Drug doses

Question 1

Adrenaline for anaphylaxis or CPR

Answer 1

500mcg IM

1mg ever 3-5 minutes 1 in 10’000

Question 2

Hydrocortisone for anaphylaxis

Answer 2

100-300mg IV

Question 3

Chlorphenamine for anaphylaxis

Answer 3

10mg IM or IV

Question 4

Atropine for bradycardia post MI

Answer 4

500mcg every 3-5 minutes maximum 3mg per course IV

Question 5

Aspirin for N/STEMI

Answer 5

300mg PO daily

Question 6

Clopidogrel for Stroke or TIA in those allergic to aspirin

Answer 6

75mg once daily PO

Question 7

Calcium gluconate for acute hyperkalaemia

Answer 7

10-20ml 10% slow IV and adjusted to ECG improvement

Question 8

Dextrose/Insulin for ketoacidosis

Answer 8

50 units of insulin in 50ml of saline at 0.1unit/kg/h

10% glucose given once blood glucose concentration falls below 14mmol/l at 125ml/hour as well as saline infusion

Question 9

Hypoglycaemia

Answer 9

Dextrose 15-20g over 15 minutes as 10% or 20%

3-4 teaspoons of sugar dissolved in water

4-7 glucose tablets

150-200ml of pure fruit juice

Glucagon 1mg IV/IM

After BM above 4mmol/l give long acting carbohydrate

Question 10

Diazepam for Status epileptics

Answer 10

10mg and then 10mg after 10 minutes if still required IV

10-20mg and then 10-20mg after 10-15minutes per rectum

Question 11

Lorazepam for Status epileptics

Answer 11

4mg then another 4mg 10 minutes later IV into a large vein

Question 12

Salbutamol nebuliser for COPD/asthma

Answer 12

5mg repeat every 20-30 minutes given via oxygen driven nebuliser

Question 13

Prednisolone in asthma

Answer 13

40-50mg daily for at least 5 days

Question 14

Naloxone

Answer 14

400mcg IV
800mcg x 2 at 1 min interval if no response to preceding dose
2mg once if still no response