Emergency Drugs Flashcards
ARREST
1 mg (10 ml 1:10000) IV adrenaline
Shockable: After three shocks and then after every 20 breaths
300mg amiodarone after three shocks, 150mg after five shocks
Non-shockable: Immediately and then after every 20 breaths
ANAPHYLAXIS
500 micrograms (0.5ml 1:1000) IM adrenaline
(6 -12 - 300 micrograms, <6 - 150 micrograms)
Repeat after five minutes
Chlorphenamine 10mg IV
Hydrocortisone 200mg IV
ASTHMA
Salbutamol 5mg nebulisers Ipratropium 500 micrograms nebulisers IV magnesium sulphate IV aminophylline Steroids
COPD
Salbutamol 5mg nebulisers
Ipratropium 500 micrograms nebulisers
Steroids
MI
MOAN
Plus second antiplatelet
PCI if available within 120 minutes
Thrombolysis within 12 hours
STROKE
Aspirin 300 mg, plus second antiplatelet according to local policy
Thrombolysis within 4.5 hrs
Thrombectomy within 24 hrs
EPILEPSY
IV lorazepam 4mg, further dose, then phenytoin
HYPERKALAEMIA
IV calcium gluconate (10ml of 10% infused over 10 minutes)
Salbutamol (5mg)
Insulin/dextrose infusion (10U actrapid, 50mL of 50% glucose)
HYPOGLYCAEMIA
Conscious: hypokit (10-20mg short acting CHO)
Unconscious: 1mg IM glucagon, 150 ml of 10% glucose or 75 ml of 20% glucose
HYPERGLYCAEMIA
IV 0.9% NaCl
IV insulin @ 0.1 unit / kg / hour
Consider potassium and dextrose
COMMON ANALGESIA
Paracetamol 1g (500mg) Oral / IV Ibuprofen 400mg Oral Codeine 30mg Oral Oxycodone 2mg Oral / SC Morphine 5mg + Oral / SC
COMMON ANTI-EMETICS
Cyclizine 50 mg Oral/IV
Ondansetron 4-8mg Oral/IV
Metoclompramide 10mg Oral/IV
Prochloraperzine 3-6 mg Buccal OR 5mg Oral
DVT PROPHYLAXIS
Enoxaparin 40mg SC
TEDS
OVERDOSE – check Toxbase!
Paracetamol – NAC
Benzos – flumanezil
Opiod - nalaxone 400 micrograms, then 800 micrograms, then 800 micrograms
TACHYCARDIA
See protocol. Life threatening - shocks! Broad - amiodarone 300 mg IV Narrow - adenosine 6 mg, 12 mg, 18 mg (Torsades de Pointes Mg 2g)
