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Diploma Paramedic Science > Pharmacology Protocols Precautions and Side Effects > Flashcards

Pharmacology Protocols Precautions and Side Effects Flashcards

(47 cards)

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1
Q

Adrenaline (epinephrine) Precautions

A

Adrenaline (epinephrine) Precautions

  • Hypertension
  • Hypovolaemic schock
  • Concurrent MAOI therapy
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2
Q

Adrenaline (epinephrine) Side Effects

A

Adrenaline (epinephrine) Side Effects

  • Anxiety
  • Hypertension
  • Palpitations/tachyarrhythmias
  • Pupil dilation
  • Tremor
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3
Q

Aspirin Precautions

A

Aspirin Precautions

  • Pts < 18yrs
  • Possible aortic aneurysm or any other condition that my require surgery
  • Pregnancy
  • Hx of GI bleeding or peptic ulcers
  • Concurrent anticoagulant therapy (eg warfarin)
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4
Q

Ceftriaxone Precautions

A

Ceftriaxone Precautions

Nil

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5
Q

Ceftriaxone Side Effects

A

Ceftriaxone Side Effects

  • Nausea and vomiting
  • Pain at the IM injection site
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6
Q

Droperidol Precautions

A

Droperidol Precautions

  • Current CNS depressants
  • Cardiac disease
  • Elderly pts
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7
Q

Droperidol Side Effects

A

Droperidol Side Effects

  • Dystonic reactions (rare), eg slurred speech, anxiety, paranoia
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8
Q

Fentanyl Precautions

A

Fentanyl Precautions

  • Elderly and frail (half their doses)
  • Hypotension
  • Respiratory tract burns
  • Respiratory depression or failure
  • Addiction to narcotics
  • Current MAIO therapy (Monoamine oxidase inhibitors - Anti Depressants)
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9
Q

Fexofenadine Precautions

A

Fexofenadine Precautions

  • Elderly patients
  • Kidney disease
  • Pregnant and breastfeeding
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10
Q

Fexofenadine Side Effects

A

Fexofenadine Side Effects

  • Headache
  • Fatigue/drowsiness
  • Vomiting/nausea
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11
Q

Glucagon Precautions

A

Glucagon Precautions

Nil

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12
Q

Glucagon Side Effects

A

Glucagon Side Effects

Nil

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13
Q

Glucose 10% Precautions

A

Glucose 10% Precautions

Hyperglycaemia in large doses

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14
Q

Glucose 10% Side Effects

A

Glucose 10% Side Effects

Tissue necrosis if extravasated from vein. Check patency of IV access at all times.

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15
Q

Glucose Gel Precautions

A

Glucose Gel Precautions

Nil

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16
Q

Glucose Gel Side Effects

A

Glucose Gel Side Effects

  • Nausea and vomiting
  • Diarrhoea
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17
Q

Glyceryl Trinitrate (GTN) Precautions

A

Glyceryl Trinitrate (GTN) Precautions

  • Suspected inferior MI
  • Use of Viagra in previous 4 days
  • Intoxication
  • Cerebral Vascular Disease
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18
Q

Glyceryl Trinitrate (GTN) Side Effects

A

Glyceryl Trinitrate (GTN) Side Effects

  • Headache
  • Flushing
  • Hypotension
  • Syncope
  • Reflex tachycardia
  • Dizziness
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19
Q

Ibuprofen Precautions

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A

Ibuprofen Precautions

  • Asthma
  • Hepatic dysfunction
  • Hx GI bleeding or peptic ulcers
20
Q

Ibuprofen Side Effects

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A

Ibuprofen Side Effects

  • Nausea
  • Dizziness
  • Dyspepsia (ie indigestion)
  • GI bleeding
21
Q

Ipratroprium Bromide Precautions

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A

Ipratroprium Bromide Precautions

Glaucoma

22
Q

Ipratroprium Bromide Side Effects

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A

Ipratroprium Bromide Side Effects

  • Pupil dilation
  • Dry mouth
  • Palpitations
23
Q

Loratadine Precautions

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A

Loratadine Precautions

  • Severe hepatic impairment
  • Increased risk of sedation
24
Q

Loratadine Side Effects

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A

Loratadine Side Effects

  • Drowsiness
  • Fatigue
  • Headache
  • Nausea
  • Dry mouth
25
Methoxyflurane Precautions
Methoxyflurane Precautions * ALOC * Drug or alcohol affected pts * Renal/hepatic failure in high repeated dosages
26
Methoxyflurane Side Effects
Methoxyflurane Side Effects * ALOC * Cough
27
Metoclopramide Precautions
Metoclopramide Precautions * Elderly pts * Hx of dystonic reaction to Metoclopramide
28
Metoclopramide Side Effects
Metoclopramide Side Effects * Restlessness * Drowsiness/fatigue * Dystonic reactions (eg, facial muscle spasm, trismus, slurred speech)
29
Midazolam Precautions
Midazolam Precautions * Severe respiratory depression in pts with COPD * Reduced dosages should be used in older people, pts with chronic renal failure, congestive heart failure or shock * Respiratory tract burns
30
Midazolam Side Effects
Midazolam Side Effects * Hypertension * Respiratory depression especially when associated with other CNS depressants including alcohol and narcotics
31
Morphine Precautions
Morphine Precautions * Elderly * Hypotension * Known narcotic addiction * Respiratory tract burns * Chest pain of a cardiac nature * Respiratory depression/failure * Concurrent MAOI therapy
32
Morphine Side Effects
Morphine Side Effects * ALOC * Respiratory depression * Hypotension * Nausea and vomiting * Miosis (excessive constriction of pupil) * Bradycardia * Drowsiness
33
Naloxone (Narcan) Precautions
Naloxone (Narcan) Precautions Pre-existing cardiac disease
34
Naloxone (Narcan) Side Effects
Naloxone (Narcan) Side Effects * Narcotic reversal may cause combativeness, vomiting, sweating, tachycardia, hypertension or withdrawal convulsions * Pulmonary oedema
35
Ondansetron Precautions
Ondansetron Precautions * Hepatic impairment * GIT obstruction * Current cardiac arrhythmias
36
Ondansetron Side Effects
Ondansetron Side Effects * headache * Dysrhythmias * Constipation * Flushing
37
Oxygen Precautions
Oxygen Precautions * COPD, bleomycin lung injury or paraquat poisoning. Titrate to achieve Sp02 of 88-92% * Avoid prolonged administration to neonates
38
Oxygen Side Effects
Oxygen Side Effects * Effects the hypoxic drive in COPD pts (may result in hypopnea) * Drying of mucous membranes
39
Paracetamol Precautions
Paracetamol Precautions * Renal or hepatic disease * Current anticoagulant therapy
40
Paracetamol Side Effects
Paracetamol Side Effects * Nausea
41
Salbutamol Precautions
Salbutamol Precautions * Ischaemic heart disease * Acute pulmonary oedema
42
Salbutamol Side Effects
Salbutamol Side Effects * Anxiety * Tachyarrhythmias * Tremors * Hypokalaemia and metabolic acidosis
43
Sodium chloride 0.9% Precautions
Sodium chloride 0.9% Precautions * Pre-existing heart failure * Uncontrolled haemorrhage associated with severe head injury * Pre-existing renal failure
44
Sodium chloride 0.9% Side Effects
Sodium chloride 0.9% Side Effects * Fluid overload * Haemodilution
45
Water for Injection Precautions
Water for Injection Precautions Nil
46
Water for Injection Side Effects
Water for Injection Side Effects Nil when used to dilute ceftriaxone for IV use
47
Aspirin Side Effects
Aspirin Side Effects * Epigastric pain/discomfort * Nausea and/or vomiting * Gastritis * GI bleeding * NSAID induced bronchospasm

Diploma Paramedic Science (8 decks)

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