Drugs OSCE 3

Question 1

Adrenaline Paed dose IM

Answer 1

> 6 300mcg
5 minutes No max

1-5 150mcg
5 minutes no max

Question 2

Adrenaline Paed dose cardiac arrest IV

Answer 2

10mcg/kg
3-5 minutes No max

Question 3

Adrenaline adult dose Anaphylaxis IM

Answer 3

500mcg
5 minutes no max dose

Question 4

Adrenaline adult dose Broncho IM

Answer 4

500mcg
5 minutes No max

Question 5

Adrenaline Adult cardiac arrest

Answer 5

1mg
3-5 minutes no max

Question 6

Aspirin contraindications

Answer 6

Allergy/ADR
Bleeding or clotting disorders
Current GI Bleed or peptic ulcers
Patient <18

Question 7

Aspirin Adult dose

Answer 7

300mg single dose
max 450mg total

Question 8

Fentanyl Paed dose NAS

Answer 8

1.5mcg/kg max 50mcg dose
Repeat 1mcg/kg
10 minutes Total max 100mcg

Question 9

Fentanyl Paed IV dose

Answer 9

1mcg/kg max 25mcg dose
Half initial
5 minutes
max 2mcg/kg

Question 10

Fentanyl adult above 70 IV

Answer 10

25mcg
repeat 25mcg at 5 minutes
max 100mcg

Question 11

Fentanyl adult below 70 IV

Answer 11

25-50mcg
Repeat 5 minutes
Max 200mcg

Question 12

Glucagon Paed dosage IM

Answer 12

above 25kg - 1mg Single dose
below 25kg 0.5mg single dose

Question 13

Glucagon Adult dosage IM

Answer 13

1mg Single dose

Question 14

Glucose 10% IV

Answer 14

15g 150ml
repeat 10g 100ml every 5 minutes
until BGL >4

Question 15

Glucose 10% Paed IV

Answer 15

0.25g/kg (2.5ml/kg)
Repeat 1ml/kg every 5 minutes
until BGL >4.0

Question 16

GTN contraindication

Answer 16

Allergy/ADR
Heart rate below 50 or above 150
BP below 100
Acute CVA
Head trauma
Sexual enhancement drugs

Question 17

GTN dose

Answer 17

400mcg
Repeat 5 minutes

Question 18

Ipratropium Bromide PAED NEB dose

Answer 18

above 6 years 500mcg
Repeat 20 Max 1.5mg

1-5 250mcg
Repeat 20 max dose 750mcg

Question 19

Ipratopium Bromide adult Neb dose

Answer 19

500mcg
Repeat 20 Max 1.5mg

Question 20

Methoxyflurane contraindication

Answer 20

Allergy/ADR
Patients less than 1
Liver or renal disease
malignant hyperthermia

Question 21

Methoxy adult dose

Answer 21

3ml repeat 20 minutes
total max 6ml

Question 22

Methoxy Paed dose

Answer 22

3ml
Single dose

Question 23

Midazolam Adult dose IV and IM

Answer 23

5mg
Repeat 10 minutes
Total max 20mg

Question 24

Midazolam Paed Dose IM/NAS

Answer 24

200mcg/kg not exceed 5mg
Repeat 10 minutes half dose
total max 10mg

Question 25

Morphine Contraindications

Answer 25

Allergy/ADR
Kidney disease

Question 26

Morphine adult above 70 dose IV

Answer 26

2.5mg max
Repeat 2.5mg at 5 minutes
max 10mg

Question 27

Morphine adult below 70 dose IV

Answer 27

2.5 - 5mg
Repeat up to 5mg at 5 minutes
20mg max dose

Question 28

Ondansetron contraindications

Answer 28

Allergy/ADR
Long QT syndrome
apomorphine therapy
Patients under 2

Question 29

Ondansetron adult dosage IM/PO/IV

Answer 29

4 - 8mg
Max 8mg dose
Slow push IV

Question 30

Ondansetron Paed dosage PO

Answer 30

above 5 years 4mg
single dose

2 - 4 years 2mg
Single dose

Question 31

Ondansetron Paed dosage IV

Answer 31

100mcg/kg
slow puch single dose
Max dose 4mg

Question 32

Modified Valsalva manoeuvre contraindications

Answer 32

Immediate Cardioversion
Hypotension below 90
Aortic stenosis
Atrial fibrillation/flutter
Recent MI
Glaucoma
Retinopathy
Third trimester pregnancy

Question 33

CPAP Contraindication

Answer 33

Epistaxis
Facial trauma
Hypotension below 90
GCS under 8
inadequate ventilatory drive
patients under 16
Pneumothorax

Question 34

Salbutamol Paed dosage NEB

Answer 34

1 - 5 years 2.5mg
No max
Repeat PRN

6 and above 5mg
No max
Repeat PRN

Question 35

Salbutamol Adult dose

Answer 35

5mg
No max
Repeat PRN

Question 36

Glucose Gel Paed and Adult

Answer 36

15g
repeat 15
max 30g

Question 37

Hydrocortisone Adult IV/IM
Asthma
COPD

Answer 37

100mg Single dose

Question 38

Hydrocortisone Paed IM/IV
Asthma

Answer 38

4mg/kg
Single dose
Not over 100mg

Question 39

Paracetamol Adult

Answer 39

0.5-1g

Question 40

Paracetamol Paed

Answer 40

15mg/kg max dose 1g