5mins no limit
Route
Intermuscular
Presentation 1.1000 pre-filled syringe or ampoules 1mg in 1ml
Actions
Adrenalin is a sympathomimetic that stimulates both alpha and beta adrenergic receptors
Reverses anaphylaxis Relieves bronchospasm
Cautions
Severe hypertension may occur
Propranolol
Glucose 40% oral gel
Glucose 40% oral gel
Contra indication
None
Indications for use
Hypoglycaemia or suspected
Dose
25g glucose 40% oral gel <12 10-20 grams check be after each dose
Route
oral buccal
Actions
Rapid increase in blood glucose
cautions
choking
Naloxone Hydrochloride full
Naloxone Hydrochloride
Contra indication
Neonates born to opioid addicted mothers
Indications for use
Reversal of opioid or opiate toxicity
Presentation
Naloxone hydrochloride 400 mcg per 1ml ampoule
Dose
titrate
Route
MAD nasal
Actions
Antagonism of respiratory depression
GTN glyceryl trinitrate full
GTN glyceryl trinitrate
Contra indications
Hypotension <90mmhg in angina
<110 in AHF Hypovolaemia
Head trauma
Cerebral haemorrhage
Viagra
Unconscious
I_ndications for use_
Cardiac chest pain
PE
Cocaine toxicity
Dose
400-800mcg
Route
sublingual. 5-10mins no max 400mcg each spray
Actions
A potent vasodilator Dilatation of coronary arteries
Dilatation of systemic veins lowering pre load
