Читать книгу Fundamentals of Pharmacology for Paramedics - Группа авторов - Страница 62
Clinical consideration
ОглавлениеBoth hydrocortisone and adrenaline 1:100 have anaphylaxis listed as an indication in their chapters in the Medicines section (section 7). However, the Allergic Reactions Including Anaphylaxis chapter, in the Medical Emergencies section (section 3), should be referred to for more information about where these drugs fit into the management plan for such patients.
Table 2.1 Examples of emergency conditions covered in section 3.
Acute coronary syndrome | Hyperventilation syndrome |
Abdominal pain | Hypothermia |
Allergic reactions (including anaphylaxis) | Implantable cardiovascular defibrillator |
Altered levels of consciousness | Management of resuscitation of patients with left ventricular assist devices |
Asthma in adults and children | Meningococcal meningitis and septicaemia |
Cardiac rhythm disturbances | Mental health presentations |
Chronic pulmonary disease | Mental Capacity Act |
Convulsions in adults | Respiratory illness in children |
Convulsions in children | Sickle cell crisis |
Dyspnoea | Sepsis |
Febrile illness in children | Stroke/transient ischaemic attack |
Gastrointestinal bleeding | Traumatic chest pain |
Glycaemic emergencies in adults and children | Overdose and poisoning in adults and children |
Headache | Paediatric gastroenteritis |
Heart failure | Pulmonary embolism |
Heat‐related illness |
Paramedics need to be aware that just referring to the indications in the Medicines section (section 7) may not give full information about where a drug fits into an ambulance service protocol for management of a certain patient condition, and so the JRCALC guidance in the Medical Emergencies section (section 3) should always be referred to alongside the Medicines section in order to ensure best approach and correct patient management.