Drugs

Question 1

Adrenaline

Answer 1

Indications- Cardiac arrest, Bradycardia ,Croup, asthma, anaphylaxis ,Cardiogenic shock, ROSC and new born resus
Contraindications- NIL
Effects- Tachycardoa . Dysrythmias ,Hypertension, nausea, anxiety ,pupil dilation
Dose-

Question 2

Amiodarone

Answer 2

Indications- Cardaic VT/VF, concision VT or VF
Contraindications- Torsades de pointes -Torsades de pointes (TdP) is a specific form of polymorphic ventricular tachycardia occurring in the context of QT prolongation; it has a characteristic morphology in which the QRS complexes “twist” around the isoelectric line.
Effects- Hypotension, dysrythmias , bradycardia
Dose- 50mg or 300mg IV

Question 3

Aspirin

Answer 3

Indications- ACS
Contraindications- Allergy or hypersensitivity, Avicte or suspected bleed, patients <16 years , T1 protocol
Effects- Aggravation to bleed , gastric irriation, bleed longer to stop
Dose- 300mg

Question 4

Atropine

Answer 4

Indications- bradycardia, organophosphate ,nerve agent poison
Contraindications- NIL
Effects- dry mouth ,blurr vision, Tachycardia , hyperthermia , Dysrythmias, nausea , hallucinations, dizziness
Dose- 600 mcg

Question 5

Compound sodium lactate

Answer 5

Indications- Cardiogenic shock ,diving emergencies ,Dehydration, hyperglycemia, medical hypoerfusion, newborn resus , sepsis ,
Contraindications- NIL
Effects- fluid overload, hypertension , increase urination , hypothermia , pulmonary odema ,exacerbate acidosis
Dose- Indication

Question 6

Enoxaprin

Answer 6

Indications- Cardiac re-perfusion
Contraindications- Allergy , checklist
Effects- Aggrevation of bleeds ,allergy , prolongation bleed
Dose- 30mg with 30 ml flush 15 mins after tenectaplase ,1 mg/kg up to 100mg after 15 mins

Question 7

Fentanyl

Answer 7

Indications- Pain
Contraindications- V P or U pregnant or 20 weeks gestation , >1 ,allergy or hypersensitivity ,epistaxis or blocked nose
Effects- hypertension , nausea vomiting and respiratory depression
Dose-

Question 8

Frusemide

Answer 8

Indications-Carcinogenic pulmonary edema
Contraindications- BP <100 sys, <16 YO
Effects- Hypovolemia , K+ loss
Dose- 40mg , 80 if taken diuretics

Question 9

Glucagon

Answer 9

Indications- Anaphylaxis , Hypoglycemia
Contraindications- NIL
Effects- Nausea ,vomit
Dose- 1mg for hypo

Question 10

Glucose 10 %

Answer 10

Indications- Hypoglycemia and newborn resus
Contraindications- NIL
Effects- Tissue necrosis ,aggrevation brain damage ,aggravate wericke’s encephalopathy in alcoholics
Dose- 15g

Question 11

Paracetamol

Answer 11

Indications- Pain Management , febrile
Contraindications- Allergy ,liver failure , self administration of 4 and 24 Hours ,
Effects- Nausea and liver in overdose
Dose- 1 g

Question 12

Salbutamol

Answer 12

Indications- Bronchospasm Asthma, anaphylaxis ,COPD
Contraindications- NIL
Effects-Shakes and dysrhythmia
Dose- 5mg

Question 13

Tenecteaplase

Answer 13

Indications- Cardiac re perfusion
Contraindications- Checklist <18 years
Effects- Intracranial hemorrhage
Dose- Table

Question 14

GTN

Answer 14

Indications- ACS, pulmoanry odema , auto dysflexia
Contraindications- BP >90 ,50-150 HR ,>16 YO ,erectile dysfunction drugs ,
Effects- Hypotension , flushing and headache
Dose- 600mcg Subling

Question 15

Hydrocortisone

Answer 15

Indications- Asthma ,COPD , analphlayxis ,adrenal crisis
Contraindications- Allergy to cortisoids ,or sodium phosphate
Effects- NIL
Dose- 4mglkg or 100mg IM

Question 16

Ibuprofen

Answer 16

Indications- Mild pain
Contraindications- Active or suspected bleed, allergy , peptic ulcers , dehydration , renal impairment , preganacy , HF , ,7 YO , Previus doses
Effects-Nausea ,vomit , diarrhoea ,renal impairement ,
Dose- 400mg

Question 17

Ipratropium

Answer 17

Indications- COPD , Asthma
Contraindications- allergy , glaucoma
Effects- anticholinergic effects (urinary retention )
Dose- 500mcg

Question 18

Ketamine

Answer 18

Indications- Pain management ,behavior
Contraindications- Suspect allergy ,hx of psychosis , <14 ,pregnant
Effects-
Dose- nausea /vomit, muscle movements, distressed

Question 19

Methoxyflurane

Answer 19

Indications- Pain
Contraindications- Malignant hypothermia, V/p/u , Renal failure , <1 , behaviourlly disturbed , concurrent use of antibiotic
Effects- LOC decrease and renal damage in high dose
Dose-

Question 20

Metaclopramide

Answer 20

Indications- Nausea and eye injuries
Contraindications- Bowel obstruction , haematemesis or meaena , hx of extrapryamidal r/dystonic reaction , allergy , pt <16 years , patients with parkinson’s
Effects- Restlessness, fatigue and spasms of muscles and speech disturbance
Dose- 10 mg

Question 21

Midazolam

Answer 21

Indications- Seizures ,hypertensive disrders of pregnacy , limb realignment, Behaviour disturbance, post intubation , post ketamine adminstration.
Contraindications-
Effects- LOC in upper airway , respiratory and cardio depressing
Dose-

Question 22

Morphine

Answer 22

Indications- Pain and post sedation of intubation
Contraindications- V, P , U ,allergy or hypersenstivity , < 20 week gestation and <40 weeks
Effects- LOC, respiratory depression , hypotension , nausea
Dose-

Question 23

Ondansetron

Answer 23

Indications-Nausea ,eye injuries
Contraindications- Concurrent apomorphine ,allergy or hypersensitvity , <2 YO
Effects- Headache , flush , seizures , visual disturbance ,hypersensitivity ,
Dose- 5mg

Question 24

Oxygen

Answer 24

Indications- ACS, dyspnoea ,hypoxia ,cardiac arrest , diving , carbon monoxide , prolasped umbilical cord , cyanide poising , Pulmonary edema
Contraindications-
Effects- Fire risk
Dose-