DRUG | INFO | INDICATION | CONTRAINDICATION | PRECAUTION | PHARMACOLOGY | How much to give |
ADRENALINE | • 1 mg in 1ml amp
• 1mg in 10ml amp
SIDEEFFECTS:
SIN TACHY, SVT, VENT ARRHYTHMIA, HYPERTENTION, PUPILLARY DILATATION, MAY ^ SIZE OF MI, FEELING ANXIETY | 1-Cardiac arrest(vt/vf)
2-inadequate perfusion
3-brady w/ poor perfusion
4-anaphylaxis
5-severe asthma- not resp. to neb therapy, or unconscious w/ no BP
6-croup | Hyopvolaemic shock without adequate fluid replacement | Reduce dose for:
1-elderly/frail pt
2-pts w/ cardiovascular disease
3-pt on monoamine oxidase inhibitors
4-higher dose for pt on BETA blockers | Naturally occurring alpha and beta adrenergic stim | 1mg IV @ 3/60 |
FENTANYL | 100mcg in 2mL amp
200mcg in 1mL vial
600mcg in 2mL vial
SIDEEFFECT;
resp. depression, apnoea,
rigidity of diaphragm and intercostal muscles
SCHED 8 DRUG | 1-Sedation to facilitate intubation.
2-Sedation to maintain intubation.
3-Drug facilitated intubaiton.
4-Analgesia- IV/IN | 1-Known hypersensitivity.
2-IV Amiodarone | 1-elderly/frail.
2-impared renal/hepatic funct.
3-Resp. depression eg COPD.
4-Current Asthma.
5-Pts on monoamine oxidase inhibitors.
6-know addition to opioids.
7-Rhinitis, rhinorrehea or fatial trauma (IN).
8-Oral amiodarone | Synthetic opioid analgesic | IV\\25-50mcg IV @5/60 MAX 200mcg
//(1/4 to 1/2 amp MAX 2amp)
\\(prepare 2ml amp in 8ml saline)
IN//100mcg IN(2ml) repeat 50mcg IN @ 5/60 MAX 200mcg |
GTN (Glyceryl Trinitrate) | 600mcg tab
50mg-0.4mg\hr patch
SIDEEFFECTS:
/tachy/ hypotension/ headache/skin flushing/ brady | 1-Chest pain ACS.
2-Acute LVF.
3-Hypertension ACS.
4-Autonomic dysreflexia.
5-preterm labour | 1-hypersensitivity.
2-BP <110mmHg.
3-BP <90mmHg.
4-Viagra, Levitra 24Hr -- Tadalafil(Cialis) 4days.
5-HR >150bpm.
6-HR <50bpm.
7-VT.
8-Inferior STEMI w/BP <160mmHg.
9-Right ventricular MI. | 1-No previous admin.
2-elderly pt.
3-Recent MI.
4-Concurrent use with other tocolytics. | vascular smooth muscle relaxant
\vascular dilataion (venus poolingand reduces venous return to heart-reduce preload)
\Arterial dilatation (reduces systemic vascular resistance and arterial pressure-reduces afterload) | 300mcg S/L NO prev. admin.
OR
600mcg |
METHOXYFLURANE (PENTHRANE) | 3mL bottle | Pain relief | 1-pre-existing renal disease/impairment.
2-concurrent use tetracycline antibiotics.
3-Exceeding dose of 6mL in 24hr. | 1-handheld by pt.
2-pre-eclampsia.
3-concurrent use with oxytocin. | inhalation analgesic agent at low concentrations | 3mL |
METOCLOPRAMIDE (maxalon) | 10mg in 2mL
SIDEEFFECT:
\drowsiness
\dry mouth
\musscle tremor
\extrapyramidal reactions | 1-NAUSEA/VOMITING >Chest pain/ opioid admin for pain/ cytotoxic or radiotherapy/ previous diagnosed migraine/ severe gastroenteritis.
2-PROPHALAXIS> awake spinal immobilized pt\ eye trauma. | 1-children.
2-suspect bowl obstruct or perforation.
3-GI haemorrhage.
Children poop blood | 1-Undiagnosed abdo pain.
2-adolescents <20
3-admin slowly over 1 min | antiemetic | 10ml IV/IM 10/60 MAX 20mg.
If C/I give Prochlorperazine 12.5mg IM |
MIDAZOLAM | 5mg/1mL
15mg/3ml | 1-Status Epilepticus.
2-Sedation to intubate.
3-post intubation sedation.
4-sedation to sync cardioversion.
5-sedate agitated pt.
6-sedate psycostimulant OD | Know hypersensitivity to benzodiazepines | 1-smaller dose elderly/frail, pt w/chronic renal failure, CCF or shock.
2-CSN depressant effect amplified in presence of narcotics and other tranquilisers.
3-pt w/myasthenia gravis
4- | CNS depressant | Agitated pt. 2.5-5mg IM @10/60 MAX 20mg |
MORPHINE | 10mg/1mL | 1-Pain relief.
2-Acute LVF with SOB and full field crackles.
3-sedation to maintain intubation.
4-sedation to enable intubaiton.
5-RSI (rapid sequence intubation) | 1-Know hypersensitivity.
2-late second stage labour. | 1-elderly/frail.
2-hypotension.
3-resp depression.
4-current asthma.
5-resp tract burns.
6-know addiction to opioids.
7-acute alcoholism.
8-pt on monoamine oxidase inhibitors. | Opiod analgesic | PAIN //up to 5mg IV repeat 5mg 5/60 MAX 20mg.
//if >60kg 10mg IM repeat 15/60 ONE ONLY.
//if <60kg 0.1mg/kg IM SINGLE DOSE. |
ASPRIN | 300mg chew tab
300mg soluble
SIDEEFFECT;
heart burn, nausea, GI bleeding, inc. bleeding time, hypersensitivity reaction | ACS | 1-hypersensitivity to asprin/salicylates.
2-actively bleeding ulcer.
3-bleeding disorder.
4-Suspected dissection aortic aneurism.
5-chest pain- psychostim OD SBP >160mmHg | 1-Peptic ulcer
2-Asthma
3-Pts. on anticoagulants | \analgesic
\antipyretic
\anti-inflammatory
\anti- platelet aggregation agent | 300mg oral |