Emergency Drugs

Question 1

Emergency anaphylaxis 1st line

Answer 1

Adrenaline
500 micrograms IM repeat after 5 mins

Question 2

Cardiopulmonary resuscitation

Answer 2

Adrenaline 1mg IV inj every 3-5 mins

Question 3

Thyrotoxic crisis

Answer 3

Propranolol
Carbimazole
Hydrocortisone
100mg IV inj every 6 hours

Question 4

Severe acute asthma (h)

Answer 4

Hydrocortisone
100mg IV inj every 6 hours

Question 5

Acute hypersensitivity 2nd line

Answer 5

Hydrocortisone
100-300 mg IV inj

Question 6

Anaphylactic shock (C)

Answer 6

Chlorphenamine
10 mg IM

Question 7

Post MI bradycardia

Answer 7

Atropine
500 micrograms IV inj
Every 3-5 mins
Max 3mg

Question 8

Acute TIA (a)

Answer 8

Aspirin
300 mg OD

Question 9

Unstable angina/NSTEMI/STEMI

Answer 9

Aspirin
300mg tablet

Question 10

TIA (C)

Answer 10

Clopidogrel
75mg OD

Question 11

STEMI/NSTEMI (C)

Answer 11

Clopidogrel
300 mg oral tablet

Question 12

Hypocalcaemia

Answer 12

Calcium gluconate
10-12 mL slow IV inj

Question 13

Hyperkalaemia

Answer 13

Calcium gluconate 30 ml IV
Insulin-glucose IV 10 units of Actrapid & 50ml 50% glucose
Salbutamol 10-20 mg nebulised

Question 14

Hypoglycaemia

Answer 14

Glucose liquid 15-20g
Glucose gel 1.5-2 tubes
glucagon IM 1mg

Question 15

Severe acute anxiety or alcohol withdrawal

Answer 15

Diazepam 10mg IM

Question 16

Convulsive seizures

Answer 16

Diazepam 10-20mg rectal solution
Repeat after 5-10mins

Question 17

Status epilepticus

Answer 17

Lorazepam 4mg 2x IV inj

Question 18

Status epilepticus, febrile convulsions, poisoning convulsions

Answer 18

Lorazepam 4mg repeat after 5 mins slow IV inj

Question 19

Asthma

Answer 19

Salbutamol nebuliser 2.5-5 mg repeat after 15-20mins

Question 20

Asthma (tablet)

Answer 20

Prednisolone 40-50 mg tablet

Question 21

Pain- MI

Answer 21

Morphine sulphate 5-10mg slow IV inj

Question 22

Opioid OD

Answer 22

Naloxone IV inj
400 micrograms, then 800 micrograms twice, then 2mg once