Emergency drugs

Question 1

ind: adrenaline cardiac arrest

Answer 1

cardiac arrest
* given shockable rhythm
after shock 3 give 1mg IV/IO
* give after 2 mins if not shockable 1mg IV/IO
* repeat 1mg IV/IO in both circumstances every 3-5mins

Question 2

ind: amiodarone cardiac arrest

Answer 2

after shock 3 300mg IV/IO and 150mg after shock 5

Question 3

ind: amiodarone peri-arrest arhythmias

Answer 3

• tachy unstable after 3 failed shocks 300mg over 10-20mins
• tachy, stable, broad complex, regular 300mg over 10-60 mins (VT)
• tachy, stable, narrow, irregular if evidence of heart failure

Question 4

ind: adenosine peri-arrest arrhythmias

Answer 4

tachy, stable, narrow or broad QRS and regular give 6mg, 12mg and 18mg if necessary if vagal manouvres not worked

Question 5

ind: magnesium peri-arrest arrhytmias

Answer 5

tachy, stable, broad QRS and irregular torsades de points
2g in 10 mins (deux in dix)

Question 6

ind: atropine in peri-arrest arrhytmias

Answer 6

brady and life threatening signs or signs of arhymthmias
300 micrograms IV up to 3mg

Question 7

ind: glucagon peri-arrest asystole

Answer 7

beta blcoker or CCB induced brady

Question 8

ind: isoprenaline peri-arrest asystole

Answer 8

3mg atropine with no effect and pacing required but navailable

Question 9

ind: isoprenaline per