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Medications
Drug | Dosage | Indications | Adverse Effects | Contraindications |
---|---|---|---|---|
Aspirin | 300mg PO Onset: 2-10min, Peak: 3-6hrs, Duration: <24hrs Repeat: no | ACS | W- wheezing H- heart burn A- allergic reaction N- nausea/vomiting G- gastritis | H- hypersensitivity to salicylates A- active bleeding |
Co-phenylcaine | 1x 5mg spray every 1-2 min- max 25mg Onset: 1-5min. Peak: 10min. Duration: 20-30min | Epistaxis | Unpleasant taste | H- hypersensitivity to amine anaesthetics P- pregnancy |
Gastrolyte | 1x sachet- repeat as necessary- max 7-10/day | Dehydration | N/A | Nil contraindications |
Glucose | 15mg tube Buccal Repeat as required Onset: <15min. Peak: <15min. Duration: Variable | Hypoglycaemia | May worsen hyperglycaemia | Altered mental status, Paeds <2yrs |
Glucagon | 1mg/1ml IM Can repeat after 5 min Onset: 5-30min. Peak: 10-30min. Duration: <2hrs | Hypoglycaemia | N- nausea/ vomiting H- hypotension T- tachycardia | H- hypersensitivity to glucagon or lactose P-pheochromocytoma |
Glyceryl Trinitrate | 0.4mg SL Spray (400mcg)- repeat every 5min Onset: <2min. Peak: 5-10min. Duration: 20-30min | Chest pain associated with Acute Cardial Syndrome | T- Tachycardia, H- headache, E, W- weakness, H- hypotension, Y, D- dizziness, R- rash, D- dry mouth N- nausea/vomiting | S- shock H- hypotension U- use of erectile dysfunction drugs B- bradycardia |
Ondansetron | 4mg SL Onset:<3-5 min. Peak: <15min. Duration: 1-4 hours | Nausea & vomiting | H- hypotension T- tachycardia C- constipation H- headache S- seizures | Hypersensitivity to ondansetron |
Paracetamol | 0.5-1g (500mg) PO- repeat every 4hrs. Max 4g in 24hrs Onset: 10-60min. Peak: variable. Duration: 4hrs | Minor pain or headache | Nausea & GI irritation | H- hypersensitivity to paracetamol P- previous doses R-respiratory distress |
Phenergan | 10mg PO once Onset: 5-20min. Duration: 4-6hrs | Minor allergy | H- hypotension I- impair mental status D- dry mouth S- sedation B- blurred vision B- bradycardia C- confusion D- dizziness | H- hypersensitivity to promethazine B- breastfeeding H- history of dystonic reactions |
Prochlorperazine | 12.5mg/ml IM- no repeat Onset: 20min. Duration: 6hrs | Motion sickness and vertigo | S- sedation T- tachycardia U- D- dry mouth B- blurred vision C- confusion C- constipation H- headache H- hypotension | S- shock H- hypotension A- altered mental state P- prochlorperazine hypersensitivity |
Oxygen Therapy | <94% in healthy patients and 88-92% in COPD patients. | Hypoxia, trauma | Can dry mucous membranes | None |
Nasal Prong | 2-4L/min of O2 at 24 to 35% FIO2 | Hypoxia, trauma | Can dry mucous membranes | None |
Hudson Mask | 5-10L/min at 40-60% FIO2 | Hypoxia, trauma | Can dry mucous membranes | None |
Venturi Mask | 5-10L/min at 40-60% FIO2 and COPD: 24-60% FIO2 | Hypoxia, trauma | Can dry mucous membranes | None |
Non Re-breather Mask | High concentration 12 -15L/min at 60-80% FIO2 | Hypoxia, trauma | Can dry mucous membranes | None |
Adrenaline | 0.5mg/0.5ml IM Repeat as required | Anaphylaxis | H- heart palpitations A- anxiety T- tremors H- headache D- dizziness N- nausea/vomiting T- tachycardia A- arrhythmias ^- ^ myocardial damage | None |
Methoxyflurane | 3ml IH - single repeat after 20min Onset 2-3min Peak: <5min Duration: 5-10min | Anaesthetic gas- Pain | C- cough D- drowsiness H-hypotension M- metabolic acidosis A- altered mental status | M- malignant hypothermia E- eclampsia T- tetracycline antibiotic usage H- hyperthermia L- liver or renal disease A-altered mental status B- behavioural disturbances |
Salbutamol | 5mg IH Neb Onset: 2-5min. Peak: Variable Duration: 1-4hrs | Bronchodilator Gas- Asthma, anaphylaxis, bronchospasm | T- tachycardia, H- hypokalaemia, A- anxiety, T- tremors, P- palpitations, H- hypotension, A- arrythmias, D- dry mouth, H- headache, E, N- Nausea/vomiting, S- sore throat | Hypersenitivity |