Side Effects

Question 1

Adrenaline

Answer 1

Sinus tachycardia
Supraventricular arrhythmias
Ventricular arrhythmias
Hypertension
Pupillary dilatation
May increase size of MI
Feeling of anxiety/palpitations in the conscious patient

Question 2

Aspirin

Answer 2

Heartburn, nausea, gastrointestinal bleeding
Increased bleeding time
Hypersensitivity reactions

Question 3

Dexamethasone

Answer 3

Nil of significance in the above indication

Question 4

Fentanyl

Answer 4

Respiratory depression
Apnoea
Rigidity of the diaphragm and intercostal muscles
Bradycardia

Question 5

Glucagon

Answer 5

Nausea and vomiting (rare

Question 6

GTN

Answer 6

Tachycardia
Hypotension
Headache
Skin flushing (uncommon)
Bradycardia (occasionally)

Question 7

Ipratropium Bromide

Answer 7

Headache
Nausea
Dry mouth
Skin rash
Tachycardia (rare)
Palpitations (rare)
Acute angle closure glaucoma secondary to direct eye contact (rare)

Question 8

Methoxyflurane

Answer 8

Drowsiness
Decrease in blood pressure and bradycardia (rare)
Exceeding the maximum total dose of 6 mL in a 24 hour period may lead to
renal toxicity

Question 9

Midazolam

Answer 9

Depressed level of consciousness
Respiratory depression
Loss of airway control
Hypotension

Question 10

Morphine

Answer 10

CNS effects:
- Drowsiness
- Respiratory depression
- Euphoria
- Nausea, vomiting
- Addiction
- Pin-point pupils
Cardiovascular effects:
- Hypotension
- Bradycardia

Question 11

Naloxone

Answer 11

Symptoms of opioid withdrawal:

• Sweating, goose flesh, tremor
• Nausea and vomiting
• Agitation
• Dilatation of pupils, excessive lacrimation
• Convulsions

Question 12

Ondansetron

Answer 12

Rare (< 0.1%)
Hypersensitivity reactions (including anaphylaxis)
Q-T prolongation
Widened QRS complex
Tachyarrythmias (including AF and SVT)
Seizures
Extrapyramidal reaction
Visual disturbances (including transient loss of vision)
Common (> 1%)
Constipation
Headache
Fever
Dizziness
Rise in liver enzymes

Question 13

Paracetamol

Answer 13

1. Hypersensitivity reactions including severe skin rashes (rare)
2. Haematological reactions (rare

Question 14

Prochlorperazine (Stemetil)

Answer 14

Drowsiness
Blurred vision
Hypotension
Sinus tachycardia
Skin rash
Extrapyramidal reactions (usually the dystonic type

Question 15

Salbutamol

Answer 15

Sinus tachycardia
Muscle tremor (common)

Question 16

Ceftriaxone

Answer 16

1 g sterile powder in a glass vial

Question 17

Furosemide

Answer 17

40 mg in 4 mL glass ampoule

Question 18

Heparin

Answer 18

5000 units in 5 mL plastic ampoule

Question 19

Ketamine

Answer 19

200 mg / 2 mL glass ampoule

Question 20

Olanzapine

Answer 20

5 mg ODT

Question 21

Oxytocin

Answer 21

10 units (IU) in 1 mL glass ampoule