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ALS Revision > ALS Meds > Flashcards

ALS Meds Flashcards

1
Q

What is the adrenaline dose in CPR? When do you give it?

A

1mg 1:10,000
In shock able rhythms give after the 3rd shock
In non-shockable give adrenaline immediately
Repeat every 3-5 mins (alternate shocks)

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2
Q

What are the 4Hs and 4Ts?

A

Hypoxia, Hypo/Hyperthermia, Hypovolaemia, Hypo/Hyperkalaemia/Hypoglycaemia/Hypocalcaemia
Thrombosis, Tension pneumothorax, Tamponade, Toxins

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3
Q

In adult tachycardia what should you do if life threatening features (shock/syncope/MI/severe HF) are present?

A

Synchronised DC shock x3
Amiodarone 300mg IV over 10-20mins
Repeat shocks

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4
Q

How do you manage regular narrow complex tachycardia?

A

Vagal manoeuvres
Adenosine 6mg rapid bolus (then 12mg then 18mg)
Verapamil/Beta blocker
Synchronised DC Shocks x3

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5
Q

How should you manage irregular narrow complex tachycardia?

A

Beta-blocker
Digoxin/Amiodarone if HF
Anticoagulation if >48hrs

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6
Q

How should you manage a regular broad complex tachycardia?

A

Amiodarone 300mg IV over 10-60mins
Synchronised DC shock x3

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7
Q

How do you manage Polymorphic VT?

A

Magnesium 2g over 10mins

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8
Q

How should you manage adult bradycardia with life threatening signs (Shock/Syncope/MI/HF)

A

Atropine 500mcg IV repeat up to 3mg
Isoprenaline 5mcg/min IV
Adrenaline 2-10mcg/min IV
OR transcutaneous pacing

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9
Q

Treatment of severe asthma attack?

A

Nebulised Salbutamol (5mg)
Nebulised Ipatropium Bromide (500mcg)
IV Hydrocortisone (100mg) OR PO Prednisone (40-60mg)
IV Magnesium Sulfate (2g 8mmol)

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10
Q

What are the most common side effects of magnesium sulfate?

A

Flushing, fatigue, nausea, headache and hypotension

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11
Q

How do you protect the heart in sever Hyperkalaemia (>= 6.5)?

A

10ml 10% calcium chloride OR 30ml 10% calcium gluconate

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12
Q

What dose of insulin/glucose should you give in Hyperkalaemia in K+ >6

A

10 units short acting insulin and 25g glucose (IV) over 15-30 mins

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13
Q

How much salbutamol should you give in severe Hyperkalaemia (>=6.5)

A

10-20mg nebulised

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14
Q

What can you give in mild Hyperkalaemia (5.5-5.9)

A

Calcium resonium 15-30g or Sodium Polystyrene Sulfonate 15-30g

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15
Q

What is the maximum recommended dose of IV K+

A

20mmol/hr

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16
Q

What is the initial dose of naloxone?

A

400mcg IV or 800mcg SC/IM

17
Q

How much adrenaline should you give in anaphylaxis

A

0.5mg 1:1000 adrenaline IM repeat after 5mins

18
Q

What position should you place the patient in in cardiac arrest in pregnancy?

A

Left Lateral position

19
Q

TXA dose?

A

1g over 10mins then1g over 8hrs

ALS Revision (1 decks)

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