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Clinical Prac > Drugs > Flashcards

Drugs Flashcards

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1
Q

Contras of Adrenaline

A

Hypovolaemic shock without adequate fluid replacement

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2
Q

Precautions of Adrenaline

A

Elderly, CVD, MOA inhibitors, beta blockers

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3
Q

Side effects of Adrenaline

A

Tachycardia, supraventricular arrhythmia, ventricular arrhythmias, hypertension, pupil dilation, increase size of MI, anxiety

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4
Q

Indications of Aspirin use

A

ACS

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5
Q

Contras of Aspirin

A 
Hypersensitivity
Suspected dissecting aortic aneurysm 
Chest pain assoc with psychostim OD with BP >160
Actively bleeding peptic ulcer 
Bleeding disorders
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6
Q

Precautions of Aspirin

A

Peptic ulcers
Asthma
Anticoagulants

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7
Q

Side effects of Aspirin

A

Heartburn, nausea, GI bleeding
Increased bleeding time
Hypersensitivity reactions

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8
Q

Indications of Dextrose 10%

A

Diabetic hypoglycaemia with BGL

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9
Q

Contras of Dextrose 10%

A

Nil

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10
Q

Precautions of Dextrose 10%

A

Nil

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11
Q

Side effects of Dextrose 10%

A

Nil

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12
Q

Indications of Fentanyl

A

Sedation to facilitate intubation
Sedation to maintain intubation
Drug facilitated intubation
Analgesia

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13
Q

Contras of Fentanyl

A

Hypersensitivity

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14
Q

Precautions of Fentanyl

A 
Elderly 
Renal impairment 
Resp depression 
Current asthma 
MOA inhibitors 
Known addiction to opioids 
Rhinitis, rhinorrhea, facial trauma
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15
Q

Side effects of Fentanyl

A

Resp depression
Apnoea
Rigid diaphragm
Bradycardia

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16
Q

Glucagon indications

A

Diabetic hypoglycaemia with BGL

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17
Q

Contras of Glucagon

A

Nil

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18
Q

Precautions of Glucagon

A

Nil

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19
Q

Side effects of Glucagon

A

Nausea and vomiting (rare)

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20
Q

Indications of GTN

A 
Chest pain with ACS
Acute LVF
Hypertension assoc with ACS
Autonomic dysreflexia 
Preterm labour
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21
Q

Contras of GTN

A 
Hypersensitivity 
SBP 150  
Viagra and levitra in 24 hours or cialis in 4 days 
VT 
Inferior STEMI with SBP
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22
Q

Precautions of GTN

A

No previous admin
Elderly pts
Recent MI
Concurrent use with other tocolytics

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23
Q

Side effects of GTN

A 
Tachycardia 
Hypotension 
Headache 
Skin flushing 
Bradycardia
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24
Q

Indications for use of Ipratropium Bromide

A

Severe resp distress assoc with bronchospasm

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25
Contras for Ipratropium Bromide
Known hypersensitivity
26
Precautions for Ipatropium Bromide
Glaucoma | Contact with eyes
27
Side effects of Ipratropium Bromide
``` Headache Nausea Dry mouth Skin rash Tachycardia Palpitations Acute angle glaucoma ```
28
Indications for use of Methoxyflurane
Pain relief
29
Contras for Methoxyflurane
Pre existing renal disease Concurrent use with tetracycline antibiotics Exceeding total dose in 24 hours
30
Precautions of Methoxyflurane
Penthrox inhaler held by the pt Pre eclampsia Concurrent use with oxytocin can cause hypotension
31
Side effects of Methoxyflurane
Drowsiness Decreased BP and bradycardia Exceeding total dose may lead to renal toxicity
32
Indications of Metoclopramide use
Nausea and vomiting assoc with: Chest pain, opioid admin, cytotoxic or radiotherapy, previously diagnosed migraine, severe gastro Prophylaxis for: Awake spinal immobilised, eye trauma
33
Contras for Metoclopramide
Children Suspected bowel obstruction GI hemorrhage
34
Precautions for Metoclopramide
Undiagnosed abdo pain Adolescents Admin slowly over 1 min
35
Side effects of Metoclopamide
``` Drowsiness Lethargy Dry mouth Muscle tremor Extrapyrimidal reactions ```
36
Indications for use of Midazolam
``` Status epilepticus Sedation to enable intubation Post intubation sedation Sedation to enable synchronized cardioversion Sedation in agitated pt Sedation in psychostim OD ```
37
Contras of Midaz
Known hypersensitivity
38
Precautions of Midaz
Elderly Narcotics may enhance effect Resp depression in COPD pts Myasthenia gravis
39
Side effects of Midaz
Depressed level of consciousness Resp depression Loss of airway control Hypotension
40
Indications for Morphine
``` Pain relief Acute LVF with SOB and full field crackles Sedation to maintain intubation Sedation to enable intubation RSI ```
41
Contras of Morphine
Hypersensitivity | Late second stage labour
42
Precautions of Morphine
``` Elderly Hypotension Resp depression Current asthma Resp tract burns Addiction to opioids Acute alcoholism MOA inhibitors ```
43
Side effects of Morphine
``` Drowsiness Resp depression Pin point pupils Euphoria Addiction Nausea and vomiting Hypotension Bradycardia ```
44
Indications for Adrenaline use
Cardiac arrest, inadequate perfusion, bradycardia with poor perfusion, anaphylaxis, severe asthma, croup
45
Indications for Prochlorperazine
Treatment or prophylaxis of nausea and vomiting for: Motion sickness Planned aeromedical evac Known allergy or C/I to metoclopramide Headache irrespective of nausea and vomiting Vertigo
46
Contras of Prochlorperazine
Circulatory collapse CNS collapse Previous hypersensitivity Children
47
Precautions of Prochlorperazine
Hypotension Epilepsy Pts affected by alcohol or on anti-depressants
48
Side effects of Prochlorperazine
``` Drowsiness Blurred vision Hypotension Sinus tachy Skin rash Extrapyrimidial reactions ```
49
Indications of Salbutamol
``` Resp distress with suspected bronchospasm: Asthma Severe allergic reaction COPD Smoke inhalation Capsicum spray exposure ```
50
Salbutamol contras
IV salbutamol
51
Salbutamol precautions
Large doses of IV can cause intracellular metabolic acidosis
52
Side effects of Salbutamol
Sinus tachy | Muscle tremor
53
Indications of Naloxone
Altered conscious state and resp depression secondary to admin of opioids or related drugs
54
Contras of Naloxone
nil
55
Precautions of Naloxone
Pt dependent on opioids can cause aggresion | Neonates
56
Side effects of Naloxone
``` Sweating, goose flesh, tremor Nausea and vomiting Agitation Dilation of pupils, excessive lacrimation Convulsion ```
57
Fentanyl Presentation
100mcg in 2ml for paeds 200mcg in 1ml (IN only) 600mcg in 2ml (IN only) adults
58
Fentanyl doses for pain relief in adults
Elderly of less than 60kg 100mcg, repeat up to 50mcg every 5 mins max 200mcg other 200cg, repeat up to 50mcg every 5 mins max 400mcg IV: 25-50mcg repeat after 5 mins max 200mcg
59
Morphine doses for pain relief in adults
IV: up to 5mg repeat after 5 mins max 20mg IM: over 60kg 10mg repeat 5mg after 15 mins less than 60kg 0.1mg/kg single dose
60
Fentanyl doses for pain relief in paeds
Large child: 50mcg Small child: 25mcg repeat every 5-10 mins max 3 doses
61
Morphine doses for pain relief in paeds
IM 0.1mg/kg

Clinical Prac (4 decks)

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