Drugs 2Nd Year

Front 1

Presentation of Paracetamol Orally

Back 1

500 milligram tablet

Hint 1

2 types

Front 2

Contra-Indications of Paracetamol

Back 2

Known allergy to Paracetamol

If Paracetamol has been taken within the last 4 hours

Hint 2

2 Contra-Indications

Front 3

Indications of Paracetamol Orally

Back 3

Relief of mild to moderate pain

Reduce high temperature

Front 4

Indications of Paracetamol IV

Back 4

Severe pain

Contra-Indications to opiates

Front 5

Adult Dosage and Administration of Paracetamol Orally

Back 5

Initial Dose - 1 gram

Repeat Dose - 1 gram

Dose Interval - 4 - 6 hours

Volume - 2 tablets

Front 6

Maximum Dose of Paracetamol

Back 6

4 grams in 24 hours

Front 7

Adult Dosage and Administration of Paracetamol IV

Back 7

Initial Dose - 1 gram

Repeat Dose - 1 gram

Dose Interval - 4 - 6 hours

Volume - 100ml

Front 8

Presentation of IV Paracetamol

Back 8

1g in 100ml

Front 9

Presentation of Adrenaline

Back 9

Pre-filled syringe or ampoule containing 1 milligram of Adrenaline in 1ml (1:1,000) ADM

Pre-filled syringe containing 1 milligram of Adrenaline in 10 ml (1:10,000) ADX

Hint 9

2 types

Front 10

Indications of Adrenaline

Back 10

Cardiac Arrest

Anaphylaxis

Life threatening asthma, failing ventilation and continued deterioration despite nebuliser therapy.

Hint 10

3

Front 11

Actions of Adrenaline in Cardiac Arrest

Back 11

Sympathomimetic that stimulates alpha and beta adrenergic receptors.

Because of this myocardial and cerebral blood flow is enhanced during CPR. Making CPR more effective due to increased peripheral resistance which improves perfusion pressures.

Hint 11

Receptors, blood flow, CPR effectiveness

Front 12

Contra-Indications of Adrenaline

Back 12

Do not give repeated doses to hypothermic patients

Hint 12

Temperature

Front 13

Actions of Adrenaline in Anaphylaxis

Back 13

Reverses allergic manifestations of acute anaphylaxis

Front 14

Actions of Adrenaline in Severe Asthma

Back 14

Relieves bronchospasm in acute severe asthma

Front 15

Dosage and Administration of Adrenaline in Cardiac Arrest

Back 15

Intravenous / Intraosseous

1 milligram

Repeat Dose - 1 milligram

Initial Dose - 1 milligram

Dose Interval - 3-5 minutes

Volume - 10ml

Front 16

Concentration of Adrenaline in Cardiac Arrest

Back 16

1mg in 10ml

(1:10,000) ADX

Front 17

Maximum Dose of Adrenaline

Back 17

No limit

Front 18

Dosage and Administration of Adrenaline in Anaphylaxis and Life Threatening Asthma

Back 18

Intramuscular

Initial Dose - 500 micrograms

Repeat Dose - 500 micrograms

Dose Interval - 5 minutes

Volume - 0.5ml

Front 19

Concentration of Adrenaline in Anaphylaxis and Life Threatening Asthma

Back 19

1milligram in 1ml

1:1,000

Front 20

Presentation of Naloxone

Back 20

400 micrograms per ampoule

Front 21

Actions of Naloxone

Back 21

Antagonism of the effect of opioid drugs

Front 22

Indications of Naloxone

Back 22

Opioid overdose causing respiratory, cardiovascular and central heating system depression

Overdose of either an opioid analgesic ( codine ) or a compound analgesic ( co-codamol )

Reversal of respiratory CNS depression in neonate following maternal opioid use during labour

Hint 22

3 Indications

Front 23

Contra-Indications of Naloxone

Back 23

Neonates born to opioid addicted mothers, as it produces serious withdrawal symptoms

Front 24

Dosage and Administration of Naloxone Intravenous / Intraosseous

Back 24

Administer slowly 1ml at a time

Initial Dose - 400 micrograms

Repeat Dose - 400 micrograms

Dose Interval - 3 minutes

Volume - 1ml

Front 25

Maximum Dose of Naloxone

Back 25

4,400 micrograms

11 Doses

Front 26

Dosage and Administration of Naloxone Intramuscular

Back 26

When IV access unavailable

Initial Dose - 400 micrograms

Repeat Dose - 400 micrograms

Dose Interval - 3 minutes

Volume - 1ml

Front 27

Concentration of Naloxone

Back 27

400 micrograms in 1ml

Front 28

Presentation of Diazepam

Back 28

Ampoule containing 10 milligrams Diazepam in an oil-in-water emulsion making up 2ml

Rectal tube containing 2.5, 5 or 10 milligrams Diazepam

Front 29

Actions of Diazepam

Back 29

Central nervous system depressant acts as an anticonvulsant and sedative

Front 30

Contra-Indications of Diazepam

Back 30

NONE

Front 31

Indications of Diazepam

Back 31

Fits lasting longer than 5 minutes and STILL fitting

Repeated fits - not secondary to an uncorrected hypoxia or hypoglycemic episode

Status Epilepticus

Eclampic fits (initiate treatment if fits last >2 - 3 minutes of if it is recurrent)

Symptomatic coca in toxicity (severe hypotension, chest pain or fitting)

Hint 31

5 Indications

Front 32

Dosage and Administration of Diazepam IV/IO

Back 32

Initial Dose - 10 milligrams

Repeat Dose - 10 milligrams

Dose Interval - 5 minutes

Volume - 2ml

Front 33

Maximum Dose of Diazepam Intravenous / Intraosseous

Back 33

20 milligrams

Front 34

Concentration of Diazepam Intravenous / Intraosseous

Back 34

10 milligrams in 2ml

Front 35

Dosage and Administration of Diazepam Rectal (Smaller Dose)

Back 35

1 x 10mg tube

Initial Dose - 10 milligrams

Repeat Dose - NONE

Dose Interval - N/A

Front 36

Maximum Dose of Diazepam Rectal ( Smaller Dose )

Back 36

10 milligrams

Front 37

Concentration of Diazepam Rectal

Back 37

10 milligrams in 2.5ml

Front 38

Dosage and Administration of Diazepam Rectal ( Larger Dose)

Back 38

2 x 10 milligrams tube

Initial Dose - 20 milligrams

Repeat Dose - NONE

Dose Interval - N/A

Front 39

Maximum Dose of Diazepam Rectal ( Larger Dose )

Back 39

20 milligrams

Front 40

Presentation of Glucagon

Back 40

Glucagon injection, 1 milligram of powder in a vial for reconstruction with water for injection

Front 41

Actions of Glucagon

Back 41

Glucagon is a hormone that induces the conversion of glycogen to glucose in the liver, which then raises glucose levels

Front 42

Contra-Indications of Glucagon

Back 42

Low glycogen store (e.g recent use of Glucagon)

Hypoglycemic seizures - Glucose IV is the preferred intervention

Hint 42

2 Contra-Indications

Front 43

Indications of Glucagon

Back 43

Hypoglycaemia (blood glucose less than 4.0 millimoles per litre) especially in known diabetics

Clinically suspected hypoglycaemia when oral administration not possible.

The unconscious patient where hypoglycaemia is considered a likely cause

Hint 43

3 Indications

Front 44

Dosage and Administration of Glucagon

Back 44

Initial Dose - 1 milligram

Repeat Dose - NONE

Dose Interval - N/A

Volume - 1 vial

Front 45

Maximum Dose of Glucagon

Back 45

1 milligram