Indications Flashcards
(24 cards)
Ceftriaxone
Indications
- suspected meningococcal septicemia
- severe sepsis (consult only)
Midazolam
Indication
- Status epileptics
- Sedation to maintain intubation
- Sedation to facilitate intubation
- Sedation to facilitate synchronized cardioversion
- Sedation to facilitate transthoracic pacing
- Sedation in the agitated patient (including patients under the Mental Health Act 2014)
- Sedation to psychostimulant OD
Salbutamol
indication
Respiratory distress with suspected bronchospasm
- asthma
- severe allergic reactions
- COPD
- smoke inhalation
- oleoresin capsicum spray exposure
Prochlorperazine
indications
nausea and vomiting in patients ≥ 12 years of age, specifically for
- known allergy or C/I to ondansetron
- vestibular (an inner ear disorder that causes symptoms such as sudden, severe vertigo, dizziness, balance problems, nausea, and vomiting) nausea
Heachache (irrespective of nausea/vomiting)
Paracetamol
indications
- mild pain, or pain relief in combination with other analgesics
- headache
Ondansetron
indications
- undifferentiated nausea and vomiting
- prophylaxis where vomiting could be clinically detrimental (e.g. spinally immobilised, penetrating eye trauma)
normal saline
indication
- as a replacement fluid in volume-depleted patients
- cardiac arrest secondary to hypovolemia or where the patient may be fluid-responsive
- to expand intravascular volume in the non-cardia, non-hypovolemic hypotensive patent e.g anaphylaxis, burns, sepsis
- as a fluid challenge in unresponsive, non-hypovolemic, hypotensive (lowering the blood pressure) patients
- fluid for diluting and administering IV drugs
- Fluid TKVO for IV administration of emergency drugs
Naloxone
Indications
altered conscious state and respiratory depression secondary to the administration of opioids or related drugs
Morphine
Indications
- pain relief
- sedation to maintain intubation
- sedation facilitates intubation where fentanyl is not appropriate
Methoxyflurane
indications
analgesia
Ketamine
interaction
- intubation
- analgesia
- sedation (agitation or patient movement during CPR)
Ipratropium Bromide
indications
- severe respiratory distress associated with bronchospasm
- exacerbation of COPD irrespective of severity
Glyceryl Trinitrate
indications
- chest pain in acute coronary syndrome
- hypertension associated with acute coronary syndrome
- acute cardiogenic pulmonary oedema
- autonomic dysreflexia
- preterm labour (consult for GTN patch)
Glucagon
Indication
- Diabetic hypoglycemia (BGL <4 mmol/L) in patients with an altered conscious state who are unable to self-administer oral glucose
- Anaphylaxis (adult) where patients remain hypotensive (low blood pressure) following adrenaline therapy with past history of heart failure or patients taking beta-blocker medication
Dextrose 10%
Indications
Diabetic hypoglycemia (BGL analysis <4 mmol/L) in patients with an altered conscious state who are unable to self-administer oral glucose
Dexamethasone
Indication
- Bronchospasm associated with acute respiratory distress not responsive to nebulised Salbutamol
- Moderate - severe croup
- Acute exacerbation of COPD
- Adult stridor (non-foreign body obstruction)
Fentanyl
Indications
- Sedation to facilitate intubation
- Sedation to maintain intubation
- Sedation to facilitate transthoracic pacing
- Sedation to facilitate synchronised cardioversion
- CPR interfering patient - ALS
- Analgesia - IV//IN
History of hypersensitivity or allergy to morphine
Known renal impairment/failure
The short duration of action desirable
Hypotension
Nausea and/or vomiting
Severe headache
Aspirin
Indications
ACS - Acute coronary syndrome
Adrenaline
Indication
- Cardiac arrest - VF/VT, Asystole or PEA
- Inadequate perfusion (cardiogenic or non-cardiogenic/non-hypovolaemic)
- Bradycardia with poor perfusion
- Anaphylaxis
- Severe asthma (imminent life threat not responding to nebulised therapy, or unconscious with no BP)
- Croup
Heparin
Indication
Acute STEMI
Lidocaine
Indication
Local anesthetic reduces pain associated with:
- Intramuscular administration of ceftriaxone
- Needle thoracostomy in adult patients responsive voice/alert (MICA only)
- Intraosseous administration of medication or fluid in the conscious patient (MICA only)
Olanzapine
Indication
Mild agitation
Oxytocin
indications
Primary postpartum haemorrhage (PPPH)
Tenecteplase
Indications
Acute STEMI