Emergency Drug List Flashcards
What are the emergency indications for epinephrine (adrenaline)?
- Cardio-pulmonary Resuscitation
- Acute anaphylaxis and laryngeal oedema
What dose of epinephrine should be used in the CPR of an adult?
1mg every 3-5 minutes as required
(10mL of a 100μg/mL solution is recommended)
How is epinephrine administered when used for CPR?
IV injection
What is the route of administration of epinephrine used to treat acute anaphylaxis and laryngeal oedema?
IM injection
What dose of epinephrine should be used to treat an adult with acute anaphylaxis?
500μg repeated at 5 min intervals according to blood pressure, HR and respiratory function
Where should epinephrine be injected?
The anterolateral aspect of the middle third of the thigh
What are the emergency indications for hydrocortisone?
- Laryngeal oedema in anaphylaxis (as an adjunct to epinephrine)
- Severe and life-threatening acute asthma
What is the route of emergency hydrocortisone administration?
IV injection
What is the dose of hydrocortisone used in adjunctive therapy for anaphylaxis in adults?
100-300mg
What is the dose of hydrocortisone given in acute severe/life threatening asthma in adults?
100mg every 6 hours until conversion to oral prednisolone is possible
As what formulation should IV hydrocortisone be given?
Hydrocortisone sodium succinate
What is the emergency indication for Chlorphenamine?
Anaphylaxis (used with adrenaline and hydrocortisone)
What is the route of administration of emergency Chlorphenamine?
IV injection (or IM)
What dose of IV Chlorphenamine should be given to an adult with anaphylaxis?
10mg repeated if necessary
(No more than 4 times/day)
What are the emergency indications for atropine?
- Bradycardia due to β-blocker OD
- Intra-operative bradycardia
- Bradycardia due to MI
How should emergency atropine be administered?
IV injection
What dose of atropine is used in β-blocker OD in adults?
3mg
What dose of atropine is given for intra-operative bradycardia?
300-600 μg (larger if an emergency)
What dose of atropine should be use post-MI?
(this I’m pretty sure is the use they’re most concerned with us knowing)
500 μg every 3-5 minutes up to 3mg
What are the emergency indications for aspirin?
- NSTEMI
- STEMI