Drugs

Question 1

Adrenaline anaphylaxis

Answer 1

500 MCG IM
(anterolateral, middle 1/3 aspect of thigh)
can be repeated at 5 min intervals according to sx

Question 2

Hydrocortisone adrenal crisis

Answer 2

100 mg IM / IV infusion

> 200 mg every 24 hours diluted in glucose 5%

Question 3

Hydrocortisone sev acute asthma / life-threatening asthma

Answer 3

100 mg IV every 6 hours

until PO pred is poss

Question 4

Chlorphenamine anaphylaxis

Answer 4

10 mg IM / IV injection (MAX 4x / day)

Question 5

Atropine Bradycardia following MI (+/- hypotension)

Answer 5

500 MCG IV injection every 3-5 minutes

MAX 3 mg per course

Question 6

Aspirin NSTEMI / STEMI

Answer 6

300 mg PO

Question 7

Aspirin suspected TIA

Answer 7

300 mg PO

Question 8

Clopidogrel TIA (aspirin hypersensitivity / intolerance + PPI)

Answer 8

75 mg PO OD

Question 9

Clopidogrel prevention of atherothrombotic events in ACS (X STEMI)

Answer 9

300 mg initially PO

then 75 mg PO OD for 12 months

Question 10

Calcium Gluconate sev acute hypocalcaemia / tentany

Answer 10

12-20 mL 10% via IV slow injection

+ monitoring (plasma calcium + EGC)

Question 11

Calcium Gluconate acute sev hyperkalaemia + ECG changes

Answer 11

10-20 mL 10% via slow IV injection (titrated + adjusted to ECG changes)

Question 12

Insulin hyperosmolar hyperglycaemic state + ketonaemia

Answer 12

insulin infusion

0.05 units/kg/hour

Question 13

Insulin DKA

Answer 13

10 units act rapid IM / SC STAT (if IV access for insulin is most likely > 15 mins)

Question 14

Dextrose hypoglycaemia

Answer 14

15-20 g over 15 minutes (glucose 10% / 20% IV infusion via large-gauge needle)

Question 15

Dextrose DKA

Answer 15

125 mL/hour glucose 10%

WHEN blood glucose < 14 mol/L

Question 16

hypoglycaemia treatment

Answer 16

if BM < 4 mmol/L:
15-20 g fast acting carbohydrate (repeat after 10-15 minutes)

1 mg IM glucagon

Question 17

Diazepam status epilepticus

Answer 17

10 mg IV injection (then 10 mg after 10 mins - 5mg/minute)

10-20 mg per rectum

Question 18

Lorazepam status epilepticus

Answer 18

4mg slow IV infusion (then 4mg after 10 mins)

Question 19

Salbutamol Mod / sev / life threatening asthma

Answer 19

5mg every 20-30 mins PRN via oxygen-driven NEB

Question 20

Prednisolone mild / mod / sev acute asthma attack

Answer 20

40-50 mg PO OD for at least 5 days

Question 21

Morphine acute pain

Answer 21

10 mg every 4 hours PO / SC / IM

5 mg every 4 hours IV injection

Question 22

Morphine MI

Answer 22

5-10 mg slow IV injection (1-2 mg/minute)

Question 23

Naloxone opioids overuse (non-medical setting)

Answer 23

400 MCG IV every 2-3 mins until pt breathes normally
1 min intervals (up to 2 doses)

Then ^ to 2 mg for 1 dose
No change then ^ to 4 mg for 1 dose

Question 24

Adrenaline cardiac arrest

Answer 24

1mg every 3-5 mins PRN

Question 24

Fluid prescription DKA

Answer 24

Sodium chloride 0.9% over 10-15 mins