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chest pain Exam prep & osce prep > Medication > Flashcards

Medication Flashcards

1
Q

Adrenaline 1:1000 indications

A

Anaphylaxis or life threatening asthma (after other treatment)

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2
Q

Arenaline 1:10 000 indications

A

Cardiac arrest or after ROSC

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3
Q

Amiadarone indications

A

Cardiac arrest with shockable rhythm

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4
Q

Aspirin indications

A

Clinical or ECG evidence of MI

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5
Q

Atropine indications

A

Bradycardia below 40 BPM
Systolic blood pressure lower than expected
Inadequate perfusion with confusion
Bradycardia after ROSC

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6
Q

Chlorphenamine indications

A

Symptomatic allergy (except anaphylaxis)

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7
Q

Dexamethasone indications

A

Croup

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8
Q

Diazepam (injection) indications

A

Symptomatic cocaine toxicity

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9
Q

Diazepam (rectal) indications

A

Symptomatic cocaine toxicity

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10
Q

Furosemide indications

A

Pulmonary oedema
Respiratory distress caused from heart failure

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11
Q

Glycerol Trinitrate indications

A

Systolic BP over 90 with angina or MI
Heart failure with uncontrolled hypertension
Cocaine toxicity with chest pain

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12
Q

Heparin indications

A

STEMI when PPCI unavailable
Given with tencteplase

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13
Q

Hydrocortisone indications

A

Severe/ life threatening asthma
COPD exacerbation

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14
Q

Ibuprofen indications

A

Mild to moderate pain
Soft tissue injury

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15
Q

Ipratropium Bromide indications

A

Severe/ life threatening asthma
Asthma unresponsive to salbutamol
COPD exacerbation unresponsive to salbutamol
Expiratory wheeze

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16
Q

Magnesium Sulphate indications

A

Severe asthma unresponsive to salbutamol
Torsades de pointes (after resus and amiodarone)

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17
Q

Metoclopramide indications

A

Nausea or vomiting
Can be given with morphine

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18
Q

Morphine indications

A

Pain from MI
Moderate to severe pain

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19
Q

Naloxone indications

A

Opiate toxicity csusing respiratory arrest/ depression

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20
Q

Nitrous Oxide indications

A

Moderate to severe pain

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21
Q

Ondansetron indications

A

Nausea and vomiting
Can be given with morphine

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22
Q

Oxygen indications

A

Hypoxaemia
Significant illness in children

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23
Q

Paracetamol indications

A

Mild to moderate pain
IV for moderate to severe pain

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24
Q

Prednisolone indications

A

Severe/ life threatening asthma
Exacerbation of COPD

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25
Salbutamol indications
Asthma Expiratory wheeze Exacerbation of COPD
26
Sodium chloride indications
Fluid therapy for hypovolaemia Anaphylaxis
27
Sodium lactate indications
Fluid therapy when sodium chloride unavailable
28
Tenecteplase indications
STEMI when PPCI not available Given with heparin
29
Adrenaline 1:1000 contra indications (and cautions)
Do not give IV Caution for hypertension with other medication
30
Adrenaline 1:1000 administration
Intra muscular
31
Adrenaline 1:1000 actions
Relieves bronchospasm Reverses symptoms of anaphylaxis
32
Arenaline 1:10 000 contra indications (and cautions)
Hypothermia under 30 Caution for hypertension with other medication
33
Arenaline 1:10 000 administration
Intravenous or Intraosseous
34
Arenaline 1:10 000 actions
Increseases blood flow to heart
35
Amiadarone contra indications (and cautions)
Hypothermia under 30
36
Amiadarone administration
Intravenous / Intraosseous
37
Amiadarone actions
Antiarrythmatic
38
Aspirin contra indications (and cautions)
Allergy Under 16 Bleeding/ clotting disorders Hepatic failure Consent Caution for pregnancy, asthma etc.
39
Aspirin administration
Oral in pill form
40
Aspirin actions
Antiplatelet
41
Atropine contra indications (and cautions)
Hypothermia Cardiac transplant
42
Atropine administration
Intravenous/ Intraosseous as rapid bolus
43
Atropine actions
Blocks vagal activity in sinus bradycardia and second/ third degree hart block to increase heart rate Increases atrioventricular conduciton
44
Chlorphenamine contra indications (and cautions)
Hypersensitivity Recent MAOI treatment Consent Caution for pregnancy/ breastfeeding, hypotension etc.
45
Chlorphenamine administrations
Oral pill/ oral solution/ intramuscular/ intravenous
46
Chlorphenamine actions
Antihistamine preventing/ reducing hypersensitivity reactions
47
Dexamethasone contra indications (and cautions)
Respiratory failure Consent (from responsible guardian) Caution for distressed children
48
Dexamethasone adminstrations
Oral solution/ oral pill
49
Dexamethasone actions
Corticosteroid that reduces inflamation of subglottis
50
Diazepam (injection) contra indications (and cautions)
Known hypersensitivity Caution for recent CNS depressent use (includng alcohol and antidepressants)
51
Diazepam (rectal) contra indications (and cautions)
Known hypersensitivity Caution for recent CNS depressent use (includng alcohol and antidepressants)
52
Diazepam administration
Intravenous/ Intraosseous Rectal tube
53
Diazepam actions
CNS depressent to act as anticovulsant and sedative
54
Furosemide contra indications (and cautions)
Cardiogenic shock Under 18 years Renal failure Caution for pregnancy, hypotension, hypokalaemia
55
Furosemide administration
Intravenous
56
Furosemide actions
Potent diuretic
57
Glycerol Trinitrate contra indications (and cautions)
Hypotension Hypovolaemia Unconcious Aortic/ mitral stenosis Recent viagra use Caution for posterior or right ventricular infarciton
58
Glycerol Trinitrate administration
Sublingual spray (must be moist)
59
Glycerol Trinitrate actions
Potent vasodilator to reduce blood pressure, relief of spasm and lower preload
60
Heparin contra indications (and cautions)
Hypertension Blood/ clotting disorders Liver disease
61
Heparin administration
Intravenous
62
Heparin actions
Anticoagulant
63
Hydrocortisone contra indications (and cautions)
Allergy Adrenal crisis
64
Hydrocortisone administration
Intravenous / Intramuscular
65
Hydrocortisone actions
Steroid that suppresses inflamation and immune responses
66
Ibuprofen contra indications (and cautions)
Dehydration Hypovolaemia Allergy On anticoagulants Severe heart failure Consent Caution for asthma, hypertension etc.
67
Ibuprofen administration
Oral pill
68
Ibuprofen actions
Anti-inflammatory, antipyretic and pain relief
69
Ipratropium Bromide contra indications (and cautions)
Caution for pregnancy/ breastfeeding, COPD (nebulise under 6 mins)
70
Ipratropium Bromide administration
Nebulised
71
Ipratropium Bromide actions
Bronchodilator
72
Magnesium Sulphate contra indications (and cautions)
Hypermagnesaemia Caution for hypotension, kidney disease etc.
73
Magnesium Sulphate administration
Intravenous
74
Magnesium Sulphate actions
Relaxes bronchial muscles and reduces neuromuscular transpission
75
Metoclopramide contra indications (and cautions)
Under 18 Drug overdose Kidney failure
76
Metoclopramide administration
Intramuscular/ Intravenous
77
Metoclopramide actions
Anti-emetic
78
Morphine contra indications (and cautions)
Under 1 years Hypotension Respiratory depression Hypersensitivity Caution for pregnancy, CNS depressants etc.
79
Morphine administration
Intravenous/ intraosseous/ intramuscular/ subcutaneous/ oral solution
80
Morphine actions
Opioid pain relief
81
Naloxone contra indications (and cautions)
Newborns to opiate addicted mothers
82
Naloxone administration
Intravenous/ Intraosseus/ Intramuscular/ Intranasal
83
Naloxone actions
Reverses opiate respitory depression
84
Nitrous Oxide contra indications (and cautions)
Pneumothorax Decompression sickness Caution for patients at risk of pneumo conditions
85
Nitrous Oxide administration
Inhaled through face mask
86
Nitrous Oxide actions
Pain relief
87
Ondansetron contra indications (and cautions)
Newborns Hypersensitivity Long QT Caution for pregnancy/breastfeeding, liver disease etc.
88
Ondansetron administration
Intravenous/ Intramuscular
89
Ondansetron actions
Anti emetic
90
Oxygen contra indications (and cautions)
Explosive environments Caution for fire hazard, defib pads can spark
91
Oxygen administration
Inhalation through face mask
92
Oxygen actions
Reverses hypoxia
93
Paracetamol contra indications (and cautions)
Allergy Check dosage already administered Consent
94
Paracetamol administration
Oral solution/ oral pill/ intravenous
95
Paracetamol actions
Pain relief Antipyretic
96
Prednisolone contra indications (and cautions)
Hypersensitivity Vomiting Systemic infection Caution for hypertension, heart failure, pregnancy/ breast feeding etc.
97
Prednisolone administration
Oral tablet/ oral solution
98
Prednisolone actions
Steroid that suppresses immune system and reduces inflammation
99
Salbutamol contra indications (and cautions)
Caution for hypertension, angina etc Limit to 6 mins nebulised for COPD
100
Salbutamol administration
Nebulised
101
Salbutamol actions
Relaxes smooth muscle in airways
102
Sodium chloride contra indications (and cautions)
Not to be usd to keep vein open
103
Sodium chloride administration
Intravenous
104
Sodium chloride actions
Increases fluid volume to raise cardiac output
105
Sodium lactate contra indications (and cautions)
Newborns Diabetics Caution for liver or kidney failure
106
Sodium lactate administration
Intravenous/ Inraosseous
107
Sodium lactate actions
Increases fluid volume to raise cardiac output
108
Tenecteplase contra indications (and cautions)
See JRCALC checklist
109
Tenecteplase administration
Intravenous
110
Tenecteplase actions
Breaks up thrombi and emboli
111
Amiodarone side effects
Bradycardia Hypotension Bronchospasm Arrythmia
112
Aspirin side effects
Gastric bleeding Wheezing in asthmatics
113
Atropine side effects
Confusion Blurred vision Tachycardia Bradycardia (in small doses)
114
Chlorphenamine side effects
Sedation Blurred vision GI disturbance
115
Dexamethasone side effects
GI upset Hypersensitivity
116
Diazepam side effects
Respiratory depression Hypotension Drowsiness/ confusion
117
Furosemide side effects
Hypotension GI disturbance
118
Glycerol trinitrate side effects
Hypotension Headache Dizziness
119
Heparin side effects
Haemmorhage
120
Hydrocortisone side effects
Stinging or buning on administration
121
Ibuprofen side effects
Nausea/ vomiting Tinnitis
122
Ipratropium side effects
Nausea Allergy Tachycardia
123
Magnesium sulfate side effects
Hypersensitivity Electrolyte imbalance Hypercalcaemia
124
Metoclopramide side effects
ECG abnormalities Drowsiness Diarrhoea
125
Morphine side effects
Respiratory depression Cardiovascular depression Nausea/ vomiting
126
Naloxone side effects
Vomiting Withdrawal symptoms to opiate addicted patients
127
Ondansetron side effects
Hypotension Bradycardia Arrythmia
128
Oxygen side effects
Irritation of mucous membranes Hypercapnia in COPD patients
129
Paracetamol side effects
Hypotension
130
Salbutamol side effects
Tachycardia Tremor Palpitations
131
Sodium chloride side effects
Can cause pulmonary oedema
132
Sodium lactate side effects
Hypervolaemia leading to heart failure
133
Tenecteplase side effects
Haemorrhage Arrythmia Hypotension Anaphylaxis

chest pain Exam prep & osce prep (12 decks)

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