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143 Cards in this Set
- Front
- Back
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what is the adult dose for amiodarone?
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5mg/kg
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what is the peadiatric dose for amiodarone
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5mg/kg
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what class of drug is Amiodarone
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Antiarrhythmic
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Describe Amiodarone
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class iib antiarrhythmic agent used to treat ventricular arrhythmias
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what is the presentation of Amiodarone
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150mg in 3ml solution
pre-filled syringe 10ml (30mg/ml) |
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what is the administeration route for Amiodarone
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IV
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what are the indications for the use of Amiodarone
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VF & pulseless VT
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what are the contra-indications for using Amiodarone
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KSAR
hypersensitivity to iodine |
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what are the pharmacological actions of Amiodarone
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antiarrhythmic
prolongs the action potential prolongs the refactory period prolongs AV conduction prolongs QT interval |
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what are the side effects of Amiodarone
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inflammation of peripheral veins
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what is the additional info for Amiodarone
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class as per guidelines 2000
(ILCOR) |
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what is the class for Aspirin
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platelet aggregator inhibitor
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describe Aspirin
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anti-inflammatory agent and an inhibitor of platelet function. useful agent it the treatment of various thromboembolic deseases such as AMI
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what is the presentation of Aspirin
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300mg soluble tablet
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what is the administration route for aspirin
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PO to be chewed or if soluble dispersed in water
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what are the indications foe Aspirin
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cardiac chest pain or suspected MI
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what are the contra-indications for Asprin
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active symptomatic GI ulcer
bleeding disorder KSAR |
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whar is the adult dose for Aspirin
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300 mg PO
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what is the paediatric dose of Aspirin
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not indicated
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what is the pharm/action of aspirin
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antithrombotic
inhibits platelet aggregation, which reduces clot/thrombus formation in an MI |
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what are the side effects of Aspirin
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epigastric pain and discomfort
broncospasm GI haemorrhage |
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what is the additional info for aspirin
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aspirin 300mg is indicated for cardiac chest pain regardless if patient has taken anti-coagulants or is already on aspirin
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what class of drug is atropine
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anticholinergic
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describe atropine
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parasympatholytic that is derived from the parts of the atropa belladonna plant
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what is the presentation of atropine
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1mg/10ml
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what is the administeration of atropine
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IV
ETT (double dose) IO |
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what are the adult indications for atropine
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asystole
PEA if bradycardic symptomatic bradycardia |
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what are the paediatric indications for atropine
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bradycardia
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what are the contra- indications for atropine
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type II second degree AV heart block
third degree AV heart block |
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what is the adult dose of atropine in asystole and PEA
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1 mg IV
repeat 3-5 min MAX 3 mg 2mg ETT |
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what is the adult dose of atropine in symptomatic bradycardia
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0.5 mg IV
repeat 3-5 min MAX 2 mg |
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what is the paediatric dose for atropine
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0.02mg/kg
min dose 0.1 mg repeat x 1 if indicated |
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what is the pharm/actions for atropine
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anticholinergic agent
enhances SA node automaticity enhances AV node conduction increases heart rate |
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what are the side effects of atropine
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tachycardia
dry mouth dilated pupils |
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what is the class of drug for benzylpenicillin
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antibiotic
antibacterial |
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describe benzylpenicillin
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antibiotic agent
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what is the presentation of benzylpenicil
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600 mg power in vial for reconstitution
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what is the administration of benzylpenicillin
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IV (reconstitute with 4ml water}
Io IM ( reconstitute with 2ml of water) |
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what is the adult dose of benzylpenicillin
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1200mg slow IV/IM
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what is the paediatric dose of benzylpenicillin
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1-8 years 600 mg IV/IO/IM
< 1 300mg IV/IO/IM |
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what are the indications for benzylpenicillin
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suspected or confirmed meningococcal sepsis
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what are the contra-indications for benzylpenicillin
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known penicillin allergy
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what are the pharm/action of benzylpenicillin
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antibacterial
gram positive cocci antibiotic |
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what are the side effects of
benzylpenicillin |
GI disturbances
hypersensitivity reactions |
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additional info for
benzylpenicillin |
also known as penicillin G
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what is the class for lidocaine
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antiarrhythmic
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describe lidocaine
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ventricular antiarrhythmic agent
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what is the presentation of
lidocaine |
1% w/v 100mg/10ml
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what is the administeration of
lidocaine |
IV
ETT |
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what are the indications for lidocaine
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VF & VT
refactory to di-fib |
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what are the contra-indications for lidocaine
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none in cardiac arrest
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what is the adult dose of lidocaine
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1-1.5 mg/kg iv
max 3mg |
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what is the paediatric dose of lidocaine
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1mg/kg IV
max 3mg |
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what is the pharm/action for lidocaine
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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
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side effects of lidocaine
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drowsiness, dizziness, twitching,paraesthesia,convulsions, bradycardia, unconsciousness, resp depression
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what is the adult dose of lidocaine
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1-1.5 mg/kg IV
max 3 mg/kg |
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what is the paepiatric dose of lidocaine
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1mg/kg IV
max 3mg/kg |
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what is the adult dose of lidocaine
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1-1.5 mg/kg IV
max 3 mg/kg |
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what is the paepiatric dose of lidocaine
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1mg/kg IV
max 3mg/kg |
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what is the class for lorazepam
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anticonvulsant
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describe lorazepam
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benzodiazepine used as an anticonvulsant
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what is the presentation of lorazepam
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4mg/ml in 1ml amp
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what is the administration of lorazepam
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IV
IM |
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what are the indications for lorazepam
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sustained seizure activity
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what are the contra-indications for lorazepam
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sensitivity to benzodiazepines
PTs with severe hepatic or pulmonary insufficiency |
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what is the adult dose of lorazepam
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4mg IV/IM
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what is the paediatric dose of lorazepam
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0.1 mg/kg
max 4mg |
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what is the pharm/action of lorazepam
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anticonvulsant
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what are the side effects of lorazepam
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drowsiness, confusion, headache, dizziness, blurred vision, nausea/vomiting
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what is the additional info for lorazepam
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viscid when cold, may be diluted 1:1 with NaCl or water.
if given IM always dilute beware of resp depression IV prefered |
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what is the class for glucose gel
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antihypoglycaemic
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describe glucose gel
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synthetic glucose paste
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what is the presentation of glucose gel
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gel in tube or sachet
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what is the administration of glucose gel
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buccal administration
administer gel to inside of cheek and gently massage the outside |
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what are the indications for glucose gel
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adult <4mmol/l
paed <3mmol/l |
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what are the contra indications for glucose gel
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KSAR
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what is the adult dose for glucose gel
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10-20g buccal
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what is the paediatric dose for glucose gel
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3-10g buccal
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what are the pharm/actions for glucose gel
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increases blood glucose levels
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what are the side effects of glucose gel
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may cause vomiting in patients under 5 if given too quickly
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what is the additional info for glucose gel
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proceed with caution:
pts with airway compromise altered LOC |
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what is the class for GTN
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nitrate
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describe GTN
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nitroglycerin in aerosol delivering 0.4mg per spray
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what is the presentation of GTN
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aerosol spray metered dose 0.4mg (400mcg)
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what is the administration of GTN
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sublingual
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what are the indications for GTN
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angina
suspected MI |
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what are the contra-indications for GTN
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SBP <90mm/hg
viagra or other phosphoddiesterase type5 inhibitors use within 24 hours KSAR |
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what is the adult dose of GTN
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0.4mg SL
repeat @ 3-5 min max 1.2mg (3 sprays) |
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what are the pharm/actions of GTN
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vasodilator
dilates coronary arteries dilates systemic veins reduces pre-load reduces BP |
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what are the side effects of GTN
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headache
transient hypotension flushing dizziness |
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what is the addional info for GTN
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if pump is new or has not been used for a week or more spray into the air first
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what is the class for cyclizine
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anti emeic
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describe cyclizine
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used in the management of nausea and vomiting
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what is the presentation of cyclizine
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amp 50mg/1ml
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what is the administration of cyclizine
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IV
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what are the indications for cyclizine
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management, prevention and treatment of hausea and vomiting following morphine IV medication
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what are the contra-indications for cyclizine
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KSAR
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what is the adult dose of cyclizine
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50mg slow IV
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what is the paediatric dose of cyclizine
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0.7mg/kg slow IV
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what is the pharm/action of cyclizine
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anti emetic
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what are the side effects of cyclizine
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tachycardia
dry mouth sedation |
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what class is Diazepam Rectal Solution
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anticonvulsant
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describe Diazepam Rectal Solution
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benzodiazepine used as as anticonvulsant
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what is the presentation of Diazepam Rectal Solution
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rectal tube available as:
2.5mg/1.25ml (2mg/ml) 5mg/2.5ml (2mg/ml) 10mg/2.5ml (4mg/ml) |
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what is the administeration of
Diazepam Rectal Solution |
PR
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what are the indications for
Diazepam Rectal Solution |
sustained seizure activity
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what are the contra-indications for Diazepam Rectal Solutionns
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KSAR
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what is the adult dose for
Diazepam Rectal Solution |
10mg PR
repeat x 1 after 5 min if indicated max 20mg |
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what is the paediatric dose for Diazepam Rectal Solution
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<3 years 2.5mgPR
repeat x 1 after 5 min if indicated >3 5mgPR repeat x 1 after 5 min if indicated |
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what is the pharm/action of
Diazepam Rectal Solution |
benzodiazepine sedative
CNS depressant anticonvulsant sedative skeletal muscle relaxant |
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what are the side effects of
Diazepam Rectal Solution |
hypotension
resp depression drowsiness |
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what is the additional info for Diazepam Rectal Solution
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be aware of patient modesty
admin with 2nd person present |
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what is the class for Epinephrine (1:10000)
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sympathetic agonist
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describe Epinephrine (1:10000)
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naturally occuring catecholamine, it is a potent A&B adrenergic stimulant. effect on B is more profond
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what is the presentation of
Epinephrine (1:10000) |
1mg/10ml (0.1mg/ml
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what is the administration of
Epinephrine (1:10000) |
IV
ETT ( double dose) IO if <6 |
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what are the indications for Epinephrine (1:10000)
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cardiac arrest
paed bradycardia unresponsive to other measures |
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what are the contra- indications for Epinephrine (1:10000)
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KSAR
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what is the adult dose of
Epinephrine (1:10000) |
1mg IV
2mg ETT repeat every 3-5 mins |
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what is the paediatric dose of
Epinephrine (1:10000) |
0.01mg/ml IV/IO
repeat every 3-5 mins |
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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 |
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what are the side effects of
Epinephrine (1:10000) |
in non cardiac arrest:
palpitations tachyarrthymias hypertension |
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what is the additional info for Epinephrine (1:10000)
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double check concentration befor use
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what is the class for Paracetamol
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analgesic & antipyretic
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describe paracetamol
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used to reduce pain and body temperature
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what is the presentation of
paracetamol |
rectal suppository 180mg and 60mg
suspension 120mg/5ml |
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what is the administration of paracetamol
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PR
PO |
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what are the indications for paracetamol
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pyrexia and pain between 2-6 on pain scale
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what are the contra- indications for paracetamol
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paracetamol given in last 4 hours
KSAR altered LOC |
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what is the dose of paracetamol
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PR <1 year 60mg
1-3 years 180mg 4-8 years 360mg PO 20mg/kg |
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what are the pharm/actions for paracetamol
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anagesic
antipyretic |
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what are the side effects for paracetamol
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none
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what is the additional info for paracetamol
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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 |
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what is the class for salbutamol
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sympathetic agonist
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describe salbutamol
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sympathomimetic that is selective for beta2 adrenergic receptors
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what is the presentation of salbutamol
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nebule 2.5mg in 2.5ml
nebule 5mg in 2.5ml |
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what is the administeration of salbutamol
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inhalation via nebuliser
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what are the indications for salbutamol
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broncospasm in
anaphylaxis acute asthma |
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what are the contra-indications for salbutamol
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KSAR
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what is the adult dose of salbutamol
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5mg
repeat after 20 mins x 1 if indicated |
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what is the paediatric dose of salbutamol
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<5 2.5mg
>5 5mg repeat after 20 mins if indicated |
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what are the pharm/actions for salbutamol
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beta 2 agonist
broncodilation smooth muscle relaxant |
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what are the side effects of salbutamol
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tachycardia
tremors tachyarrthymias |
