Class 1's Drug Revision

Front 1

What are the 6 A's of drugs?

Back 1

Analgesia - Fentanyl

Antifibrogenic - TXA

Antibiotics - Co-Amoxiclav (contains penicillin)

Antibiotics - Ceftriaxone

Anti-emetic - Ondansetron

Antidote - Naloxone

Front 2

What is the indication for Fentanyl?

Back 2

Severe pain

Front 3

What is the indication for TXA?

Back 3

Catastrophic Haemorrhage

Front 4

What are the indications for Co-Amoxiclav?

Back 4

• Penetrating Trauma

• Open fractures

Front 5

What are the indications for Ceftriaxone?

Back 5

• Sepsis

• Meningitis

• Penicillin Allergy

Front 6

What is the indication for Ondansetron?

Back 6

Anti-sickness for pre-transport

Front 7

Indications for Naloxone?

Back 7

• Fentanyl or other opioid overdose

(Signs include respiratory depression, pinpoint pupils and decreased AVPU/GCS)

Front 8

What is the dose of Fentanyl?

Back 8

• 800mcg

• 2nd dose after 45 minutes

• Seek MO advice for 3rd

Front 9

Dosage for TXA?

Back 9

1g (2x ampoules)

Front 10

Dosage for Co-Amoxiclav?

Back 10

1.2g

Front 11

Dosage for Ceftriaxone?

Back 11

2g

Front 12

Dosage for Ondansetron?

Back 12

4mg

Front 13

Dosage for Naloxone?

Back 13

• Initially 400mcg.

• If no response after 1 minute give further 800mcg

Front 14

Formulation for Fentanyl?

Back 14

800mcg lozenge

Front 15

Formulation for TXA?

Back 15

2x 500mg ampoules (5mls) - draw into 10ml syringe

Front 16

Formulation for Co-Amoxiclav?

Back 16

1.2g of powder in ampoule

Front 17

Formulation for Ceftriaxone

Back 17

2g in vial

Front 18

Formulation for Ondansetron?

Back 18

4mg in 2ml ampoule

Front 19

Formulation for Naloxone?

Back 19

400mcg in 1ml ampoule

Front 20

Dilution and Route for TXA?

Back 20

• Into a 500ml bag of normal saline, over 10 minutes, or neat if in a rush

• IV/IO

Front 21

Dilution and Route for Co-Amoxiclav

Back 21

• Dilute with 10ml water, mix in ampoule. Give neat over 3-4 mins or add to 100ml of saline for infusion

• IV/IO

Front 22

How do you give Fentanyl?

Back 22

• Buccal (mouth, gums and under tongue etc)

Front 23

Dilution and Route for Ceftriaxone?

Back 23

• Add 20ml saline to powder vial and mix. Give from vial with giving set.

• IV over 30 seconds

Front 24

Route for Ondansetron?

Back 24

• IV over 30 seconds

Front 25

Route for giving Naloxone?

Back 25

• IV

Front 26

What does it mean when you give something Neat?

Back 26

Giving drugs directly into patient via cannula, Easy IO or FAST

Front 27

Why would you not give a patient Co-Amoxiclav?

Back 27

They may be allergic to penicillin