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PMSC12004 Drugs/Procedures Study Guide.

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PMSC12004 Drugs/Procedures Study Guide. GTN Indications - answer- Suspected ACS - Acute cardiogenic pulmonary oedema - Autonomic dysreflexia (with systolic BP >= 160mmHg) - Irukandji syndrome (with systolic BP >= 160mmHg) GTN Contraindications - answer- Allergy and/or adverse drug reacti...

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  • September 17, 2024
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PMSC12004 Drugs/Procedures Study Guide.


GTN Indications - answer✔- Suspected ACS
- Acute cardiogenic pulmonary oedema
- Autonomic dysreflexia (with systolic BP >= 160mmHg)
- Irukandji syndrome (with systolic BP >= 160mmHg)

GTN Contraindications - answer✔- Allergy and/or adverse drug reaction;
- HR <50 or >150 bpm;
- SBP < 100 mg;
- Acute CVA;
- Head Trauma;
- Erectile Dysfunction medication in the previous
24 hrs (sildenafil or vardenafil in last 24 hrs, tadalafil in the last 48 hrs).

GTN Precautions - answer✔- Suspected inferior AMI;
- Cerebral Vascular Disease;
- Risk of hypotension & or syncope;
- Intoxication (drug effects inhanced);
- Erectile dysfunction medication in the previous 4 days

GTN Dosage/s - answer✔SUBLIN: 400microg. Repeated at 5 minute intervals.
No maximum dose.

Aspirin Indications - answer✔- Suspected ACS
- Acute cardiogenic pulmonary oedema

Aspirin Contraindications - answer✔- Allergy and/or adverse drug reaction (to aspirin or any
NSAID)
- Bleeding or clotting disorders

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- Current GI bleeding or peptic ulcers
- Patient <18 yrs

Fentanyl Indications - answer✔- Significant pain
- Sedation
- Autonomic dysreflexia (with systolic BP > 160 mmHg)
- Induction for Rapid Sequence Intubation (RSI)

Fentanyl Contraindications - answer✔- Allergy and/or adverse drug reaction

Fentanyl Dosage/s - answer✔IM: If >70yrs/cachectic/frail, 25-50 microg every 10 minutes.
Total maximum dose 100microg.
If <70yrs, 25-100 microg. Repeated at up to 50 microg every 10 minutes. Total maximum dose
200 microg.

Valsalva maneuver Indications - answer✔- Haemodynamically stable SVT

Valsalva maneuver Contraindications - answer✔- Requirement for immediate cardioversion
- Hypotension (SBP <90 mmHg)
- Atrial fibrillation/flutter
- Aortic stenosis
- Recent MI (within 3 months)
- Glaucoma
- Retinopathy
- 3rd trimester of pregnancy

Aspirin Dosage/s - answer✔PO: 300mg. Chewed and followed by small sip of water.

Amiodarone Indications - answer✔- Cardiac arrest (resistant to 3 DCCS)
- Sustained conscious VT (haemodynamically stable)

Amiodarone Contraindications - answer✔For patients in cardiac arrest:
- Tricyclic antidepressant overdose

Amiodarone Dosage/s - answer✔IV (for cardiac arrest): 300mg. Slow push over 1-2 minutes.
Repeated once at 150mg of refractory to 5 DCCS.
Total maximum dose 450mg.

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