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Ambulance Tasmania Guidelines > Medication Side Effects and Precautions > Flashcards

Medication Side Effects and Precautions Flashcards

1
Q

Adrenaline - Side Effects and Precautions

A

Side Effects: (4 Heart, 2 Head, muscles)

  • Sinus Tachycardia
  • S/VT arrhythmias
  • Hypertension
  • May increase size MI
  • Pupillary Dilation
  • Feeling anxious/palpitations
  • Muscle tremors

Precautions: (CEM BB)

  • Pts with CVD
  • Elderly
  • Pts on MAO inhibitors
  • Pts on Beta blockers as higher doses are required
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2
Q

Aspirin Side Effects and Precautions

A

Side Effects:

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

Precautions: (PAA)

  • Peptic Ulcers
  • Asthma
  • Pts on anticoagulants eg Warfarin
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3
Q

Ceftriaxone Side Effects and Precautions

A

Side Effects:

  • Nausea and Vomiting
  • Skin rash

Precautions:
-Allergy to penicillin antibiotics

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4
Q

Dexamethasone Side Effects and Precautions

ICP

A

Side Effects:
-Allergic/Adverse Reactions

Precautions:
-Only with prolonged and high doses

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5
Q

Diazepam Side Effects and Precautions

A

Side Effects:
-Dystonic reactions

Precautions: (CHARR)

  • Children and elderly
  • Hypotension
  • Alcohol or other CNS depression
  • Renal or hepatic function
  • Respiratory insufficiency
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6
Q

Droperidol Side Effects and Precautions

A

Side Effects:
-Dystonic Reactions (rare)

Precautions:
-Concomitant use of CNS depressants

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7
Q

Fentanyl Side Effects and Precautions

A

Side Effects: (BARR)

  • Bradycardia
  • Apnoea
  • Respiratoiry Depression
  • Rigidtiy of diaphragm and intercostal muscles

Precautions: (CREaM)

  • Current Asthma
  • Respiratory depression (COPD)
  • Elderly
  • Addiction to narcotics
  • MAO inhibitors
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8
Q

Glucagon Side Effects and Precautions

A

Side Effects:
-Nausea and vomiting (rare)

Precautions:
-Nil

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9
Q

Glucose 10% Side Effects and Precautions

A

Side Effects:
-nil

Precautions:
-nil

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10
Q

Glucose Gel Side Effects and Precautions

A

Side Effects:
-nil

Precautions:
-nil

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11
Q

GTN Side Effects and Precautions

A

Side Effects: (SH,TH,B)

  • Skin Flushing
  • Headache
  • Tachycardia
  • Hypotension
  • Bradycardia (rare)

Precautions: (NEAR RI)

  • No previous administration
  • Elderly
  • Avoid skin contact
  • Recent AMI
  • Reduce slowly rather than aggressively (IV GTN)
  • Inferior STEMI BP<160mmHG
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12
Q

Ipratropium Bromide Side Effects and Precautions

A

Side Effects: ($TAHP DN)

  • Skin rash
  • Tachycardia
  • Acute angle closure glaucoma from direct eye contact
  • Headache
  • Palpitations
  • Dry mouth
  • Nausea

Precautions:

  • Glaucoma
  • Avoid contact with eyes
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13
Q

Methoxyflurane Side Effects and Precautions

A

Side Effects: (DED)

  • Drowsiness
  • Exceeding max dose leads to renal toxicity
  • Decreased blood pressure and bradycardia

Precautions: (Pre-inhaler)

  • Inhaler must be held by patient to stop use if patient becomes unconscious
  • Pre-eclampsia
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14
Q

Metoclopramide Side Effects and Precautions

Maxolon

A

Side Effects: DDD LL HM

  • Drowsiness
  • Dry mouth
  • Dystonic reaction
  • Lowers seizure threshold
  • Lethargy
  • Hypo/hyper tension
  • Muscle Tremor

Precautions:
-Undiagnosed abdominal pain

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15
Q

Midazolam Side Effects and Precautions

A

Side Effects: DR L(o)H

  • Depressed level of consciousness
  • Respiratory depression
  • Loss of airway control
  • Hypotension

Precautions: MRS CNS

  • Myasthenia gravis
  • Reduced doses required for elderly, chronic renal failure. CCF and shock
  • Severe respiratory depression for COPD pts
  • CNS depressive effects ehnaced by narcotics or alcohol
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16
Q

Morphine Side Effects and Precautions

A

Side Effects: (HaNDBERP)

  • Hypotension
  • Addiction
  • Nausea and vomiting
  • Drowsiness
  • Bradycardia
  • Euphoria
  • Respiratory depression
  • Pinpoint pupils

Precautions: (CRAPHEaR)

  • Current asthma
  • Respiratory tract burns
  • Acute alcoholism
  • Pts on MAO inhibitors
  • Hypotension
  • Elderly
  • Addiction to narcotics (known)
  • Respiratory Depression
17
Q

Naloxone Side Effects and Precautions

A

Side Effects:

  • Narcotic Withdrawal Effects
  • -sweating, goose bumps, tremors
  • -nausea and vomiting
  • -agitation
  • -dilation of pupils, lacrimation
  • -convulsions

Precautions:

  • Narcotics dependence
  • Neonates
18
Q

Ondansatron Side Effects and Precautions

A

Side Effects: (SHEA)

  • skin flushed
  • Headache
  • extra pyramidal effects
  • arrhythmia

Precautions: (PILE)

  • Pregnancy
  • Impaired hepatic function
  • Lactation
  • Elderly
19
Q

Paracetamol Side Effects and Precautions

A

Side Effects:

  • Hypersensitivity reactions
  • Haematological reactions

Precautions: (MEH)

  • Malnourished
  • Elderly/frail
  • Hepatic or renal dysfunction
20
Q

Prochlorperazine Side Effects and Precautions

A

Side Effects: ($BSHED)

  • Skin rash
  • Blurred vision
  • Sinus tachycardia
  • Hypotension
  • Extrapyramidal reactions/dystonic reaction
  • Drowsiness

Precautions: (HEAA)

  • Hypotension
  • Epilepsy
  • Pts effected by alcohol or antidepressants
21
Q

Salbutamol Side Effects and Precautions

A

Side Effects:

  • Sinus tachycardia
  • muscle tremors (salbutamol shakes)

Precautions: (CLAPD)

  • Cardiac Disease
  • Large doses of IV Salbutamol can cause intracellular acidosis
  • Administer oxygen between doses
  • Pregnancy/Lactating
  • Diabetes

Ambulance Tasmania Guidelines (9 decks)

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