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143 Cards in this Set

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what is the adult dose for amiodarone?
5mg/kg
what is the peadiatric dose for amiodarone
5mg/kg
what class of drug is Amiodarone
Antiarrhythmic
Describe Amiodarone
class iib antiarrhythmic agent used to treat ventricular arrhythmias
what is the presentation of Amiodarone
150mg in 3ml solution

pre-filled syringe 10ml (30mg/ml)
what is the administeration route for Amiodarone
IV
what are the indications for the use of Amiodarone
VF & pulseless VT
what are the contra-indications for using Amiodarone
KSAR
hypersensitivity to iodine
what are the pharmacological actions of Amiodarone
antiarrhythmic
prolongs the action potential
prolongs the refactory period
prolongs AV conduction
prolongs QT interval
what are the side effects of Amiodarone
inflammation of peripheral veins
what is the additional info for Amiodarone
class as per guidelines 2000
(ILCOR)
what is the class for Aspirin
platelet aggregator inhibitor
describe Aspirin
anti-inflammatory agent and an inhibitor of platelet function. useful agent it the treatment of various thromboembolic deseases such as AMI
what is the presentation of Aspirin
300mg soluble tablet
what is the administration route for aspirin
PO to be chewed or if soluble dispersed in water
what are the indications foe Aspirin
cardiac chest pain or suspected MI
what are the contra-indications for Asprin
active symptomatic GI ulcer
bleeding disorder
KSAR
whar is the adult dose for Aspirin
300 mg PO
what is the paediatric dose of Aspirin
not indicated
what is the pharm/action of aspirin
antithrombotic
inhibits platelet aggregation, which reduces clot/thrombus formation in an MI
what are the side effects of Aspirin
epigastric pain and discomfort
broncospasm
GI haemorrhage
what is the additional info for aspirin
aspirin 300mg is indicated for cardiac chest pain regardless if patient has taken anti-coagulants or is already on aspirin
what class of drug is atropine
anticholinergic
describe atropine
parasympatholytic that is derived from the parts of the atropa belladonna plant
what is the presentation of atropine
1mg/10ml
what is the administeration of atropine
IV
ETT (double dose)
IO
what are the adult indications for atropine
asystole
PEA if bradycardic
symptomatic bradycardia
what are the paediatric indications for atropine
bradycardia
what are the contra- indications for atropine
type II second degree AV heart block

third degree AV heart block
what is the adult dose of atropine in asystole and PEA
1 mg IV
repeat 3-5 min MAX 3 mg

2mg ETT
what is the adult dose of atropine in symptomatic bradycardia
0.5 mg IV
repeat 3-5 min MAX 2 mg
what is the paediatric dose for atropine
0.02mg/kg
min dose 0.1 mg

repeat x 1 if indicated
what is the pharm/actions for atropine
anticholinergic agent
enhances SA node automaticity
enhances AV node conduction
increases heart rate
what are the side effects of atropine
tachycardia
dry mouth
dilated pupils
what is the class of drug for benzylpenicillin
antibiotic
antibacterial
describe benzylpenicillin
antibiotic agent
what is the presentation of benzylpenicil
600 mg power in vial for reconstitution
what is the administration of benzylpenicillin
IV (reconstitute with 4ml water}
Io
IM ( reconstitute with 2ml of water)
what is the adult dose of benzylpenicillin
1200mg slow IV/IM
what is the paediatric dose of benzylpenicillin
1-8 years 600 mg IV/IO/IM
< 1 300mg IV/IO/IM
what are the indications for benzylpenicillin
suspected or confirmed meningococcal sepsis
what are the contra-indications for benzylpenicillin
known penicillin allergy
what are the pharm/action of benzylpenicillin
antibacterial
gram positive cocci antibiotic
what are the side effects of
benzylpenicillin
GI disturbances
hypersensitivity reactions
additional info for
benzylpenicillin
also known as penicillin G
what is the class for lidocaine
antiarrhythmic
describe lidocaine
ventricular antiarrhythmic agent
what is the presentation of
lidocaine
1% w/v 100mg/10ml
what is the administeration of
lidocaine
IV
ETT
what are the indications for lidocaine
VF & VT
refactory to di-fib
what are the contra-indications for lidocaine
none in cardiac arrest
what is the adult dose of lidocaine
1-1.5 mg/kg iv
max 3mg
what is the paediatric dose of lidocaine
1mg/kg IV
max 3mg
what is the pharm/action for lidocaine
reduces automaticity by decreasing the rate of diastolic depolarisation. stabilises the neuronal membrane and prevents the initiation and transmission of nerve impulses, action is rapid and blockage may last up to 2 hours
side effects of lidocaine
drowsiness, dizziness, twitching,paraesthesia,convulsions, bradycardia, unconsciousness, resp depression
what is the adult dose of lidocaine
1-1.5 mg/kg IV
max 3 mg/kg
what is the paepiatric dose of lidocaine
1mg/kg IV
max 3mg/kg
what is the adult dose of lidocaine
1-1.5 mg/kg IV
max 3 mg/kg
what is the paepiatric dose of lidocaine
1mg/kg IV
max 3mg/kg
what is the class for lorazepam
anticonvulsant
describe lorazepam
benzodiazepine used as an anticonvulsant
what is the presentation of lorazepam
4mg/ml in 1ml amp
what is the administration of lorazepam
IV
IM
what are the indications for lorazepam
sustained seizure activity
what are the contra-indications for lorazepam
sensitivity to benzodiazepines
PTs with severe hepatic or pulmonary insufficiency
what is the adult dose of lorazepam
4mg IV/IM
what is the paediatric dose of lorazepam
0.1 mg/kg
max 4mg
what is the pharm/action of lorazepam
anticonvulsant
what are the side effects of lorazepam
drowsiness, confusion, headache, dizziness, blurred vision, nausea/vomiting
what is the additional info for lorazepam
viscid when cold, may be diluted 1:1 with NaCl or water.
if given IM always dilute
beware of resp depression
IV prefered
what is the class for glucose gel
antihypoglycaemic
describe glucose gel
synthetic glucose paste
what is the presentation of glucose gel
gel in tube or sachet
what is the administration of glucose gel
buccal administration
administer gel to inside of cheek and gently massage the outside
what are the indications for glucose gel
adult <4mmol/l
paed <3mmol/l
what are the contra indications for glucose gel
KSAR
what is the adult dose for glucose gel
10-20g buccal
what is the paediatric dose for glucose gel
3-10g buccal
what are the pharm/actions for glucose gel
increases blood glucose levels
what are the side effects of glucose gel
may cause vomiting in patients under 5 if given too quickly
what is the additional info for glucose gel
proceed with caution:
pts with airway compromise
altered LOC
what is the class for GTN
nitrate
describe GTN
nitroglycerin in aerosol delivering 0.4mg per spray
what is the presentation of GTN
aerosol spray metered dose 0.4mg (400mcg)
what is the administration of GTN
sublingual
what are the indications for GTN
angina
suspected MI
what are the contra-indications for GTN
SBP <90mm/hg
viagra or other phosphoddiesterase type5 inhibitors use within 24 hours
KSAR
what is the adult dose of GTN
0.4mg SL
repeat @ 3-5 min
max 1.2mg (3 sprays)
what are the pharm/actions of GTN
vasodilator
dilates coronary arteries
dilates systemic veins
reduces pre-load
reduces BP
what are the side effects of GTN
headache
transient hypotension
flushing
dizziness
what is the addional info for GTN
if pump is new or has not been used for a week or more spray into the air first
what is the class for cyclizine
anti emeic
describe cyclizine
used in the management of nausea and vomiting
what is the presentation of cyclizine
amp 50mg/1ml
what is the administration of cyclizine
IV
what are the indications for cyclizine
management, prevention and treatment of hausea and vomiting following morphine IV medication
what are the contra-indications for cyclizine
KSAR
what is the adult dose of cyclizine
50mg slow IV
what is the paediatric dose of cyclizine
0.7mg/kg slow IV
what is the pharm/action of cyclizine
anti emetic
what are the side effects of cyclizine
tachycardia
dry mouth
sedation
what class is Diazepam Rectal Solution
anticonvulsant
describe Diazepam Rectal Solution
benzodiazepine used as as anticonvulsant
what is the presentation of Diazepam Rectal Solution
rectal tube available as:
2.5mg/1.25ml (2mg/ml)
5mg/2.5ml (2mg/ml)
10mg/2.5ml (4mg/ml)
what is the administeration of
Diazepam Rectal Solution
PR
what are the indications for
Diazepam Rectal Solution
sustained seizure activity
what are the contra-indications for Diazepam Rectal Solutionns
KSAR
what is the adult dose for
Diazepam Rectal Solution
10mg PR
repeat x 1 after 5 min if indicated
max 20mg
what is the paediatric dose for Diazepam Rectal Solution
<3 years 2.5mgPR
repeat x 1 after 5 min if indicated
>3 5mgPR
repeat x 1 after 5 min if indicated
what is the pharm/action of
Diazepam Rectal Solution
benzodiazepine sedative
CNS depressant
anticonvulsant
sedative
skeletal muscle relaxant
what are the side effects of
Diazepam Rectal Solution
hypotension
resp depression
drowsiness
what is the additional info for Diazepam Rectal Solution
be aware of patient modesty
admin with 2nd person present
what is the class for Epinephrine (1:10000)
sympathetic agonist
describe Epinephrine (1:10000)
naturally occuring catecholamine, it is a potent A&B adrenergic stimulant. effect on B is more profond
what is the presentation of
Epinephrine (1:10000)
1mg/10ml (0.1mg/ml
what is the administration of
Epinephrine (1:10000)
IV
ETT ( double dose)
IO if <6
what are the indications for Epinephrine (1:10000)
cardiac arrest
paed bradycardia unresponsive to other measures
what are the contra- indications for Epinephrine (1:10000)
KSAR
what is the adult dose of
Epinephrine (1:10000)
1mg IV
2mg ETT
repeat every 3-5 mins
what is the paediatric dose of
Epinephrine (1:10000)
0.01mg/ml IV/IO
repeat every 3-5 mins
what are the pharm/actions for
Epinephrine (1:10000)
alpha and beta adrenergic stimulant
increases HR
increases myocardial contractions
increases BP
increases electrical activity of myocardium
increases cerebral & coronary blood flow
dilation of broncholes
what are the side effects of
Epinephrine (1:10000)
in non cardiac arrest:
palpitations
tachyarrthymias
hypertension
what is the additional info for Epinephrine (1:10000)
double check concentration befor use
what is the class for Paracetamol
analgesic & antipyretic
describe paracetamol
used to reduce pain and body temperature
what is the presentation of
paracetamol
rectal suppository 180mg and 60mg
suspension 120mg/5ml
what is the administration of paracetamol
PR
PO
what are the indications for paracetamol
pyrexia and pain between 2-6 on pain scale
what are the contra- indications for paracetamol
paracetamol given in last 4 hours
KSAR
altered LOC
what is the dose of paracetamol
PR <1 year 60mg
1-3 years 180mg
4-8 years 360mg
PO 20mg/kg
what are the pharm/actions for paracetamol
anagesic
antipyretic
what are the side effects for paracetamol
none
what is the additional info for paracetamol
is available in OTC drugs
consult with parents re meds prior to arrival on scene
for PR be aware of modesty and 2nd person present
what is the class for salbutamol
sympathetic agonist
describe salbutamol
sympathomimetic that is selective for beta2 adrenergic receptors
what is the presentation of salbutamol
nebule 2.5mg in 2.5ml
nebule 5mg in 2.5ml
what is the administeration of salbutamol
inhalation via nebuliser
what are the indications for salbutamol
broncospasm in
anaphylaxis
acute asthma
what are the contra-indications for salbutamol
KSAR
what is the adult dose of salbutamol
5mg
repeat after 20 mins x 1 if indicated
what is the paediatric dose of salbutamol
<5 2.5mg
>5 5mg
repeat after 20 mins if indicated
what are the pharm/actions for salbutamol
beta 2 agonist
broncodilation
smooth muscle relaxant
what are the side effects of salbutamol
tachycardia
tremors
tachyarrthymias