Emergency drug doses

Question 1

emergency drug dose of adrenaline

Answer 1

IM 1:1000 (1mg/ml) 500micrograms

Question 2

emergency drug dose of hydrocortisone

Answer 2

IV 100mg every 6 hours until swap to oral prednisolone

Question 3

emergency drug dose of chlorphenamine

Answer 3

IM/IV 10mg

Question 4

emergency drug dose of atropine

Answer 4

IV 500mcg every 3-5 mins
(max 3mg)

Question 5

emergency dose of aspirin

Answer 5

chewable 300mg

Question 6

emergency dose of clopidogrel

Answer 6

PO 300mg one dose in first 24 hours
then 75mg OD

Question 7

emergency drug dose of calcium gluconate

Answer 7

30mg 10%
repeat if no ECG changes after 5-10 mins

Question 8

Emergency drug dose of Insulin/dextrose infusion FINISH

Question 9

Emergency hypoglycaemic drug treatment dosage

Answer 9

IV 15-20g 10/20% glucose over 15 mins
OR
Oral 15-20g (sugary drink)

Question 10

Emergency dose of diazepam

Answer 10

IV 10mg for 1 dose
Then 10mg for 1 dose after first dose if required (time??)

Question 11

Emergency dose of lorazepam

Answer 11

Slow IV 4mg for 1 dose
Then 4mg for 1 dose if required after 5-10 mins

Question 12

Emergency dose of nebulised salbutamol

Answer 12

2.5-5mg

Question 13

Emergency dose of prednisolone in asthma

Answer 13

40mg oral

Question 14

Emergency dose of morphine

Answer 14

Slow IV injection 5-10mg for 1dose at rate of 2mg/min?

Question 15

Emergency dose of naloxone CHECK

Answer 15

IV 400micrograms for 1 dose
Then 800 micrograms for up to 2 doses at 1 min intervals

Question 16

IV Fluid prescriptions

Question 17

Emergency fluid resuscitation

Answer 17

500ml crystalloid bolus (hartmann’s or saline 0.9%) over 15 mins

Question 18

How do you calculate maintenance fluids?

Answer 18

25-40ml/kg/day of water
1mmol/kg/day of K, Na + Cl
50-200g/day glucose