Student Drugs

50g in 250ml bottle

Ingested toxins/oral drug overdose under an hour ago/ irrespective of time if toxbase allows use

Under 1 Unable to swallow/ unconscious Vomiting patients Patients with reduced gastrointestinal intestinal mobility Recent abdominal surgery Ethanol/cyanide/corrosive poisoning

Black stools, intestinal obstruction

50g in 250ml, drink all Encourage children to drink half, but they drink full amount in extreme circumstances No repeat dose

ECG evidence of MI/ ischaemia/ suspected TIA Analgesia for cardiac chest pain (antiplatelet/ vasodilator)

Allergy Children under 16 GI Bleed Haemophilia/ clotting disorders Hepatic failure

Risk of GI bleed Wheezing in asthmatics

300mg chewable tablet No repeat dose

Analgesia- moderate/severe pain, labour pain

Head injury/ chest injury eg tension pneumothorax Abdo pain- intestinal obstruction Decompression sickness (diving in last 24 hours) Disturbed psychiatric patients Intraocular injection in last 8 weeks

Self administer via face mask/ mouthpiece, 3-5 mins to be effective 50% oxygen 50% nitrous oxide (entonox)

COPD Sats below normal range (94-100%) Hypoxia Critical illnesses requiring high levels of supplemental oxygen eg cardiac arrest/ anaphylaxis

Explosive environment

Mouth dryness, hypoxic drive in COPD patients

Measure Sp02 levels, administer oxygen until a reliable Sp02 reading is obtained All children with significant illness/injury should have high levels of supplementary oxygen

Relieve uncomfortable symptoms of anaphylaxis/allergic reactions/ antihistamine

Known hypersensitivity

Sedation, headache, blurred vision, urinary retention

Glaucoma, pregnancy/ breastfeeding, hypotension, epilepsy, severe liver disease

4mg tablet/ 2mg in 5ml solution IM No repeat dose

Cardiac chest pain caused by angina/MI/ischaemia Vasodilator

Hypotension, hypervolaemia, head trauma, cerebral hamehorrage, viagra, unconscious patients, aortic/mitral stenosis

Headache, dizziness, hypotension