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33 Cards in this Set
- Front
- Back
- 3rd side (hint)
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Paracetamol Contra indications |
1. Allergy 2. Exceeding dose - I.e. 1g in last 4-6hrs or exceeded 4g |
2 |
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Daily max AND routine dose for paracetamol |
Daily: no more than 4g Routine: mild to meditate pain- given 1g (adult - 2 500mg tablets) every 4-6 hrs |
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Indication for charcoal |
Adult or child over 1 Poisoning within 1hr of attending clinician |
2 |
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Contra indication for activated charcoal |
Over 1 hr Tox base do not advise Pt vomiting Risk of bowel obstruction, opioid medications or swallowing corrosive substance. Children under 1 year Cannot be given with certain substances (see jr calc) |
6 |
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Dose of activated charcoal |
50g in 250ml of water (suspension) |
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Dosage of ipratropium bromide |
Given once 500mcg in 2ml nebulise w/ 6-8L/m O2 |
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Contra indications of ipratropium bromide |
None in the emergency setting. |
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Indication for ipratropium bromide |
Acute life threatening asthma Unresponsive to salbutamol Copd and asthma ^^^^^ Expiratory wheeze |
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Indication for salbutamol |
Exacerbation of COPD Expiratory wheeze associated w/ anaphylaxis, smoke inhalation or lower airway cause. Acute asthma attack where normal inhaler fails to relieve sx |
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Contra indications of salbutamol |
None in emergency |
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Adult Dosage for salbutamol |
Salbutamol nebulised 5mg in 2.5ml or 2x 2.5mg in 2.5ml |
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Aspirin contra indications |
Under 16 Active GI haemorrhage Haemophilia or clotting disorder Allergy Severe hepatic failure with jaundice |
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Dosage of aspirin |
300mg chewable tablet given once |
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Indication of aspirin |
ACS ? TIA & all of following- Sx fully resolved Pt not going to hospital Pt referred to TIA Referral path |
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GTN glycerol trinitrate spray dose |
400-800mcg (1-2 sprays) given sublingually every 5-10m |
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Glycerol trinitrate indication |
For ACS (cardiac chest pain) w/ systolic >90mmhg Breathlessness due to pulmonary oedema in acute heart failure where systolic >110mmhg Suspected cocaine toxicity with chest pain |
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GTN Contra indications |
Hypovolemia Head trauma Cerebral haemorrhage (ICP) Viagra Unconscious Know severe aortic or mitral stenosis |
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Epinephrine 1:1000 indication |
Anaphylaxis (Life threatening asthma with continued degradation despite nebuliser therapy) |
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Dose of epinephrine 1:1000 in anaphylactic adults |
500mcg in 0.5ml (half of 1mg in 1 ml) |
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Epinephrine route |
Intra-muscular given at the Anterio-lateral aspect of the thing |
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Contra indications of oxygen |
Combustible environment |
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Entonox indications |
Moderate to severe pain Labour pain |
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Entonox contra indications |
Chest injury and clinically suspected pneumothorax Severe head injury with reduced consciousness Decompression sickness Violently disturbed psychiatric Intraoccular injection of gas in last 8w Abdopain with suspected intestinal obstruction |
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Presentation of Entonox |
1mg in 1ml 50%o2 50% Entonox |
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Contra indications of narcan (naloxone) |
Neonates |
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Indication of naloxone |
Acute Opioid or Opiate toxicity with respiratory arrest or depression |
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Route, dose and max dose of naloxone |
IM 400mcg in 1ml given every 3 minutes to a max dose of 4000mcg (4mg) |
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Glucagon dose |
1mg powder for reconstitution with water for injection |
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Glucagon indications |
Hypoglycaemia or unconscious where hypoglycaemia is likely cause (blood glucose < 4mmol/L. NB. Considered when oral glucose not possible or IV not possible. |
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Glucagon contra indications |
Pheochromacytoma Not given IV due to increased risk of vomiting assistance with IV drugs |
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Oral glucose 40% gel dose for adult |
10-20g Interval 15mins No max dose |
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Glucose 40% contra indications |
None |
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Glucose 40% gel indications |
Known or suspected Hypoglycaemia with no risk of aspiration |
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