Commonly Prescribed Drugs In Hospital

Question 1

Cardiac arrest

Answer 1

Shockable rythm DC shock 200J, 300J 360J 3rd cycle 1mg IV adrenaline 10ml 1in 10000

Amiodarone 300mg IV

Non shockable give 1mg 10ml 1in 10000 adrenaline immediately then every other cycle

Question 2

Anaphylaxis

Answer 2

Adrenaline 0.5mg IM (0.5ml 1 in 1000)
Hydrocortisone 200mg IV
Chlorphenamine 10mg IV

Question 3

Seizure

Answer 3

Lorazepam 4mg IV

If no IV access, benzodiazepam 10mg PR

Question 4

Hypoglycaemia

Answer 4

10% glucose 150ml IV or 20% glucose 75ml IV

Or glucagon 1mg IM if no IV access

Question 5

Hyperkalaemia

Answer 5

10% calcium gluconate 10ml over 5 minutes

Then 10% glucpse 250ml IV with 10U actrapid over 30 minutes

Question 6

Bradycardia

Answer 6

Atropine 500mcg IV repeat every 3-5 minutes to maximum of 3mg if needed

Question 7

SVT

Answer 7

Adenosine 6mg IV

Can be followed by 12mg then another 12mg if unsuccessful

Question 8

VT

Answer 8

Amiodarone 300mg IV over 20-60 mins

Question 9

Rapid tranquilisation of agitated patient at risk to self/others

Answer 9

Lorazepam 1-2mg PO or 2-4mg IM

Haloperidol 1.5-3mg PO or 5-10mg IM

Question 10

What is the analgesic ladder?

Answer 10

Paracetemol
Paracetamol + codeine+- ibuprofen
Paracetemol+opioid+- ibuprofen

Paracetemol
Ibuprofen
Diclofenac
Co-codamol
Dihydrocodeine
Tramadol
Oramorph
Morphine
Fentanyl

Question 11

What is the first line for acute and opiate constipation?

Answer 11

Senna PO- stimulant laxative

Question 12

What is used for faecal impaction?

Answer 12

Macrogol oral powder 1-3 sachets PO

Osmotic laxative

Question 13

What is used for chronic constipation, elderly patients and pregnancy patients?

Answer 13

Ispaghula husk- fybogel 1 sachet PO

Is a bulk forming laxative

Question 14

What laxative is used in post op patients?

Answer 14

Magnesium hydroxide PO

Is an osmotic laxative

Question 15

What medications are used for nausea and vomiting?

Answer 15

Cyclizine
Ondansetron
Metoclopramide

Question 16

What medications are used as sleeping tablets?

Answer 16

Zopiclone
Temazepam
For both take caution in renal failure

Question 17

What is the acute management of asthma?

Answer 17

Salbutamol 2.5-5mg NEB back to back
Ipratropium bromide 250-500mcg NEB PRN 4 hourly
Prednisolone 40mg PO

Question 18

What is the acute management of hypokalaemia?

Answer 18

Potassium chloride infusion 20-40mmol/L

If severe/ ECG changes give 40mmol potassium chloride 1L 0.9% saline over 4-6 hours

Question 19

What is the acute management of hypocalcaemia?

Answer 19

Mild (>1.9mmol/L and asymptomatic) give calcium 1000mg BD + vitamin D if deficient

If severe (<2.5mmol/L or symptomatic ) give calcium gluconate 10ml 10% IV over 30 mins

Question 20

Hypercalcaemia

Answer 20

Give 0.9% saline and keep well hydrated

If sevre bisphosphonate