Emt Medication Flashcards

(48 cards)

1
Q

Adrenaline dosage

A

1 milligram adrenaline in 1 ml
1:1000

Only give 500ml in 5 minute intervals NOT the whole syringe

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2
Q

Adrenaline route

A

IM pre filled syringe

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3
Q

Adrenaline indications

A

Cardiac arrest
Anaphylaxis
Life threatening asthma with nebuliser ineffective

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4
Q

Adrenaline actions

A

Stimulates alpha and beta adrenergic receptors

Increased efficiency of CPR as increased peripheral resistance improved perfusion

Reverses acute anaphylaxis

Relieves bronchospasm

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5
Q

Adrenaline Contra indications

A

No repeated doses in hypothermic

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6
Q

Adrenaline cautions

A

Severe hypertension may occur if patient is on beta blockers

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7
Q

Adrenaline dosage for shockable rhythm

A

After the third shock then alternative 5,7 etc

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8
Q

Aspirin dosage

A

300 milligram in tablet, whole tablet no repeat dose

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9
Q

Aspirin route

A

Oral chewed or dissolved in water - NOT swallowed

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10
Q

Aspirin action

A

Anti-platelet action reduces clot formation

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11
Q

Aspirin indications

A

Clinical ecg evidence of MI

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12
Q

Aspirin Cautions

A
Pregnancy
Asthma
Kidney / liver failure
Gastric / Duodenal ulcer
Current anticoagulants
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13
Q

Entonox Presentation

A

50% nitros oxide 50% Oxygen stored in blue body containers with white shoulders
Must be inverted several times to mix gases

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14
Q

Entonox Indications

A

Moderate to severe pain

Labour Pains

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15
Q

Entonox Actions

A

Inhaled Analgesic Agent
3-5 minutes to be effective
5-10 minutes max effect

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16
Q

Entonox Contras

A

Severe Head injuries with impaired consciousness
Decompression sickness - Anyone scuba diving in last 24 hours is a risk
Violently disturbed psychiatric patients

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17
Q

Entonox Cautions

A

Pneumothorax suspected

Pneumomediastinum and / or pneumoperitoneum e.g. polytrauma penetrating torso injury

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18
Q

Entonox side effects

A

Minimal side effects

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19
Q

Entonox dosage

A

Self administered should be used in conjunction with pain monitoring

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20
Q

Entonox additional info

A

Rapidly wears off
Rapid effect
Self administered
Admin while prepping other pain killers

21
Q

Glucagon presentation

A

1 milligram powder in vial for reconstitution with water for injection

22
Q

Glucagon indications

A

Hypoglycaemia

23
Q

glucagon actions

A

Hormone which glycogen to glucose in liver

24
Q

Glucagon contra

A

Low glycogen recent use of glucagon

Hypoglycaemic seizures 10% glucose IV preferred

25
Glucagon cautions
Avoid IM whenever thrombolysis
26
Glucagon side effects
``` Nausea vomiting Diarrhoea Acute hypersensivity reaction Hypo kalmia Hypotension ```
27
Glucagon Additional info
Don't give IV due to increased vomiting Check bm 5-10 min > 5millimoles per litre Clinical decision of route admin Ineffective if glycogen stores exhausted Newborn babies have v. Low glycogen Can be ineffective in some alcohol induced hypoglycaemia try 10% If fitted 10% preferable
28
Glucagon dosage
IM 1milligram 1 vial no repeat
29
Glucose 40% presentation
Plastic tube 25g
30
Glucose 40% indication
Known hypo conscious no risk of choking
31
Glucose 40% action
Rapid up of blood glucose via Buccal absorption
32
Glucose 40% cautions
Altered consciousness - gauze swab between lip and gum can be given
33
Glucose 40% side effects
None
34
Glucose 40% additional info
Repeat as necessary | Failure should go alternative IM or 10%
35
Glucose 40% contra
None
36
Glucose 40% gel dosage
10g in 25g 1 tube repeat every 5 min
37
GTN presentation
400 micro grand per dose OR tabs 2,3,5 milligrams
38
GTN indications
Cardiac chest pain due to angina or MI
39
GTN actions
Dilation of coronary arteries Dilation of systemic veins = lower preload Reduced blood pressure
40
GTN contra
Hypotension BP
41
GTN side effects
Headache Dizziness Hypotension
42
GTN dosage and admin
1-2 sprays 400 - 800 micrograms no maximum | Stop if systolic
43
GTN presentation
400 micro grand per dose OR tabs 2,3,5 milligrams
44
GTN indications
Cardiac chest pain due to angina or MI
45
GTN actions
Dilation of coronary arteries Dilation of systemic veins = lower preload Reduced blood pressure
46
GTN contra
Hypotension BP
47
GTN side effects
Headache Dizziness Hypotension
48
GTN dosage and admin
1-2 sprays 400 - 800 micrograms no maximum | Stop if systolic