Drugs Used In Emergency

Question 1

What’s drug is naloxon? What’s used for?

Answer 1

Is opiod antagonist, used for opiod overdose ( as hroin ) helps to reverse the respiratory depression caused by opioid

Question 2

What’s the other name for paracetamol?

Answer 2

Acetaminophen

Question 3

If ptn presented with acetaminophen over dose, when Is the best time to give activated charcol?

Question 4

When to decide to give NAC to ptn with acetaminophen over dose?

Answer 4

It can only be given after measuring serum acetaminophen level which is ideally measured after 4 hours post-ingestion or soon after because if you wait till 8 hours the liver will be affected already

Question 5

What is the best route to give NAC (N-acetylecystine ) to ptn with paracetamol overdose?

Answer 5

IVis the best way because these ptn usually vomit and vomiting is a Contraindication to NAC plus NAC induce vomiting as well

Question 6

What is the most commonly used antiemitic in ER? Dosage & prefered rout of administration ?

Answer 6

Zofran, 8mg IV injection over 2 min ( this is maximum dose )

Question 7

What are the available dosage of Zofran?

Answer 7

IV 2mg, Tablet: 4, 8, 24 mg

Question 8

What is the common medication given for gastric pain? Maybe IBS

Answer 8

Buscopan 10mg ×2 /4 times a day
Comes in tablet and injections

Question 9

What’s the usual dosage given of Buscopan in ER as injection? What’s the maximum dose? Side effects

Answer 9

20mg
Given SLOWLY intravenous (over 15 minutes)
Side effect; shortness of breath, blurred vision,

Question 10

What is the available dosage of Buscopan tablet?

Answer 10

1-2 tablets (10-20 mg) ×3-5 daily

Question 11

What’s drug is dalacin and what are the available dosage?

Answer 11

Dalacin is a clindamycin antibiotic
Capsule : 75-150-300mg
Injectable 150mg
IV solution: 300 or 600 or 900 mg/50mL (5% dextrose)

Question 12

What’s the generic name of PERFALGAN?

Answer 12

Acetaminophen ( painkiller, antipyretic )

Question 13

What are the antiemitic drugs used in ER? Dosage?

Answer 13

-Droperidol 2.5mg IV

• phenergan (promethazin)
  25-50mg tablet & IV

-prochlorperazine 5-10mg

Question 14

What’s pregabalin? Uses? Dosage?

Answer 14

Used to treat epilepsy & anxiety , nerve pain ( not allowed to give it for more than 3 days )
- only tablets 75-150-300mg ( always start low )

Question 15

What’s dalacin drug? Dosage?

Answer 15

Is Clindamycin ( broad based antibiotic)
Dosage: 150 to 300 mg orally
every 6 hours

More severe infection: 300 to 450 mg orally every 6 hours

Parenteral:
Serious infection: 600 to 1,200 mg via IV infusion or IM injection per day, in 2 to 4 equally divided doses

Severe infection: 1,200 to 2,700 mg via IV infusion or IM injection per day, in 2 to 4 equally divided doses

More severe infection: Up to 4,800 mg via IV infusion per day

Question 16

What’s pantrox? Uses? Dosage?

Answer 16

Is pantoprazol= PPI used to treat reflux symptoms
Dosage IV 40mg powder
Tablet 20,40mg ( 40 is the usual dose )

Question 17

What’s celecoxib ?doses? Uses? Contraindications?

Answer 17

Is NSAID ( the other name is Celexib or celebrex )

Doses: tablet 50-100-200-400mg ( Oral only )

used for inflammation as in osteoarthritis, rheumatoid arthritis, ect.

Contraindicated in Asthma, Urticaria, allergy to any NSAIDs

Question 18

What’s imipenem? Dosage?

Answer 18

Is a carbapenem ( strong antibiotic )

IV : 250mg-1g every 6-8 hours

IM: 500-750mg every 12 hours

Question 19

Scopinal? Dose

Answer 19

= hyocine is antispasmodic
20 mg IV or tab

Question 20

Permosan? Doses

Answer 20

=metochlopramide
IV 5mg
Tab, oral solution 5-10mg