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30 Cards in this Set
- Front
- Back
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What is the Narcan adult dose and route?
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1.6mg via IM.
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What is the Acetylsalicylic acid presentation & pharmacology action?
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300mg and antithrombotic (prevents platelets aggregating to exposed collagen fibres at vascular injury site).
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What is the indication/s for Acetylsalicylic acid & time to effect?
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Suspected AMI or Myocardial ischemia.
10 min, antiplatelet action for several days. |
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What are the 4 contra-indication/s for Acetylsalicylic acid?
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KSAR to NSAID's.
Bleeding disorders. Current GI bleed or peptic ulcers. <12 yo. |
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What is the 4 precaution/s for Acetylsalicylic acid?
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? Aortic aneurysm or condition requiring surgery.
Pregnancy. Hx GI bleed or peptic ulcer. Concomitant anti-coagulation therapy (not Clopidogrel). |
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What are the side effects for Acetylsalicylic acid?
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Epigastric pain/discomfort.
Nausea/vomitting. Gastritis. GI bleeding. Tinnitus. |
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If you suspect a pt is having an AMI or ischemic episode, but is pain free. Can you still admin aspirin?
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Yes.
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What are the indications for Glucagon?
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Hypoglycaemia, known or suspected, unable to take oral glucose.
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What are the contra-indications of Glucagon & the route of admin?
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KSAR & IM.
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When is the peak effect of Glucagon?
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8-10 min.
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What are the admin doses for Glucagon?
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> 25 kg = 1mg
< or = 25 mg = 1/2 mg |
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Glutose gel, what is its presentation, route of admin and indication?
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15 grams, oral & conscious hypoglycaemia.
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What are the doses of Glutose gel?
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Adult - 15 gm, repeat once if BSL <4.0mmol after 15/60.
Child (2-12) - 15 gm, repeat once if BSL <3.0mmol after 15/60. |
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What is the presentation and indications for Glyceryl Trinitrate?
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400 mcg spray.
Pain associated with suspected AMI or myocardial ischemia. |
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With Glyceryl Trinitrate, what are the contra indications?
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KSAR
Current CVA Head trauma Sys BP <100mmHg Erectile dysfunction medication <6/24, 6-12 hrs BP <140mmHg & 12-24/24 BP < 120mmHg. |
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Glyceryl Trinitrate, what is the pharmacology?
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Potent vasodilator.
Decreases Preload & afterload. Spasming coronary artery vasodilation & may assist in collateral circulation. |
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What are the side effects of giving Glyceryl Trinitrate?
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Hypotension
Syncope Dizziness Headache, vascular Tachycardia Facial flushing |
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What precautions should the paramedic be aware of when admin Glyceryl Trinitrate?
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Cerebral vascular disease
Hypotension / syncope Alcohol, effects enhanced Erectile dysfunction in past 4/7 |
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What are the doses for Glyceryl Trinitrate and the indications.
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Cardiogenic APO & pain associated with AMI or mycardial ischemia.
400mcg every 5/60. not approved for children without medical direction. |
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What is the indication for admin of Methoxyflurane.
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Pain relief.
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What are the contra-indications for admin of Methoxyflurane.
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KSAR.
Hx significant liver or renal disease. Malignant hyperthermia. |
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What are the child & adult doses for Methoxyflurane?
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Adult - 3ml + 3ml 20/60 later.
Child (1-12) - 3ml only. |
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How many doses of Methoxyflurane can be admin whilst in the back of the Ambulance?
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One.
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What are the side effects of Methoxyflurane?
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Cough.
ALOC. Renal/Hepatic failure with repeat high exposure. |
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What receptors does Salbutamol predominantly target?
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B2 - bronchodilation.
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What are the indications for Salbutamol?
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Bronchospasm associated with
Asthma Severe Allergic reaction Smoke/Gas Inhalation COAD |
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What is/are contra indication/s for Salbutamol?
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KSAR.
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What are the 4 side effects of Salbutamol?
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Tremors
Anxiety Tachycardia Tachyarrythmias |
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What are the doses for Salbutamol in Children?
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IV - 5mcg/kg, rpt once only after 10/60.
Neb - 5mg in 2.5 ml as required every 5/60 (2-12 yo) |
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What are the doses for Salbutamol in Adults?
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Neb - 5mg in 2.5 ml as required every 5/60.
IV - <50 yo - 250mcg every 5/60. - >50 yo - 250mcg every 10/60. Max 1 mg. |
