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Diploma Paramedic Science > Pharmacology Protocols Indications and Contraindications > Flashcards

Pharmacology Protocols Indications and Contraindications Flashcards

1
Q

Adrenaline (epinephrine) Indications

A

Adrenaline (epinephrine) Indications

  • Cardiac Arrest
  • Anaphylaxis or severe allergic reaction
  • Severe life threatening bronchospasm or silent chest
  • Shock unresponsive to adequate fluid resuscitation
  • Bradycardia with poor perfusion
  • Croup
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2
Q

Adrenaline (epinephrine) Contraindications

A

Adrenaline (epinephrine) Contraindications

  • Nil
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3
Q

Glucagon Indications

A

Glucagon Indications

Symptomatic Hypoglycaemia with inability to self administer

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4
Q

Glucagon Contraindications

A

Glucagon Contraindications

KSAR

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5
Q

Midazolam Indications

A

Midazolam Indications

Generalised seizure/focal seizures (GCS ≤12)

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6
Q

Morphine Indications

A

Morphine Indications

Significant pain

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7
Q

Morphine Contraindications

A

Morphine Contraindications

  • KSAR
  • Renal failure
  • Pregnancy ≥20wks gestation in labour
  • Pts <1yr
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8
Q

Salbutamol Indications

A

Salbutamol Indications

Bronchospasm

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9
Q

Salbutamol Contraindications

A

Salbutamol Contraindications

  • KSAR
  • Pts <1yr
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10
Q

Oxygen Indications

A

Oxygen Indications

  • Hypoxia
  • Respiratory distress
  • Diving or obstetric emergencies
  • Drive gas for nebulised medications
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11
Q

Oxygen Contraindications

A

Oxygen Contraindications

Nil

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12
Q

Aspirin Indications

A

Aspirin Indications

  • Suspected Acute Coronary Syndrome
  • Acute Cardiogenic Pulmonary Oedema
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13
Q

Aspirin Contraindications

A

Aspirin Contraindications

  • KSAR to aspirin or any non-steroidal anti-inflammatory drug (NSAID)
  • Chest pain associated with psychostimulant overdose
  • Bleeding or clotting disorders
  • Current GI bleeding or peptic ulcers
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14
Q

Glucose 10% Indications

A

Glucose 10% Indications

  • Symptomatic hypoglycaemia with inability to self administer glucose gel
  • Fluid replacement when BGL under 4mmol
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15
Q

Glucose 10% Contraindications

A

Glucose 10% Contraindications

Nil

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16
Q

Glyceril Trinitrate (GTN) Indications

A

Glyceril Trinitrate (GTN) Indications

  • Suspected acute coronary syndrome (ACS)
  • Acute cardiogenic pulmonary oedema
  • Autonomic Dysreflexia ( systolic BP ≥ 160mmHg)
  • Irukanjdi Syndrome ( systolic BP ≥ 160mmHg)
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17
Q

Glyceril Trinitrate (GTN) Contraindications

A

Glyceril Trinitrate (GTN) Contraindications

  • KSAR
  • HR <50 or >150bpm
  • Systolic BP <100mmHg
  • Acute CVA (Cerebrovascular Accident)
  • Head trauma
  • Viagra, Cialis or Levitra in previous 24hrs
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18
Q

Paracetamol Indications

A

Paracetamol Indications

  • Minor pain
  • Fever
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19
Q

Paracetamol Contraindications

A

Paracetamol Contraindications

  • KSAR
  • Pts <1mth
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20
Q

Metoclopramide Indications

A

Metoclopramide Indications

  • Nausea and/or vomiting associated with:
    • Cardiac chest pain
    • Severe gastroenteritis
    • Previously diagnosed migraine headaches
21
Q

Metoclopramide Contraindications

A

Metoclopramide Contraindications

  • KSAR
  • Suspected intestinal/bowel obstruction
  • Suspected or known haematemesis or melaena (vomiting blood, bloody faeces)
  • Pts < 15 yrs
  • Pregnancy
22
Q

Fentanyl Indications

A

Fentanyl Indications

  • Significant pain
23
Q

Fentanyl Contraindications

A

Fentanyl Contraindications

  • KSAR
  • Pts <1 yr
24
Q

Sodium Chloride 0.9% Indications

A

Sodium Chloride 0.9% Indications

  • Initial replacement of lost fluid volume such as blood loss, fuuid and electrolyte loss
  • Drug dilution and preparation
  • Flushing IV lines and following drug administration
  • To keep vein open during treatment
25
Sodium Chloride 0.9% Contraindications
Sodium Chloride 0.9% Contraindications Nil
26
Ondansetron Indications
Ondansetron Indications * Nausea and/or vomiting
27
Ondansetron Contraindications
Ondansetron Contraindications * KSAR * Long QT syndrome * Current apomorphine therapy (Parkinson's treatment) * Pts <2yrs
28
Glucose Gel Indications
Glucose Gel Indications Symptomatic Hypoglycaemia with swallowing ability
29
Glucose Gel Contraindications
* Unconsciousness * Difficulty swallowing * Pts <2yrs
30
Methoxyflurane Indications
Methoxyflurane Indications Pain
31
Methoxyflurane Contraindications
Methoxyflurane Contraindications * KSAR * Severe renal or hepatic impairment * Pre-eclampsia or eclampsia * Hx malignant hyperthermia * Concurrent tetracycline use (eg doxycycline) * Pts <1yr
32
Naloxone (Narcan) Indications
Naloxone (Narcan) Indications Suspected opioid overdose with respiratory depression
33
Naloxone (Narcan) Contraindications
Naloxone (Narcan) Contraindications * KSAR * Newborns
34
Ceftriaxone Indications
Ceftriaxone Indications Suspected meningococcal septicaemia with a non-blanching rash and/or purpuric rash
35
Ceftriaxone Contraindications
Ceftriaxone Contraindications * KSAR * KSAR to penicillin
36
Midazolam Contraindications
Midazolam Contraindications KSAR
37
Ibuprofen Indications
Ibuprofen Indications Moderate pain caused by tissue injury and acute inflammation
38
Ibuprofen Contraindications
Ibuprofen Contraindications * KSAR * Current GI bleed or peptic ulcers * Dehydration * Hypovolaemia * Renal impairment * Pregnancy * Heart failure
39
Fexofenadine Indications
Fexofenadine Indications * Allergy/hayfever (sneezing, runny nose, itchy nose and eyes, watery eyes) * Urticaria (hives) * Itchy skin/swelling/rash related to suspected uncomplicated allergy
40
Fexofenadine Contraindications
Fexofenadine Contraindications * KSAR * Pts ≤12yrs * Previous dose within 24 hours
41
Drive Gas for Nebulised Medications
Drive Gas for Nebulised Medications Oxygen
42
Ipratropium Bromide Indications
Ipratropium Bromide Indications Moderate to severe bronchospasm (not responsive to initial salbutamol nebulisation)
43
Ipratropium Bromide Contraindications
Ipratropium Bromide Contraindications * KSAR * Pts <1 year
44
Loratadine Indications
Loratadine Indications Allergic reactions (urticaria, with no evidence of anaphylaxis)
45
Loratadine Contraindications
Loratadine Contraindications * KSAR * Anaphylaxis * Pts <8 years
46
Water for Injection Indications
Water for Injection Indications Used to dilute ceftriaxone for IV use
47
Water for Injection Contraindications
Water for Injection Contraindications Nil
48
Droperidol Indications
Droperidol Indications Acute behavioural disturbance
49
Droperidol Contraindications
Droperidol Contraindications * KSAR * Parkinson's disease * Previous dystonic reaction to Droperidol * Pts < 14yrs

Diploma Paramedic Science (8 decks)

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