Side Effects

Question 1

Adrenaline

Answer 1

Anxiety
Hypertension
Palpitations/tachyarrhythmias
Pupil dilation
Tremor

Question 2

Amiodarone

Answer 2

Hypotension
Bradycardia
Nausea and/or vomiting
Peripheral paresthesia

Question 3

Aspirin

Answer 3

Epigastric pain/discomfort
Nausea and/or vomiting
gastritis
GI bleeding
NSAID induced bronchospasm

Question 4

Box jellyfish antivenom

Answer 4

Allergic reaction including anaphylaxis and delayed serum sickness
Intense stinging sensation on injection

Question 5

Ceftriaxone

Answer 5

Pain and/or inflammation at the injection site

Question 6

Clopidogrel

Answer 6

Haemorrhage

Question 7

Dexamethasone

Answer 7

Nil

Question 8

Droperidol

Answer 8

Vasodilation/hypotension
Extrapyramidal effects e.g. dystonic reactions (rare)

Question 9

Enoxaparin

Answer 9

Haemorrhage
Thrombocytopenia

Question 10

Fentanyl

Answer 10

Bradycardia
Drowsiness
Hypotension
Nausea and/or vomiting
Pinpoint pupils
Respiratory depression
Muscular rigidity (particularly muscles of respiration)

Question 11

Glucagon

Answer 11

Nil

Question 12

Glucose gel

Answer 12

Nausea and/or vomiting
Diarrhoea

Question 13

Glucose 10%

Answer 13

Nil

Question 14

Glyceryl trinitrate

Answer 14

Dizziness
Hypotension
Syncope
Reflex tachycardia
Vascular headaches

Question 15

Heparin

Answer 15

Haemorrhage
Thrombocytopenia

Question 16

Hydrocortisone

Answer 16

Nil

Question 17

Hydroxocobalamin

Answer 17

Anaphylaxis
Chromaturia
Erythema
Rash (acne like)
Hypertension
Renal failure
Headache
Nausea and/or vomiting
Pain at infusion site

Question 18

Ibuprofen

Answer 18

Nausea
Dyspepsia
GI bleeding
Dizziness

Question 19

Influenza vaccine

Answer 19

Allergic reaction
Discomfort, redness and swelling at the injection site
Headache
Malaise
Mild fever

Question 20

Ipratropium bromide

Answer 20

Dilated pupils
Dry mouth
Palpitations

Question 21

Loratadine

Answer 21

Drowsiness
Fatigue
Headache
Nausea
Dry mouth

Question 22

Magnesium sulphate

Answer 22

Pain at the cannulation site
Magnesium toxicity - hypotension/respiratory depression, loss of deep tendon reflexes

Question 23

Methoxyflurane

Answer 23

ALOC
Cough
Renal/hepatic failure (following repeated high dose exposure)

Question 24

Midazolam

Answer 24

Hypotension
Respiratory depression particularly when associated with other CNS depressants including alcohol and narcotics

Question 25

Morphine

Answer 25

Bradycardia Drowsiness Hypotension Nausea and/or vomiting Pinpoint pupils Respiratory depression

Question 26

Naloxone

Answer 26

Narcotic reversal can cause combativeness, vomiting, sweating, tachycardia, and/or hypertension May produce acute withdrawal convulsions in the chronic narcotic user Pulmonary oedema

Question 27

Ondansetron

Answer 27

Common (>1%): Headache, constipation Rare (<0.1%): Hypersensitivity reactions including anaphylaxis, ECG changes

Question 28

Oxygen

Answer 28

Hypoventilation in some COPD patients with hypoxic drive Drying of airway mucous membranes

Question 29

Oxytocin

Answer 29

Nausea and/or vomiting Headache Bradycardia Tachycardia

Question 30

Paracetamol

Answer 30

Nausea

Question 31

Salbutamol

Answer 31

Anxiety Tachyarrhythmias Tremors Hypokalaemia and metabolic acidosis

Question 32

Sodium chloride 0.9%

Answer 32

Excessive administration will result in fluid overload associated with poor outcomes in heart failure, pulmonary oedema, TBI, and major haemorhhage

Question 33

Sucrose 24%

Answer 33

Hyperglycaemia

Question 34

Tenecteplase

Answer 34

Haemorrhage Post-administration dysrhythmias

Question 35

Ticagrelor

Answer 35

Haemorrhage Bradycardia

Question 36

Tranexamic acid

Answer 36

Headache Hypotension Nausea and/or vomiting Seizures

Question 37

Water for injection

Answer 37

Nil