-
Adrenaline action ?
- Stimulates Alpha & Beta receptors of the SNS to produce Fight or Flight.
- Beta 2 stimulation causes bronchodilation
-
Adrenaline use ?
M7 - Croup
-
Adrenaline adverse effects and contraindications?
- Tachycardia
- Dysrhythmias, including VF
- Hypertension
- Pupillary dilation
- Anxiety
- Nausea & vomiting
Nil contraindications
-
Glucagon type & action?
- Pancreatic Hormone
- Converts liver glycogen to glucose, not effective if stores are depleted
-
Glucagon use?
Hypoglyceamia
-
Glucagon adverse effects and contraindications?
- Nausea & vomiting
- Allergic reaction
Nil Contraindications
-
Glucagon dose, >16 & <16?
-
GTN
Type?
Use?
Vasodilator
C1 ACS - treatment of AMI suspected pain
M15 Autonomic Dysreflexia - Hypertension
-
GTN
Action?
Adverse effects?
- Action
- Dilates coronary arteries
- Dilates systemic veins and arteries
- Adverse effects
- Hypotension
-
GTN
Contraindications?
- BP<90 systolic
- HR <50/min & >150/min
- Patients <16yrs
- Use of erectile dysfunction (viagra)
-
Reversible causes of cardiac arrest, 4 H's & 4 T's?
- Hypoxia
- Hypovolemia
- Hypo/Hyperthermia
- Hyperkalaemia
- Tension Pneumothorax
- Toxins, Drugs and Poisons
- Thrombosis
- Anaphylaxis
-
Ipratropium Bromide (Atrovent)
Type?
Action?
Anticholinergic bronchodilator
- Brochodilation
- Blocks vagal reflexes which mediate Bronchoconstriction
- Synergistic when used in conjuction with Salbutamol
-
Ipratropium Bromide
Use?
Adverse Effects?
- To relieve Bronchospasm
- M4 - Asthma
- M19 - COPD
-
Ipratropium Bromide Contraindications?
Doses >6 & <6?
- Allergy or hypersensitivity to Ipratropium Bromide
- Glaucoma
- >6 = 500mcg (Max 1mg)
- <6 = 250mcg (Max 500mcg)
-
Paracetamol
Type?
Action?
Type - Analgesic & antipyretic
Action - Temporary relief of pain and discomfort in arthiritis, headache, muscular and neuralgic conditions, and reduces fever
-
Paracetamol
Use?
Adverse Effects?
- Use -
- A6 - Pain management
- Febrile patients
- Adverse Effects -
- Nausea
- Liver failure in overdoses
-
Paracetamol Contraindications?
- Allergy or hypersensitivity
- Liver failure
- Multiple previous doses -
- self administration within 4 hours;
- 4g (8tablets) within 24hrs >12yrs
- 2g (4 tablets) with 24hrs >7 - <12yrs.
- Patients <7yrs
-
Salbutamol
Type?
Action?
Type - Sympathomimetic
Action - Stimulates beta 2 receptors in bronchial smooth muscle resulting in bronchodilation
-
Salbutamol
Use
Adverse Effects
Nil contraindications
Use - (M14) Asthma, (M19) COPD exacerbation
Adverse Effects - Dysrhythmias, shakes & tremors
-
Salbutamol Doses
>5yrs 5mg (Nil Max)
<5yrs 2.5mg (Nil Max)
-
AEIOUTIPS
- Alcohol
- Epilepsy
- Insulin
- Overdose
- Underdose/Uremia
- Trauma
- Infection
- Psychosis
- Stroke
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