Drugs

Question 1

Benzo antidote

Answer 1

Flumazenil 200mics/15seconds then 100mics at 60 second intervals
100-400mics/hour infusion

Question 2

Beta blocker antidotes

Answer 2

Glucagon

Question 3

Cyanide antidote

Answer 3

Hydroxycobalamin 5-10g over 15 mins to 2 hours

Question 4

Ethylene glycol antidote

Answer 4

Ethanol 12g/hr IV

OR whiskey/vodka 125-150ml PO NG

Question 5

Iron antidote

Answer 5

Desfurroxime 15mg/kg

Question 6

Local anaesthetic antidote

Answer 6

Intralipid 20% 1.5ml/kg over 1 minute

Immediate infusion after of 0.25ml/kg/min

Question 7

Organophosphate antidote

Answer 7

Atropine 2mg IV

Pralidoxime 30mg/kg over 20 mins then infusion

Question 8

Promethazine antidote

Answer 8

Procyclidine 5-10mg IV or IM

Question 9

RSI dose fentanyl adult

Answer 9

1-10 mics/kg

Question 10

RSI dose fentanyl children

Answer 10

3-5mics/kg

Question 11

RSI dose ketamine adults

Answer 11

1.5-2mg/kg IV

4-10mg/kg IM

Question 12

RSI dose ketamine children

Answer 12

1-1.5mg/kg IV

3-4mg/kg IM

Question 13

RSI dose midazolam adults

Answer 13

0.07-0.1mg/kg

Question 14

RSI dose midazolam children

Answer 14

> 7 years

0.15mg/kg

Question 15

RSI dose propofol adults

Answer 15

1.5-2.5mg/kg

Question 16

RSI dose propofol children

Answer 16

2.5-4mg/kg

Question 17

RSI dose rocuronium adults

Answer 17

0.06-1.2mg/kg

Question 18

RSI dose rocuronium children

Answer 18

0.06-1.2mg/kg

Question 19

RSI dose suxamethonium adults

Answer 19

0.5-2mg/kg

Question 20

RSI dose suxamethonium children

Answer 20

1mg/kg

Question 21

Ketamine infusion

Answer 21

BOLUS: 1-2mg/kg
Infusion: 10-50mics/kg/min (roughly 10ml/hr)

Question 22

Pre RSI SPEEDBOMB

Answer 22

Suction
Positioning
Equipment
EtCO2
Drugs

Back up airway
Oxygen
Monitoring
Briefing

Question 23

Post RSI SPEEDBOMB

Answer 23

Secure ETT
Positioning of ETT
ETCo2
Elevate head
Drugs

BVM
Oxygen, OGT
Monitor
Blood gas

Question 24

Preparing RSI Fentanyl

Answer 24

10ml syringe
100mcg
10mcg/ml
Dose 1mcg/kg

Question 25

Preparing RSI ketamine

Answer 25

200mg in 2ml make up to 20ml 10mg/ml 1 mg/kg 0.25-0.5mg/kg if shocked

Question 26

Preparing RSI propofol

Answer 26

20ml syringe 200mg 10mg/ml 1-2mg/kg

Question 27

Preparing RSI rocuronium

Answer 27

10ml syringe 100mg 10mg/ml 1mg/kg

Question 28

Preparing RSI suxamethonium

Answer 28

5ml syringe (make up to 4ml) 2x 100mg in 2ml=200mg 50mg/ml 1.5-2mg/kg

Question 29

Preparing resus adrenaline 1:1000

Answer 29

1ml in vial= 1000mcg/ml=1mg/ml 1st: dilute to 10ml=100mcg/ml 2nd: take 1ml of 100mcg/ml and make up to 10ml=10mcg/ml

Question 30

Prepare RSI morphine and midazolam infusion

Answer 30

Morphine: 3x 10mg in 1 ml= 30mg morphine Midazolam: 2x 15mg in 3ml= 3mg midaz Made up to 60ml=1mg+1mg/ml Starting rate of 0-15ml/hr

Question 31

Prepare RSI fentanyl and midazolam infusion

Answer 31

Fentanyl: 3x 100mg in 2 ml= 300mcg fent Midazolam: 2x 15mg in 3ml= 3mg midaz Made up to 60ml=10mg+1mg/ml Starting rate of 0-15ml/hr

Question 32

Rocuronium maintenance

Answer 32

0. 6mg/kg at 20 mins | 0. 3mg/kg every 30 mins after