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SIDE EFFECTS OF CHLORPHENAMINE
  • SEDATION
  • PSYCHOMOTOR IMPAIRMENT
  • DRY MOUTH
  • HEADACHE
  • BLURRED VISION
  • GI DISTURBANCE
  • TRANSIENT HYPOTENSION
  • CONVULSIONS
  • ELDERLY ARE MORE LIKELY TO SUFFER SIDE EFFECTS
  • ADVISED AGAINST DRIVING OR OTHER PSYCHO MOTOR SKILLS
SIDE EFFECTS OF BENZYLPENICILLIN
  • SUDDEN HYPOTENSION
  • HYPERSENSITIVITY/URTICARIA/FEVER/JOINT PAIN/ ANGIOOEDEMA/ANAPHYLAXIS/CONVULSIONS
  • GI UPSET
SIDE EFFECTS OF ATROPINE
  • DRY MOUTH
  • VISUAL BLURRING
  • PUPIL DIALATION
  • CONFUSION AND HALLUCINATIONS
  • TACHYCARDIA
  • RETENTION OF URINE IN ELDERLY
  • DO NOT USE SMALL DOSES AS MAY CAUSE PARADOXICAL BRADYCARDIA
SIDE EFFECTS OF ASPIRIN
GASTRIC BLEEDING WHEEZING IN SOME ASTHMATICS
SIDE EFFECTS OF AMIODARONE
BRONCHOSPASM BRADYCARDIA VASODIALATION CAUSING HYPOTENSION AND FLUSHING ARRYTHMIAS (TORSADES DE POINTES)
PRESENTATION OF CHLORPHENAMINE (CPH)
AMPOULE 10MG IN 1ML
PRESENTATION OF BENZYLPENICILLIN
  • AMPOULE CONTAINING 600MGs OF BENZYLPENILLIN AS POWDER
  • MIX WITH 9.6ML OF WATER FOR IV
  • mix with 1.6ml IM
PRESENTATION OF ATROPINE [ATR]
PREFILLED SYRINGE 3MG IN 10ML AMPOULE 600MCG IN 1ML
PRESENTATION OF ASPIRIN
300MG ASPIRIN (ACETYLSALICYCLIC ACID) TABLET
PRESENTATION OF AMIODARONE AMO
PREFILLED SYRINGE 300MG IN 10ML
INDICATIONS OF CHLORPHENAMINE
  • SEVERE ANAPHYLACTIC REACTIONS, SECONDARY TO IM ADRENALINE
  • SYMPTOMATIC ALLERGIC REACTIONS FALLING SHORT OF ANAPHYLAXIS BUT CAUSING PATIENT DISTRESS
INDICATIONS OF BENZYLPENICILLIN
NON-BLANCHING RASH AND SIGNS AND SYMPTOMS OF MENINGOCOCCAL SEPTICAEMIA
INDICATIONS OF ATROPINE
SYMPTOMATIC BRADYCARDIA IN PRESENCE OF ANY OF THESE SIGNS:
  • HR<40
  • SYSTOLIC<90
  • PAROXSYMAL VENTRICULAR ARRYTHMIAS REQUIRING SUPPRESION
  • INADEQUATE PERFUSION EG CONFUSION
WHERE THERE IS A HIGH RISK OF ASYSTOLE
  • RECENT ASYSTOLE
  • MOBITZ II AV BLOCK
  • COMPLETE HEART BLOCK WITH WIDE QRS
  • SINUS PAUSE >3SECS
ORGANOPHOSPHATE POISONING
INDICATIONS OF ASPIRIN
CLINICAL OR ECG EVIDENCE OF MI OR ISCHAEMIA CENTRAL CHEST PAIN POSSIBLY OF CARDIAC ORIGIN
INDICATIONS OF AMIODARONE
VF OR PULSELESS VT REFRACTORY TO DEFIBRILLATING SHOCKS
DOSES OF ATROPINE
  • SYMPTOMATIC BRADYCARDIA 500MCG (100MCGS PER ML) IV
  • ORGANOPHOSPHATE 2MGS (100MCGS PER ML) IV/IM
DOSES FOR ADRENALINE
CARDIAC ARREST - 1MG IV REPEATED 3-5 MINS ASTHMA - 500MCG- NOT INDICATED FOR CHILD ANAPHYLAXIS - ADULT 500MCG - (6-<12YRS) 250MCG - (6MTHS - 6YRS) 120MCG - (<6MTHS) 50MCG - repeated after 5 mins if indicated
DOSE OF CHLORPHENAMINE
  • ADULT >12  10MG
  • 6-12   5-10MG
  • 1-6    2.5MG
DOSAGES OF AMIODARONE
IV/IO 300MG IN 10ML FOR ADULTS
DOSAGE OF BENZYLPENICILIN
  • <1 year 300mgs
  • 1-<9 years  600mgs
  • 9years to adult 1.2g (vials)
DOSAGE OF ASPIRIN
300MG ADULT ONLY
CONTRAINDICATIONS OF CHLORPHENAMINE
  • KNOWN HYPERSENSITIVITY
  • CHILDREN LESS THAN 1 YEAR
CONTRAINDICATIONS OF ATROPINE
NOT TO BE GIVEN TO TREAT BRADYCARDIA IN SUSPECTED HYPOTHERMIA
CONTRAINDICATIONS OF AMIODARONE
NONE IN THE TREATMENT OF CARDIAC ARREST
CONTRA INDICATIONS OF BENZYLPENICILLIN
GENUINE PENICILLIN ALLERGY
CONTRA INDICATIONS OF ASPIRIN
KNOWN ASPIRIN ALLERGY UNDER 16YRS HAEMOPHILLIA OR CLOTTING DISORDER CURRENT TX WITH ANTI-COAGULANTS
CAUTIONS OF CHLORPHENAMINE
  • HYPOTENSION
  • HEPATIC DISEASE
  • EPILEPSY
  • GLAUCOMA
CAUTIONS OF ASPIRIN
ASTHMA PREGNANCY KIDNEY/LIVER FAILURE GASTRIC/DUODENAL ULCERS
ADRENALINE PRESENTATION
AMPOULE 1MG IN 1ML (1:1000) PRE FILLED SYRINGE 1MG IN 10ML (1:10000)
ADRENALINE INDICATIONS
CARDIAC ARREST ANAPHYLAXIS LIFE THREATENING ASTHMA WITH DETERIORATING VENTILATIONS
ADRENALINE CONTRAINDICATIONS
DO NOT GIVE REPEATED DOSES IN HYPOTHERMIC PATIENTS
ADRENALINE CAUTIONS
SEVERE HYPERTENSION MAY OCCUR ON PATIENTS  ON BETABLOCKERS HALF DOSE UNLESS PROFOUND HYPOTENSION PATIENTS TAKING TRYCYCLIC ANTIDEPRESSANTS - HALF DOSES FOR ANAPHYLAXIS
ADRENALINE ACTIONS
SYMPATHOMIMETIC STIMULATES ALPHA- AND BETA-ADRENERGIC RECEPTORS INCREASING MYOCARDIAL AND CEREBRAL BLOOD FLOW AND INCREASING PEREPHERAL RESISTANCE REVERSES ALERGIC/ ANAPHYLACTIC MANIFESTATIONS RELIEVES BRONCHOSPASM
ADMINISTRATION OF BENZYLPENICILLIN
  • ADMINISTER EN-ROUTE TO HOSPITAL (UNLESS ALREADY GIVEN BY GP)
  • ADMINISTER BY SLOW IV INJECTION
  • IF CANT GET RAPID IV GO IM
ACTIONS OF CHLORPHENAMINE
  • ANTIHISTAMINE BLOCKS EFFECT OF HISTAMINE RELEASED DURING HYPERSENSITIVITY (ALLERGIC) REACTION
  • ALSO HAS ANTICHOLINERGIC PROPERTIES
ACTIONS OF BENYLPENICILLIN
ANTIBIOTIC ACTIVE AGAINST A RANGE OF BACTERIA
ACTIONS OF ASPIRIN
ANTIPLATELET REDUCES CLOT FORMATION
ANALGESIC
ANTIPYRETIC
ANTI INFLAMMATORY
 
ACTIONS OF AMIODARONE
CLASS 3 ANTIARRHYTHMIC; LENGTHENS CARDIAC ACTION POTENTIAL THEREFORE EFFECTIVE REFRACTORY PERIOD AND QT INTERVAL BLOCKS POTTASIUM CHANNELS IN CARDIAC MUSCLE SIGNIFICANT SODIUM CHANNEL BLOCKING ACTIVITY
PRESENTATION OF DIAZEPAM
  • DIAZEMULS- AMPOULE 10MG IN 2ML (MILKY WHITE)
  • RECTAL TUBE 2.5MG,5MG,10MG IN 2.5 VOLUME
ACTIONS OF DIAZEPAM
  • CENTRAL NERVOUS SYSTEM DEPRESSANT
  • ANTICONVULSANT
  • SEDATIVE
INDICATIONS FOR DIAZEPAM
  • FITS >5MINS AND STILL FITTING
  • REPEATED FITS. NOT SECONDARY TO HYPOXIA OR HYPOGLYCAEMIA
  • STATUS EPILEPTICUS
  • ECLAMPTIC FITS >2-3MINS OR RECURRENT
  • SYMPTOMATIC COCAINE TOXICITY (SEVERE HYPERTENSION, CHEST PAIN OR FITTING)
CAUTIONS FOR DIAZEPAM
  • RESPIRATORY DEPRESSION
  • ALCOHOL, ANTIDEPRESSANTS OR OTHER CNS DEPRESSANTS
  • RECENT DOSES BY CARERS/RELATIVES TAKEN INTO ACCOUNT WHEN CALCULATING CUMULATIVE DOSE
SIDE EFFECTS OF DIAZEPAM
  • RESPIRATORY DEPRESSION ESPECIALLY WITH ALCOHOL AND/OR OPOIDS WHICH ENHANCES DEPRESSIVE SIDE EFFECT.
  • POSTURAL HYPOTENSION KEEP FLAT WHEN POSSIBLE
  • DROWSINESS, LIGHT HEAD, CONFUSION
  • AMNESIA
DOSAGES FOR DIAZEPAM
DIAZEMULS ADULT 10MG IN 2ML (AMPOULE
  • RECTAL  ADULT 10MG IN 2.5ML
  • 6-12 YRS 10MG IN 2.5ML
  • 1-6YRS 5MG IN 2.5ML
  • <1YR 2.5MG IN 2.5ML
PRESENTATION OF GLUCOSE 10%   GLX
PACKS CONTAINING 500ML OF 10% GLUCOSE (50GRAMS)
ACTIONS OF GLUCOSE 10%
REVERSAL OF HYPOGLYCAEMIA
INDICATIONS OF GLUCOSE 10 %
  • SUSPECTED HYPOGLYCAEMIA <4.O MMOLS, WHERE ORAL GLUCOSE NOT POSSIBLE
  • UNCONCIOUS PATIENT WHERE HYPOGLYCAEMIA MAY BE CAUSE
DOSE FOR 10% GLUCOSE
  • ADULT  100ML (10 GRAMS)
  • REPEATED AFTER 5MINS IF LITTLE RESPONSE
PRESENTATION OF HYDROCORTISONE
AMPOULE CONTAINING 100MG IN 1ML
ACTIONS OF HYDROCORTISONE
  • GLUCOCORTICOID STEROID
  • REDUCES INFLAMMATION AND SUPRESSES IMMUNE RESPONSE
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