NEPT CPP 2023

Question 1

Ondansetron

Primary emergency indications

Answer 1

All undifferentiated nausea and vomiting

Question 2

Ondansetron

Contraindications

Answer 2

Concurrent
apomorphine use

Question 3

Ondansetron

Precautions

Answer 3

a) Liver disease - must not exceed 8mg/per day,
b) Long QT syndrome,
c) Pregnancy.

• See CPP’s for 5 more.

Question 4

Ondansetron

Key timings
Oral (ODT) wafers

Answer 4

Onset = 2min
Peak = 20min
Duration = 2hrs

Question 5

Ondansetron

Presentations

Answer 5

a) Wafer/Tablet containing 4mg or 8mg

b) 8mg in 4mL glass ampoule

Question 6

Paracetamol

Presentation

Answer 6

500mg tablet or capsule

Question 7

Paracetamol

Primary emergency indications

Answer 7

Mild pain including headache

Question 8

Paracetamol

Contraindications

Answer 8

Age = < 1 month

Already administered in past 4hrs

Total intake in past 24hrs exceeds 4g (adult)

Question 9

Paracetamol

Precautions

Answer 9

a) Hepatic impairment
b) Renal impairment
c) Elderly/frail
d) Malnourished

Question 10

Paracetamol

Key timings

Answer 10

Onset = 30min
Peak = NA
Duration = 4hrs

Question 11

Paracetamol

Pharmacology/
Actions

Answer 11

Provides analgesic and antipyretic effects.

Question 12

Salbutamol

Primary emergency indications

Answer 12

• Respiratory distress with suspected bronchospasm

a) Asthma
b) Anaphylaxis
c) COPD
d) Other causes of bronchospasm

Question 13

Salbutamol

Contraindications

Answer 13

Nil of significance in the above indications

Question 14

Salbutamol

Key timings

Answer 14

Onset = 5-15min
Peak = n/a
Duration = 15-50min

Question 15

Salbutamol

Special notes/ Important interactions

Answer 15

Continue to administer oxygen 8L/min between doses

Question 16

Salbutamol

Pharmacology/
Actions

Answer 16

Stimulates Beta2 adrenoreceptors = relaxation of bronchial smooth muscle (aka bronchodilation)

Question 17

Methoxyflurane

Primary emergency indications

Answer 17

For pain relief of moderate - severe pain.

Pt must be able to self administer

Question 18

Methoxyflurane

Contraindications

Answer 18

a) Head injury or loss of consciousness,

b) Exceeding total dose of 6mL in 24hr period,

c) Renal impairment/failure,

d) Malignant hyperthermia - personal or family history.

Question 19

Methoxyflurane

Precautions

Answer 19

a) Continuously assess Pt LOC,

b) Concurrent use with Oxytocin may cause hypotension,

c) Pre-eclampsia

Question 20

Methoxyflurane

Key timings

Answer 20

Analgesic effects starts after 8-10 breaths.

Lasts for approx
3-5min once discontinued.