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Disease > Drugs used in medical emergency > Flashcards

Drugs used in medical emergency Flashcards

1
Q

Use of adrenaline in emergency

A

Anaphylactic shock

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2
Q

Dosage of adrenaline

A

1mg IV push q3-5mins

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3
Q

Use of atropine in emergency

A

Symptomatic bradycardia

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4
Q

Dosage of atropine

A

0.5mg IV bolus, repeat q3-5mins

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5
Q

Use of amiodarone in emergency

A
  1. 1st choice use in pulseless ventricular fibrillation (VF)/pulseless ventricular tachycardia (VT)
  2. Fast AF / Atrial flutter
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6
Q

Use of lignocaine 2%

A

Ventricular fibrillation (VF)/pulseless ventricular tachycardia (VT) if amiodarone is CI

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7
Q

Dosage of CaCl2 10% for hyperK

A

5-10mL slow IV push over 2-3mins

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8
Q

Use of MgSO4 49.3% in emergency

A
  1. VF/pulseless VT associated with torsades de pointes
  2. Acute severe asthma exacerbation
  3. Eclampsia/preeclampsia
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9
Q

Use of terbutaline SC in emergency

A

Bronchospasm (narrowing of airways) associated with asthma, bronchitis, and emphysema

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10
Q

Use of NaHCO3 8.4% in emergency

A

HyperK

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11
Q

Onset & duration of CaCl2 & NaHCO3 respectively for hyperK

A 
CaCl2 = 1-3mins --> 30-60mins
NaHCO3 = 5-10mins --> 2hrs
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12
Q

Use of ATP in emergency

A

Supraventricular tachycardia

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13
Q

Dosage of amiodarone for fast AF / atrial flutter

A 
Loading = 150mg make up to 100mL D5 over 30mins 
Maintenance = 150mg in 100mL D5 IV infusion over 8hrs q8h OR 600mg in 500mL D5 over 24hr q24h
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14
Q

Max dose of amiodarone per day

A

1.2g/d

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15
Q

Use of digoxin 500mcg/2mL in emergency

A

Fast AF / Atrial flutter

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16
Q

Common dosage of digoxin for fast AF / Atrial flutter

A

Loading dose

  • 250mcg in 50mL NS over 20min OR
  • 250mcg PO stat, then 250mcg PO q8h for 2 more doses
17
Q

Use of diltiazem in emergency

A

Fast AF / Atrial flutter

18
Q

Use of verapamil 5mg/2mL in emergency

A

Supraventricular tachycardia

19
Q

Use of isoprenaline in emergency

A

Severe bradycardia

20
Q

Use of labetalol 25mg/5mL

A

Hypertensive crisis

21
Q

Use of sodium nitroprusside 50mg

A

Hypertensive crisis

MOA = Peripheral vasodilation by direct action on venous and arteriolar smooth muscle

22
Q

Use of phentolamine 10mg/mL

A

Catecholamine crisis (too much dopamine / norepinephrine / adrenaline)

23
Q

Use of octreotide500mcg/5mL

A

Variceal haemorrhage

24
Q

Use of terlipressin 1mg

A

Variceal haemorrhage

25
Q

Drugs for status epilepticus

A

Lorazepam / Diazepam / Phenytoin / Valproate / Levetiracetam / Phenobarbitone

26
Q

Use of suxamethonium

A

Intubation / Long surgical procedure

- neuromuscular blocking agent for producing muscular relaxation during anaesthesia

Disease (13 decks)

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