Term
|
Definition
500 mcg
1:1000
@3-5min intervals |
|
|
Term
Adrenaline
Indications (2) |
|
Definition
Anaphalaxysis
Life threatening asthma |
|
|
Term
|
Definition
Sympathomimetic drug
reverses the allergic manifestations of acute anaphylaxis
Relieves bronchospasm in acute severe asthma |
|
|
Term
Adrenaline
Contra-indications |
|
Definition
| no repeated doses in hypothermic patients |
|
|
Term
|
Definition
| Patients on Beta-blockers may experience severe hypotention- administer half doses |
|
|
Term
|
Definition
|
|
Term
|
Definition
| Clinical or ECG evidence on an MI or ischaemia |
|
|
Term
|
Definition
Anti-platelet action reduces clot formation
Analgesic
Antipyrexic
anti-inflametory |
|
|
Term
Asprin
Contra-indications (5) |
|
Definition
Allergy
Under 16s
Active GI bleed
Severe hepatic disease
clotting disorders |
|
|
Term
|
Definition
Risks outweigh benefits in:
Asthma
Pregnancy
Liver/ kidney failure |
|
|
Term
|
Definition
|
|
Term
|
Definition
Moderate to severe pain
Labour pain |
|
|
Term
|
Definition
|
|
Term
Entanox
Contra-indications (3) |
|
Definition
Severe head injury
Violently disturbed psyciatric patients
?Decompression sickness (Patients who have scuba dived in the last 24h) |
|
|
Term
|
Definition
? Poly trauma/ penetrating torso injury: Patients at risk of
Pnumothorax
Pneumomediastinum
Pneumoperitoneum |
|
|
Term
|
Definition
|
|
Term
Adrenaline
Side effects (4) |
|
Definition
Bradycardia
Vasodilation=hypotension+flushing#
Bronchospasm
Arrhythmias (Torsades de pointes) |
|
|
Term
|
Definition
Gastric bleeding
Wheezing in some asthmatics |
|
|
Term
|
Definition
|
|
Term
|
Definition
Hypoglycaemia (BM of <4) especially in known diabetics
clinically suggested hypoglycaemia where administration of oral glucose is not possible
Unconcious patient where hypoglycaemia is the likely cause |
|
|
Term
|
Definition
| A hormone that raises blood glucose levels by inducing the converson of glycogen to glucose in the liver |
|
|
Term
Glucagon
Contra-indications (2) |
|
Definition
Low glycogen stores (e.g. recent use of glucogon)
Hypoglycaemic seisurers |
|
|
Term
|
Definition
| avoid IM injections in patients likely to need thrombolysis |
|
|
Term
|
Definition
Nausea/ vomiting
Diarrhoea
Acute hyposensitivity reaction (rare)
Hypokalaemia
Hypotension |
|
|
Term
|
Definition
10g
40% glucose gel
@5 min intervals, no limit |
|
|
Term
|
Definition
| Known/ suspected hypoglycaemia in concious patient with no risk of choking/aspiration |
|
|
Term
|
Definition
| Rapidly increases blood glucose levels via buccal absorbtion |
|
|
Term
Glucose
Contra-indications |
|
Definition
|
|
Term
|
Definition
| Do not administer if there are altered levels of conciousness as risk of choking/ aspiration |
|
|
Term
|
Definition
|
|
Term
|
Definition
400-800 mcg
@5-10min intervals, no limit |
|
|
Term
|
Definition
Caridac chest pain due to angina or MI
Acute cardiogenic pulmonary odema |
|
|
Term
|
Definition
A potent vasodilator (resulting in)
Dilation of coronary arteries
relief of coronary spasm
Dilation of systemic venis lowering pre-load
Reduced bP |
|
|
Term
GTN
Contra-indications (6) |
|
Definition
Head trauma
Cerebral haemorrhage
Unconcious patients
Hypovolaemia
Hypotension
Viagra or related drugs taken by patient |
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
Ipratroprium Bromide
Indications (3) |
|
Definition
Acute, severe or life threatening asthma
Acute asthma unresponsive to salbutamol
Excaserbation of COPD unresponsive to salbutamol |
|
|
Term
Ipratropium Bromide
Actions |
|
Definition
| Antimuscarnic bronchodialator |
|
|
Term
Ipratropium Bromide
Contra-indications |
|
Definition
|
|
Term
Ipratropium Bromide
Cautions |
|
Definition
| In Glaucoma patients, protect eyes from mist |
|
|
Term
Ipratropium Bromide
Side effects (7) |
|
Definition
Headache
Nausea/vomiting
Dry mouth
Difficuly in opening bowels/ bladder
Tachycardia/arrhythmia
Paroxysmal tightening of chest
Alelrgic reaction |
|
|
Term
Naloxone Hydrochloride
Dose |
|
Definition
400mcg
@3min intervals 11 doses max |
|
|
Term
Naloxone Hydrochloride
Indications (4) |
|
Definition
Opoid oD producing depression of the respiratory, cardiovascular and crntral nervous system
OD of opoiod analgeasic (e.g. co-codamol)
Unconcious with respiratory depression ?cause but opoid OD possible
Reversal of respiratory and CNS depression in a neonate following maternal opoid use during labour |
|
|
Term
Naloxone Hydrochloride
Actions |
|
Definition
| Antaganistic action on opoid drugs |
|
|
Term
Nalaxone Hydrochloride
Contra-indications |
|
Definition
| Neonates born to opiate addicted mothers |
|
|
Term
Naloxone Hydrochloride
Cautions |
|
Definition
|
|
Term
Naloxone Hydrochloride
Side effects |
|
Definition
| Patients with physical dependance on opiates may have violent withdrawal symptoms |
|
|
Term
|
Definition
|
|
Term
Paracetamol
Indications (3) |
|
Definition
relief of mild/moderate pain
relief of high tempreture
as part of a balanced reponse to sever pain if opoids are contraindicated |
|
|
Term
|
Definition
| Analgesic and anti-pyrexic |
|
|
Term
Paracetamol
Contra-indications |
|
Definition
Allergy
Previous dose in the past 4-6 hours |
|
|
Term
|
Definition
|
|
Term
|
Definition
| rare, IV paracetamil can cause hypotension if administered rapidly |
|
|
Term
|
Definition
5mg
@5min intervals, no limit |
|
|
Term
Salbutamol
Indications (4) |
|
Definition
Acute asthma attack which inhaler has failed to relieve
Expiratrory wheezing associated with allergy, anaphalxis, smoke inhalation or lower airway cause
exascerbation of COPD
SOB in LVF |
|
|
Term
|
Definition
| Selective beta2 adrenoreceptor stimulant drug, relaxes smooth muscle in medium and small airways |
|
|
Term
Salbutamol
Contra-indications |
|
Definition
|
|
Term
|
Definition
Use with caution in patients with:
Hypertension
Angina
Overactive Thyroid
Late pregnancy
Patients on beta-blockers (use half doses) |
|
|
Term
Salbutamol
Side effects (8) |
|
Definition
Tremor
Tachycardia
Palpitations
Headache
Feeling of tension
Peripheral vasodilation
Muscle cramps
Rash |
|
|
