pharm

Question 1

dex indications

Answer 1

1. Bronchospasm associated with acute respiratory distress not responsive
   to nebulised Salbutamol
2. Moderate AND severe croup
3. Acute exacerbation of COPD

Question 2

Fentanyl analgesia - specific indications (6)

Answer 2

Analgesia – IV/IN

• History of hypersensitivity or allergy to morphine
• Known renal impairment / failure
• Short duration of action desirable
• Hypotension
• Nausea and/or vomiting
• Severe headache

Question 3

Fent Precautions (PR_RICE_KO)

Answer 3

1. Elderly/frail patients
2. Impaired hepatic function
3. Respiratory depression, e.g. COPD
4. Current asthma
5. Patients on monoamine oxidase inhibitors
6. Known addiction to opioids
7. Rhinitis, rhinorrhea or facial trauma (IN route)

Question 4

what is the half life of Heparin?

Answer 4

60 minutes

Question 5

HEPARIN CI (BOORKASH)

Answer 5

1. Bleeding disorders
2. Oral anticoagulants
3. oesophageal varices
4. Recent trauma or surgery (< 3 weeks)
5. Known allergy or hypersensitivity
6. Active bleeding (excluding menses)
7. Severe hepatic impairment / disease, including
8. History of Heparin-Induced Thrombocytopaenia (HIT)

Question 6

heparin side effects (4)

Answer 6

1. Bleeding
2. Bruising and pain at injection site
3. Hyperkalaemia
4. Thrombocytopaenia (mild to severe)

Question 7

penthrane CI (5)

Answer 7

1. Pre-existing renal disease / renal impairment
2. Concurrent use of tetracycline antibiotics
3. Exceeding total dose of 6 mL in a 24 hour period
4. Personal or family history of malignant hyperthermia
5. Muscular dystrophy

In patients with muscular dystrophy, volatile agents may precipitate lifethreatening
rhabdomyolysis.

Question 8

dex indications

Answer 8

1. Bronchospasm associated with acute respiratory distress not responsive
   to nebulised Salbutamol
2. Moderate - severe croup
3. Acute exacerbation of COPD

Question 9

morphine CI

Answer 9

1. hypersensitive
2. renal impairment/failure
3. late second stage labour

Question 10

Ondansetron side effects

Answer 10

RARE

1. Tachycardias
2. Seizure
3. QT prolongation
4. Widened QRS
5. Extrapyramidal reactions
6. Visual disturbances

COMMON

7. Constipation
8. headache
9. Fever
10. Dizziness

Question 11

salbuatmol indications

Answer 11

Respiratory distress with suspected bronchospasm:

• asthma
• severe allergic reactions
• COPD
• smoke inhalation
• oleoresin capsicum spray exposure

Question 12

stemetil side effects (B-sheds)

Answer 12

Drowsiness
Blurred vision
Hypotension
Sinus tachycardia
Skin rash
Extrapyramidal reactions (usually the dystonic type)

Question 13

Stemetil IM onset, peak, duration times

Answer 13

IM effects
Onset: 20 minutes
Peak: 40 minutes
Duration: 6 hours

Question 14

stemetil contraindications (CCCPP)

Answer 14

1. Circulatory collapse (cool, pale, clammy skin, tachycardia, hypotension)
2. CNS depression
3. Previous hypersensitivity
4. Patients < 21 years of age
5. Pregnancy

Question 15

stemetil precuations (HEP)

Answer 15

1. Hypotension
2. Epilepsy
3. Pts affected by alcohol or on anti-depressants

Question 16

ondansetron onset, peak and duration times for ODT and IV

Answer 16

ODT
Onset: 2 minutes
Peak: 20 minutes
Duration: 120 minutes

IV
Onset: 5 minutes
Peak: 10 minutes
Duration: between 2.5 and 6.1 hours
IV doses should be delivered as a slow push (minimum 30 seconds).

Question 17

ondansetron precautions (5)

Answer 17

1. Patients with liver disease should not receive more than 8 mg of Ondansetron per day
2. Care should be taken with patients on diuretics who may have an underlying electrolyte
   imbalance
3. Ondansetron contains aspartame and should not be given to patients with phenylketonuria
4. Concurrent use of Tramadol
5. Pregnancy