Doses

Question 1

Cardiac Arrest Adrenaline

Answer 1

1mg IV every 3 mins

Question 2

ACS GTN

Answer 2

300mcg no previous admin or 600mcg if BP greater than 110

Patch 50mg if BP greater than 90

Question 3

APO GTN

Answer 3

BP greater than 110 300mcg or 600mcg

BP greater than 90 50mg patch

Question 4

Pain relief mild

Answer 4

Paracetamol 1000mg oral

Question 5

Pain relief moderate

Answer 5

Fentanyl IN 200mcg repeat up to 50 after 5 mins max 200mcg

Methoxy 3ml

Question 6

Pain relief severe

Answer 6

Morph IV up to 5mg repeat at 5 mins max 20mg
OR
Fentanyl up to 50mcg IV repeat up to 50 after 5 mins max 200mcg
OR
Morph IM 10mg repeat 5 after 15 mins once

Question 7

Headache any severity

Answer 7

paracetamol 1000mg oral

Prochlorperazine 12.5mg IM

Question 8

Headache severe

Answer 8

Fentanyl 25-50mcg IV at 5mins intervals max 200mcg
OR
Fentanyl 200mcg IN repeat up to 50 after 5 mins max 400mcg

Question 9

Mild Asthma

Answer 9

Salbutamol 4-12 doses at 20 min intervals - 4 breaths per dose 
OR
Salbutamol 10mg (5ml) neb repeat 5mg after 5 mins

Question 10

Severe Asthma

Answer 10

Salbutamol 10mg and Atrovent 500mcg (2ml) repeat 5mg salbutamol at 5 mins
ADrenaline 500mcg IM repeat at 5-10 min intervas (max 1.5mg)

Question 11

COPD

Answer 11

Salbutamol 10mg and Atrovent 500mcg neb

Question 12

Nausea and vomiting

Answer 12

Ondansetron 4mg orally repeat after 5 -10 mins max 8mg

Prochlorperazine 12.5mg IM

Question 13

Seizures

Answer 13

Midaz 10mg IM or 5mg for frail

Question 14

Anaphylaxis

Answer 14

ADrenaline 500mcg IM repeat at 5 mins
300mcg for elderly
consider neb 5mg/5ml

Question 15

Meningococcal

Answer 15

Ceft 1g IV with water for injection to make 10 ml slowly over 2 mins
Ceft 1g IM dilute with 3.5ml Lignocaine to make 4 ml

Question 16

Agitated pt

Answer 16

Midaz 5-10mg IM, lower for elderly repeat at 10 mins max 20mg

Question 17

Autonomic Dysreflexia

Answer 17

GTN as per ACS