Side Effects

Question 1

Adrenaline
S
S
H
M
V
P
P

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
H
H
I
N
G

Answer 2

Heartburn, nausea, gastrointestinal bleeding
Increased bleeding time
Hypersensitivity reactions

Question 3

Ceftriaxone

NVS

Answer 3

Nausea
Vomiting
Skin rash

Question 4

Dexamethasone

Answer 4

Nil of significance in the above indication

Question 5

Dextrose 10%

Answer 5

Nil of significance in the above indication

Question 6

Fentanyl

B
R
A
R

Answer 6

Respiratory depression
Apnoea
Rigidity of the diaphragm and intercostal muscles
Bradycardia

Question 7

Glucagon

Answer 7

Nausea and vomiting (rare)

Question 8

Glyceryl Trinitrate

SHH TB

Answer 8

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

Question 9

Ipratropium Bromide
P
T
H
A
N
D
S

Answer 9

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

Question 10

Ketamine
T
H
E

T
I
N

Answer 10

CV: hypertension, tachycardia
CNS: emergence reactions (e.g. vivid dreams, restlessness, confusion, hallucinations, irrational
behavior); increased skeletal muscle tone (may resemble seizures)
Respiratory: transient respiratory depression and apnoea (rare)
GI: nausea and vomiting
Other: injection site pain, lacrimation, hypersalivation, diplopia, nystagmus

Question 11

Lidocaine (Lignocaine

Answer 11

Allergic reactions are rare and may present as localised oedema, urticaria, bronchospasm and
anaphylaxis
Signs of systemic toxicity include:
CNS: tinnitus, blurred vision, sudden change in conscious state, agitation, convulsions,
CV: hypotension, bradycardia, arrhythmias (e.g. conduction blocks, ventricular
tachyarrhythmias), cardiac arrest

Question 12

Methoxyflurane
D
E
D

Answer 12

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 13

Midazolam
Dr
L
H

Answer 13

Depressed level of consciousness
Respiratory depression
Loss of airway control
Hypotension

Question 14

Morphine
-CNS
Dr
PANE
-CARDIO
Hot
Babe

Answer 14

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

Question 15

Naloxone
C
S
A
N
D
S

Answer 15

Symptoms of opioid withdrawal:
Sweating, goose flesh, tremor
Nausea and vomiting
Agitation
Dilatation of pupils, excessive lacrimation
Convulsions

Question 16

Olanzapine

Q
S
E
D

Answer 16

CNS: Sedation, dizziness1,3
Other: Extrapyramidal symptoms and QT prolongation are unlikely when
administered at the approved doses1,3

Question 17

Ondansetron
- Rare
V
H
Q
W
E
S
T
- Common
DR
F
C
H

Answer 17

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 18

Oxytocin

BTN

Answer 18

Tachycardia
Bradycardia
Nausea

Question 19

Paracetamol

- Harold Holt

Answer 19

Hypersensitivity reactions including severe skin rashes (rare)
Haematological reactions (rare)

Question 20

Prochlorperazine (STEMATIL)
H
S
S
E
B
D

Answer 20

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

Question 21

Salbutamol
S
M

Answer 21

Sinus tachycardia
Muscle tremor (common)

Question 22

Tenecteplase

Answer 22

Bleeding – including injection sites, ICH, internal bleeding
Transient hypotension
Infrequent
Allergic reactions including fever, chills, rash, nausea, headache,
bronchospasm, vasculitis, nephritis and anaphylaxis
Rare
Cholesterol embolism