Dosing Of Emergency Drugs

Question 1

Dosing for Salbutamol nebuliser in acute asthma

Answer 1

5mg repeat every 20-30 mins, given via oxygen nebuliser

Question 2

What is the indication for naloxone?

What dose is used?

Answer 2

Opioid overdose, and opioid driven respiratory depression.

Initially 400mcg, then up to 1600mcg.

Question 3

What dose of aspirin is used in an emergency setting? Eg MI, TIA
How is it administered?

Answer 3

300mg, oral, chewed

Question 4

What dose of morphine is used in an emergency setting? Eg MI

Answer 4

5-10mg in adults, repeat if needed

2.5-5mg in elderly, repeat if needed.

Question 5

What are the two indications for Calcium Gluconate?

Answer 5

Severe kyperkalaemia (K+ above 6.5mmol)
Severe hypocalcaemia

Question 6

What drug(s) do the BNF recommended treatment for severe kyperkalaema?

Answer 6

IV Calcium Gluconate, slow infusion

Insulin Actrapid + Dextrose

Question 7

List 3 side effects of Calcium Gluconate

Answer 7

Bradycardia
Arrhythmia
Hypotension

Question 8

What dose of Calcium Gluconate is indicated for hyperkalaemia?

Answer 8

IV Slow infusion, 10-20ml 10%

Question 9

What dose Insulin/Dextrose is indicated for hyperkalaemia?

Answer 9

10 Units actrapid in 50mls 50% dextrose