Emergencies

Question 1

Cardiac arrest

Answer 1

DC shock - 150J biphasic

Adrenaline - 1mg IV (10ml of 1 in 10 000)

Amiodarone - 300mg IV (if shockable rhythm)

Question 2

Anaphylaxis

Answer 2

Adrenaline - 0.5mg (0.5ml of 1 in 1000)

Hydrocortisone - 200mg IV

Chlorpheniramine - 10mg IV

Question 3

Seizure

Answer 3

Lorazepam - 4mg IV

OR IF NO IV ACCESS = Diazepam 10mg PR

Question 4

Hypoglycaemia

Answer 4

10% glucose 150ml IV

OR

20% glucose 75ml IV

OR

Glucagon 1mg IM if no IV access

Question 5

Hyperkalaemia

Answer 5

10% calcium gluconate 10ml IV over 5 mins

THEN

10% glucose 250ml IV with 10 units Actrapid insulin added over 30 minutes

Question 6

Bradycardia

Answer 6

Atropine 500mcg IV (repeat every 3-5mins to max of 3mg if needed)

Question 7

SVT

Answer 7

Adenosine - 6mg IV (must be given as a bolus and flushed quickly through large vein)

Question 8

VT (without adverse signs)

Answer 8

Amiodarone - 300mg IV over 20-60mins