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32 Cards in this Set

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Adrenaline

Cardiac arrest


Anaphylaxis


Life threatening asthma with failing ventilation despite neb therapy

3

Amiodarone

Cardiac arrest, shockable rhythm

2

Aspirin

Clinical or ecg evidence of mi or ischaemia

Atropine

Symptomatic bradycardia with any of,


Pulse <40


Low systolic BP


Paroxysmal ventricular arrhythmia


Inadequate perfusion

5

Benzylpenicillin

Suspected meningococcal disease with,


Non blanching rash


Signs and symptoms of septicaemia

3

Chlorphenamine

Severe anaphylaxis


Symptomatic allergic reactions falling short if anaphylaxis

2

Clopidogrel

Acute stemi in patients


Not already taking clopidogrel


Receiving thrombolytic treatment


Anticipated thrombolytic treatment


Anticipated ppci

5

Dexamethasone

Moderate /severe croup

Diazepam

Fits longer than 5mins + still fitting


Repeated fits (not secondary to uncorrected hypoxia or hypoglycaemia)


Status epilepticus


Eclamptic fits


Symptomatic cocaine toxicity

5

Enotonox

Moderate to severe pain


Labour pains

Furosemide

Pulmonary oedema, secondary to lvf

Glucagon

Hypoglycaemia


Suspected hypoglycaemia oral administration not possible,


Unconscious pt, hypoglycaemia is likely cause

3

Glucose 10%

Hypoglycaemia


Suspected hypoglycaemia oral administration not possible


Unconscious pt hypoglycaemia likely cause

3

Glucose 40% oral gel

Known, suspected hypoglycaemia with no risk of choking or aspiration

Gtn

Cardiac chest pain due to mi or angina


Acute cardiogenic pulmonary oedema

Heparin

Stemi where heparin is required as an adjunctive therapy with reteplase or tenectaplase, reducing risk of reinfarct

Ibuprofen

Mild-moderate pain


High temp


Soft tissue damage


Used best as balanced analgesic regimen

Hydrocortisone

Severe or life threatening asthma


Anaphylaxis


Adrenal crisis,

3

Ipratopium bromide

Acute severe or life threatening asthma


Acute asthma unresponsive to salbutomol


Exacerbation on copd unresponsive to salbutomol

Metoclopramide

Nausea - vomiting adults over 20


Prevention of nausea following morphine administration

2

Patients own buccal midazolam

Convulsions lasting mire than 5mins

Misoprostol

Post partum haemorrhage within 24hrs of delivery, uterine massage Won't control bleeding,


Miscarriage with life threatening bleeding, needs confirmed diagnosis,


Hypertension, misoprostol used instead of syntometrine or ergometrine


If syntometrine or ergometrine not available or have been ineffective after 15mins

4

Morphine

Pain associated with suspected Mi


Severe pain as a component of balanced analgesic regimen


Clinical judgment decides which route and which analgesia

3

Naloxone

Opioid overdose, with respiratory, cvs and cns depression


Overdose of compound/opioid analgesia


Unconscious pt, opioid overdose likely cause,


Reversal of respiratory and cns depression in a neonate following maternal opioid use during child birth

3

Paracetamol

Mild-moderate pain


High temperature


Ondansetron

Prevention and treatment of opiate induced nausea and vomiting,


Treatment for nausea and vomiting

2

Reteplase

Acute stemi, 12hours of symptoms where ppci is not available


Patient must forfill local criteria

Salbutomol

Acute asthma where normal inhaler therapy has failed,


Expiratory wheeze caused by allergy,anaphylaxis, smoke inhalation or lower airway cause


Exacerbation of copd


Sob due to lvf (secondary treatment)

Syntometrine

Post partum haemorrhage within 24hrs of delivery where uterine massage Won't control bleeding


Miscarriage with life threatening bleeding. Needs confirmed diagnosis

Tenectaplase

Acute stemi within 6hrs of symptoms, where ppci is not available


Tectracaine 4%

Where venepuncture is required in non emergency situations, pts who may become upset or have a feeling of venepuncture


Time of administration should be included in handover

Tranexamic acid

Patients with time critical injury where significant internal/external haemorrhage is suspected


Pts who fulfil step1-step 2 trauma triage protocol