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**Clinical Med** UoL by SJC > Emergency Drug Doses > Flashcards

Emergency Drug Doses Flashcards

1
Q

Epinephrine / adrenaline for CPR

A

1mg 1:10000 pre filled syringe (1mg in 10ml) IV

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2
Q

Epinephrine / adrenaline for acute anaphylaxis

A

500 mic.g (1:1000, 1mg/ml) IM

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3
Q

Hydrocortisone for Acute asthma attack / thyrotoxicosis

A

100mg IV

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4
Q

Chlorphenamine for acute anaphylaxis

A

10mg IV or IM (max 4 per 24hrs)

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5
Q

Atropine for Bradycardia 2nd to MI

A

500mic.g IV every 3-5 mins up to 3mg

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6
Q

Atropine for Bradycardia 2nd to BB overdose

A

3mg IV

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7
Q

Atropine for bradycardia not due to MI or BB overdose

A

500mic.g IV

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8
Q

Aspirin for MI or unstable angina

A

300mg loading dose PO (75mg maintenance)

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9
Q

Clopidogrel for prevention in MI for PCI

A

300mg loading dose PO (4 x 75mg tablets)

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10
Q

Calcium Gluconate for severe hypocalcaemia

A

Slow IV 10 mls of 10% calcium gluconate in 50mls of 5% glucose over ten minutes. Repeat until asymp to max of 40 mls in 24 hrs

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11
Q

Calcium Gluconate for hyperkalaemia with ECG changes (K+ >6.5)

A

Slow IV 30mls of 10% calcium gluconate over 5-10min

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12
Q

Insulin/Dextrose for hyperkalaemia

A

5-10 units insulin in 50ml of 50% dextrose

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13
Q

Glucose for hypoglycaemic emergency

A

10-20g of glucose in many forms (glucogel, 5 glucose tablets, 100 to 200ml of full sugar cola, lemonade etc or fruit juice. 4 to 5 sugar lumps or teaspoons of sugar). 1mg of glucagon (IM)- if no response within 10 minutes IV glucose given via infusion at 20%.

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14
Q

Diazepam for Status epilepticus, febrile convulsions, convulsions due to poisoning

A

split dose of 10mg IV - 5mg per min

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15
Q

Diazepam for Life-threatening drug-induced dystonic reactions

A

5-10mg IV

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16
Q

Lorazepam for acute panic attacks

A

Slow IV or IM 25-30micro.g/kg every 6 hrs (around 2mg for 70kg)

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17
Q

Lorazepam for Status epilepticus, febrile convulsions, convulsions due to poisoning

A

4mg IV

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18
Q

Salbutamol for asthma attack moderate or above in adults

A

5mg every 20-30 minutes, O2 driven Neb

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19
Q

Salbutamol for *pediatric* asthma attack moderate or above

A

<4y.o 2.5mg <11y.o 2.5mg-5mg in O2 driven neb (with appropriate size mask)

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20
Q

Morphine for MI /or/ acute pulmonary oedema

A

5-10mg slow IV,
half this for elderly pts

21
Q

Morphine for acute pain

A

10mg PO, SC or IM every 4 hrs

22
Q

What else should you prescribe acutely with morphine?

A

Consider using an anti-emetic e.g. metaclopramide: <60kg up to 500mic.g per kg daily in 3 doses, if >60kg 10mg up to 3 times a day slow IV over 3 minutes, PO or IM

23
Q

Naloxone for opioid OD

A

400mic.g IV then 800mg for up to 2 doses 1 min apart

24
Q

Immediate management for meningitis in adults

A

AtoE assessment 1.2g IM or IV benzylpenicillin or ceftotaxime

25
Q

what is the indication?

1mg 1:10000 pre filled syringe (1mg in 10ml) IV

A

Epinephrine / adrenaline for CPR

26
Q

what is the indication?

500 mic.g (1:1000, 1mg/ml) IM

A

Epinephrine / adrenaline for acute anaphylaxis

27
Q

what is the indication?

100mg IV

A

Hydrocortisone for Acute asthma attack / thyrotoxicosis

28
Q

what is the indication?

10mg IV or IM (max 4 per 24hrs)

A

Chlorphenamine for acute anaphylaxis

29
Q

what is the indication?

500mic.g IV every 3-5 mins up to 3mg

A

Atropine for Bradycardia 2nd to MI

30
Q

what is the indication?

3mg IV

A

Atropine for Bradycardia 2nd to BB overdose

31
Q

what is the indication?

500mic.g IV

A

Atropine for bradycardia not due to MI or BB overdose

32
Q

what is the indication?

300mg loading dose PO (75mg maintenance)

A

Aspirin for MI or unstable angina

33
Q

what is the indication?

300mg loading dose PO (4 x 75mg tablets)

A

Clopidogrel for prevention in MI for PCI

34
Q

what is the indication?

Slow IV 10 mls of 10% calcium gluconate in 50mls of 5% glucose over ten minutes. Repeat until asymp to max of 40 mls in 24 hrs

A

Calcium Gluconate for severe hypocalcaemia

35
Q

what is the indication?

Slow IV 30mls of 10% calcium gluconate over 5-10min

A

Calcium Gluconate for hyperkalaemia with ECG changes (K+ >6.5)

36
Q

what is the indication?

5-10 units insulin in 50ml of 50% dextrose

A

Insulin/Dextrose for hyperkalaemia

37
Q

what is the indication?

10-20g of glucose in many forms (glucogel, 5 glucose tablets, 100 to 200ml of full sugar cola, lemonade etc or fruit juice. 4 to 5 sugar lumps or teaspoons of sugar). 1mg of glucagon (IM)- if no response within 10 minutes IV glucose given via infusion at 20%.

A

Glucose for hypoglycaemic emergency

38
Q

what is the indication?

split dose of 10mg IV - 5mg per min

A

Diazepam for Status epilepticus, febrile convulsions, convulsions due to poisoning

39
Q

what is the indication?

5-10mg IV

A

Diazepam for Life-threatening drug-induced dystonic reactions

40
Q

what is the indication?

Slow IV or IM 25-30micro.g/kg every 6 hrs (around 2mg for 70kg)

A

Lorazepam for acute panic attacks

41
Q

what is the indication?

4mg IV

A

Lorazepam for Status epilepticus, febrile convulsions, convulsions due to poisoning

42
Q

what is the indication?

5mg every 20-30 minutes, O2 driven Neb

A

Salbutamol for asthma attack moderate or above in adults

43
Q

what is the indication?

<4y.o 2.5mg <11y.o 2.5mg-5mg in O2 driven neb (with appropriate size mask)

A

Salbutamol for *pediatric* asthma attack moderate or above

44
Q

what is the indication?

5-10mg slow IV,
half this for elderly pts

A

Morphine for MI /or/ acute pulmonary oedema

45
Q

what is the indication?

10mg PO, SC or IM every 4 hrs

A

Morphine for acute pain

46
Q

what is the indication?

Consider using an anti-emetic e.g. metaclopramide: <60kg up to 500mic.g per kg daily in 3 doses, if >60kg 10mg up to 3 times a day slow IV over 3 minutes, PO or IM

A

What else should you prescribe acutely with morphine?

47
Q

what is the indication?

400mic.g IV then 800mg for up to 2 doses 1 min apart

A

Naloxone for opioid OD

48
Q

what is the indication?

AtoE assessment 1.2g IM or IV benzylpenicillin or ceftotaxime

A

Immediate management for meningitis in adults

**Clinical Med** UoL by SJC (10 decks)

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