INDICATIONS, CONTRAINDICATIONS...

• What are the indications + contraindications for SALBUTAMOL?

  INDICATIONS:

  • bronchospasm due to asthma or COPD
  • prominent bronchospasm due to air way burns, smoke inhalation or chest infection
  • known or suspected hyperkalaemia with ECG changes
  • release syndrome from crush injury

  CONTRAINDICATIONS:

  • Known severe allergy
• What are the indications + contraindications of IPRATROPIUM?

  INDICATIONS:

  • bronchospasm due to asthma or COPD
  • prominent bronchospasm due to airway burns, smoke inhalation or chest infection

  CONTRAINDICATIONS:

  • known severe allergy
• What are the indications, contraindications + cautions of PREDNISONE?

  INDICATIONS:

  • bronchospasm due to asthma or COPD
  • croup
  • rash associated with anaphylaxis once all other systemic signs have resolved
  • minor allergy with rash

  CONTRAINDICATIONS:

  • Known severe allergy

  CAUTIONS:

  • age less than 5yr with asthma
• What are the indications and contraindications of MEDICAL AIR?

  INDICATIONS:

  • administration of neb meds for COPD

  CAUTIONS:

  • confined spaces

  CONTRAINDICATIONS:

  • none
• What are the indications for GTN?

  • STEMI
  • myocardial ischaemia
  • CPO
  • control of HTN with autonomic dysreflexia
  • control of HTN prior to fibrinolytic treatment for STEMI
  • control of HTN during inter-hospital transfer for STEMI
• What are the contraindications for GTN?

  • known severe allergy
  • systolic BP less than 110
  • HR above 150
  • HR below 40
  • VT
• What are the cautions of GTN?

  • STEMI (particularly right-sided, can cause a fall in CO)
  • frail
  • signs of shock
  • dysrhythmia
  • phosphodiesterase in the past 24hrs
  • known aortic or mitral stenosis (can cause fall in CO)

  If cautioned:

  • lay patient flat
  • IV access gained
  • 10min intervals
  • prepare fluids in case of fall in CO or bp
• What are the cautions of PREDNISONE/PREDNISOLONE?

  • age <5yr with asthma
  • can give to a child <5yr if they have a clear history and have had oral steroids before
• What are the indications for ADRENALINE?

  • anaphylaxis (EMT)
  • severe asthma (EMT)
  • neb for stridor causing moderate to severe resp distress (EMT)
  • IN for epistaxis (EMT)
  • topical for significant bleeding (EMT)
  • imminent resp arrest from COPD (EMT)
  • cardiac arrest (PARA)
  • severe bradycardia (CCP)
  • BP support if unresponsive to metaraminol (CCP)
  • septic, cardiogenic and neurogenic shock - unresponsive to NaCl IV and metaraminol IV (CCP)
• What the indications + contraindications of ASPIRIN?

  INDICATIONS:

  • myocardial ischaemia
  • STEMI

  CONTRAINDICATIONS:

  • known severe allergy
  • third trimester of pregnancy
• What are the cautions for ASPIRIN?

  • known bleeding disorder
  • clinically significant bleeding
  • known worsening of bronchospasm with NSAIDS
• What are the indications + contraindications for ONDANSETRON?

  INDICATIONS:

  • clinically significant nausea and/or vomiting

  CONTRAINDICATIONS:

  • known severe allergy
  • age less than 1yr
  • suspected serotonin syndrome
• What are the indications + contraindications for GLUCAGON?

  INDICATIONS:

  • hypoglycaemia when the patient cannot safely swallow or IV access cannot be gained

  CONTRAINDICATIONS:

  • known severe allergy
• What are the indications + contraindications for GLUCOSE GEL?

  INDICATIONS:

  • hypoglycaemia in adults + children provided they are conscious enough to swallow safely
  • hypoglycaemia in neonates

  CONTRAINDICATIONS:

  • none
• What are the contraindications for IBUPROFEN?

  • severe allergy
  • dehydration
  • sepsis
  • shock
  • bleeding
  • renal impairment
  • worsening of bronchospasm with NSAIDS
  • pregnancy
• What are the indications, contraindications + cautions for LORATADINE?

  INDICATIONS:

  • minor allergic reactions confined to skin
  • skin itch associated with anaphylaxis provided all other systemic signs of anaphylaxis have resolved

  CONTRAINDICATIONS:

  • known severe allergy
  • under 1yr

  CAUTIONS:

  • pregnancy