medication Flashcards
(12 cards)
1
Q
adrenaline 1:1000 indications
A
- anaphylaxis
- life threatening asthma with failing ventilation and continued deterioration despite nebuliser therapy
2
Q
adrenaline 1:1000 cautions
A
- severe hypotension (could be in patients on non-cardio selective beta-blockers)
- ONLY IM ADMINISTRATION
3
Q
adrenaline 1:1000 administration
A
IM in the Antero lateral aspect of the thigh
4
Q
adrenaline 1:1000 dose
A
- initial: 500 micrograms
- repeat: 500 micrograms
- dose interval: 5 mins
- volume: 0.5ml
- max: no limit
5
Q
glucagon indications
A
- hypoglycaemia
- clinically suspects hypoglycaemia
- unconscious patient where hypoglycaemia is considered the likely cause
- should only be administered when oral glucose administration is not possible or ineffective AND/OR when IV access for 10% glucose is not possible
6
Q
glucagon contra-indications
A
- pheochromocytoma - tumour in the adrenal gland
- NOT given IV because of increased vomiting associated with IV use
7
Q
glucagon cautions
A
- low glycogen stores
- for hypoglycaemic seizures, glucose 10% IV is the preferred intervention
8
Q
glucagon side affects
A
- nausea, vomiting
- abdominal pain in adults
- diarrhoea in children
- hypokalaemia (low potassium levels)
- hypotension in adults
- acute hypersensitivity reaction (rare)
9
Q
glucagon administration
A
IM, antero lateral aspect of thigh or upper arm
10
Q
glucagon dose
A
- initial: 1 milligram
- repeat: NONE
- interval: N/A
- volume: 1 vial
- max dose: 1 milligram
11
Q
glucagon additional
A
- check if glucagon has been administered
- should only be administered once
- confirm its affective by checking BM 10 to 15 mins after admin
- may take up to 15 mins to work
- use all clinical info to decide between IM, IV, oral
- if conscious use oral first, unconscious use IV
12
Q
when may glucagon be ineffective
A
- very young, old, undernourished and hepatic disease
- new born babies as their liver has very limited glycogen stores
- some instances of alcohol induced hypoglycaemia
