Emergency

Question 1

What is the dose and route of adrenaline in cardiac arrest ?

Answer 1

IV 1mg every 3-5 minutes ( 1 in 10,000 solution )

Question 2

What is the dose and route of adrenaline in anaphylaxis ?

Answer 2

IM 500 micrograms ( concentration of 1 in 1000 ) repeat at 5 mins in no improvement

Question 3

What is the dose and route of hydrocortisone in thyrotoxic crisis ?

Answer 3

100mg IV every 6 hours

Question 4

What is the dose and route of hydrocortisone in adrenal crisis ?

Answer 4

IM or IV - initially 100mg
Then continuous IV infusion of 200mg/24 hours

Question 5

What is the dose and route of hydrocortisone in severe or life threatening asthma ?

Answer 5

100 mg every 6 hours IV until conservation to oral pred can be made

Question 6

What is the dose and route for Chlorphenamine in anaphylactic reactions ?

Answer 6

10mg IM or IV for 1 dose to be repeated if necessary ( max of 4 doses per day )

Question 7

What is the route and dose of atropine in bradycardia following MI ?

Answer 7

IV 500 micrograms every 3-5 minutes ( max 3 mg per course )

Question 8

What is the route and dose of aspirin in NSTEMI or STEMI. ?

Answer 8

PO 300mg 1 dose

Question 9

What is the route and dose of aspirin in suspected TIA ?

Answer 9

PO 300mg daily

Question 10

What is the route and dose of aspirin in ischaemic stroke ?

Answer 10

PO 300mg daily

Question 11

What is the route and dose of Clopidogrel in TIA or stroke ?

Answer 11

Initially 300mg PO started within 24 hours of symptom onset
Then 75mg daily PO

Question 12

What is the route and dose of calcium gluconate in severe acute hypocalcaemia ?

Answer 12

Initially 10-20mL 10% slow IV injection

Question 13

What is the dose and route of calcium gluconate in acute severe hyperkalaemia ?

Answer 13

Slow IV injection 30mL calcium gluconate 10% single dose

Question 14

What is the route and dose of insulin in DKA ?

Answer 14

0.1 unit/kg/hour infusion

Question 15

What are the doses and routes for diazepam in status epilepticus ?

Answer 15

IV 10mg for 1 dose
PR 10-20mg for 1 dose, then 10-20mg for 1 dose after 5-10 minutes if required

Question 16

What is the dose and route of lorazepam in status epilepticus ?

Answer 16

4mg slow IV for 1 dose then repeat at 5-10 minutes if required

Question 17

What is the dose and route of salbutamol in moderate, severe or life-threatening acute asthma ?

Answer 17

Nebulised 5mg repeat every 20-30 minutes give via oxygen driven nebuliser

Question 18

What is the dose and route of prednisolone in moderate, severe or life-threatening acute asthma ?

Answer 18

PO 40-50mg daily for at least 5 days

Question 19

What is route and dose of Naloxone in opioid overdose ?

Answer 19

IV 400 micrograms for 1 dose,
Then 800 micrograms for up to 2 doses at 1 minute intervals
Then increase to 2mg for 1 dose if still no response

Question 20

What dose and route is sodium chloride given in fluid resuscitation ?

Answer 20

IV infusion 500mL 0.9% over 15 mins

Question 21

What is the route and dose of morphine in acute pain ?

Answer 21

Initially 10mg every 4 hours PO, IM, subcut
Or
Initially 5mg every 4 hours IV

Then titrate

Question 22

What is the route and dose of morphine in an MI ?

Answer 22

IV 5-10mg for 1 dose administered at a rate of 1-2mg/minute
Can be repeated if required

Question 23

What is the route and dose of morphine in an MI ?

Answer 23

IV 5-10mg for 1 dose administered at a rate of 1-2mg/minute
Can be repeated if required