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Exam (elaborations)

PMSC12004 Drugs-Procedures Exam Study Guide

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PMSC12004 Drugs-Procedures Exam Study Guide ...

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  • September 9, 2024
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  • 2024/2025
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  • PMSC12004 Drugs-Procedures
  • PMSC12004 Drugs-Procedures
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PMSC12004 Drugs-Procedures
Exam 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

, - 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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