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Drug Indications

Question Answer Answer
Adrenaline Cardiac arrest. Anaphylaxis. Severe asthma. Imminent respiratory arrest from COPD. Severe bradycardia. Blood pressure support if unresponsive to metaraminol. Septic shock, cardiogenic shock and neurogenic shock unresponsive to 0.9% sodium chloride IV and metaraminol IV. Moderate to severe stridor. IN for clinically significant epistaxis. Topical for clinically significant bleeding from a wound.
Amoxicillin/clavulanic acid Sepsis and: - The patient is aged greater than or equal to 12 years, and - One or more high risk factors are present, and - Time to hospital is greater than 30 minutes. Cellulitis. In this setting a single IV dose may be administered if the patient is being referred to primary care and there may be a delay in the patient seeing a doctor
Asprin Myocardial ischaemia.
Ceftriaxone Suspected meningococcal septicaemia.
Droperidol Patients aged greater than or equal to 12 years with agitated delirium causing a mild to moderate risk to safety, when olanzapine has not been administered or is ineffective
Fentanyl Moderate to severe pain. - Cardiogenic pulmonary oedema with severe anxiety. - Rapid sequence intubation. Sedation post intubation. - Symptom control during end of life care.
Glucagon Hypoglycaemia when the patient cannot safely swallow glucose/food and IV access cannot be obtained.
Glucose Gel Hypoglycaemia in adults and children provided the patient is conscious enough to be able to swallow safely. Hypoglycaemia in neonates.
GTN Spray Myocardial ischaemia. - Cardiogenic pulmonary oedema. - Control of hypertension associated with autonomic dysreflexia. - Control of hypertension (usually in conjunction with labetalol or metoprolol) prior to fibrinolytic treatment for STEMI. - Control of hypertension (usually in conjunction with labetalol or metoprolol) during inter-hospital transfer for STEMI.
Ibuprofen Mild pain (usually in combination with paracetamol), particularly soft tissue pain, musculoskeletal pain or headache. May be administered in addition to other medicines for moderate to severe pain, particularly when the transport time is long. This is not a priority but will reduce the need for subsequent analgesia and improve the quality of pain relief.
Ipratropium Bronchospasm secondary to asthma or COPD. Prominent bronchospasm secondary to airway burns, smoke inhalation or chest infection.
Ketamine Severe pain - Inducing dissociation, - Agitated delirium causing a severe to immediately life-threatening risk to safety. - RSI Significant movement during CPR that is interfering with resuscitation. - Asthma with severe agitation that is impairing the ability to safely provide treatment and/or transport.
%1 Lignocaine Subcutaneous injection for prophylaxis of pain associated with IV cannulation. Subcutaneous injection for digital ring blocks for analgesia. Intraosseous injection for bone pain associated with fluid infusion via an intraosseous needle
Loratadine Minor allergic reactions confined to skin involvement. Prominent itch associated with anaphylaxis, provided all systemic signs of anaphylaxis have resolved.
Methoxyflurane Moderate to severe pain when: - Personnel able to administer fentanyl and/or ketamine are not available within an appropriate time, or Fentanyl and/or ketamine administration is inappropriate.
Midazolam Prolonged seizures. - Agitated delirium causing a mild to moderate risk to safety and droperidol is unavailable or ineffective. - Pain associated with severe muscle spasm. Sedation, for example for joint relocation. - Sedation post intubation. - Severe anxiety associated with COPD.
Naloxone Opiate poisoning is suspected and the patient has a significantly impaired level of consciousness or significantly impaired breathing. Excess adverse effects from administration of opiates.
Ondansetron Clinically significant nausea and/or vomiting.
Oxytocin Following normal birth. Postpartum haemorrhage.
Paracetamol Mild or moderate pain, usually in combination with other medicines. Paracetamol may be administered in addition to other medicines for severe pain, particularly if the transport time is long. This is not a priority but will reduce the need for subsequent analgesia and improve the quality of pain relief.
Prednisone and Prednisolone Bronchospasm associated with asthma or COPD. - Croup. Prominent rash associated with anaphylaxis, provided all systemic signs of anaphylaxis have resolved. - Minor allergy associated with rash.
Salbutamol Bronchospasm secondary to asthma or COPD. Prominent bronchospasm secondary to airway burns, smoke inhalation or chest infection. - Release syndrome following crush injury.
Tramadol Aged greater than or equal to 12 years with moderate to severe pain (usually in combination with paracetamol and/or ibuprofen), particularly if personnel are not available to administer fentanyl and/or ketamine.
TXA Postpartum haemorrhage. - Hypovolaemia from uncontrolled bleeding. Any other form of bleeding severe enough to cause hypovolaemia requiring 0.9% sodium chloride to be administered IV.
Created by: EmCager
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