Emergency drugs Flashcards

1
Q

What dose and route of administration is needed for adrenaline in resus and in anaphylaxis?

A

Anaphylaxis: 0.5mg 1:1,000 IM every 5 mins
Resus: 1mg of 1:10,000 solution IV every 3-5 mins

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2
Q

What dose and route of administration is needed for hydrocortisone?

A

Anaphylaxis: 100-300mg IV
Adrenal insufficiency: 100-500mg IV
IBD flare: 100-500mg IV
Asthma: 100mg IV every 6hrs

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3
Q

What dose and route of administration is needed for chlorphenamine in anaphylaxis?

A

10mg IM or IV repeated as necessary up to 4 doses

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4
Q

What dose and route of administration is needed for atropine in bradycardias?

A

If due to betablocker OD: 3mg IV

If not: 500micrograms IV every 3-5 mins upto 6 times

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5
Q

What dose and route of administration is needed for clopidogrel in an MI?

A

300mg PO initially

Then 75mg for prevention

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6
Q

What dose and route of administration is needed for aspirin?

A

In acute setting: 300mg PO (chew or dispersed in water)

For prevention: 75mg PO

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7
Q

What dose and route of administration is needed for calcium gluconate?

A

10ml 10% calcium gluconate over 10 mins IV

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8
Q

What dose and route of administration is needed for the insulin/ dextrose infusion for hyperkalaemia

A

10 units actrapid + 50mls 50% dextrose IV infusion

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9
Q

What dose and route of administration is needed for emergency hypoglycaemia treatments?

A
1mg SC or IM glucagon// 100ml 10% dextrose IV over 15 mins if unconscious 
10-20g glucose PO if conscious:
- 2 tea spoons sugar
- 110ml original lucozade
- 100ml glucogel
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10
Q

What dose and route of administration is needed for diazepam?

A

10-20mg rectally and again after 15 mins if required (for status epilepticus)

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11
Q

What dose and route of administration is needed for lorazepam?

A

4mg IV for status epilepticus

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12
Q

What dose and route of administration is needed for salbutamol nebs?

A

5mg neb back to back or every 15 mins

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13
Q

What dose and route of administration is needed for ipratropium bromide nebs?

A

500 micrograms nebs every 4-6 hrs as needed

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14
Q

What dose and route of administration is needed for morphine in acute settings?

A

5-10 mg slow IV injection
2.5-5mg if elderly
Can be repeated
Dose same for MI and pulmonary odema

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15
Q

What dose and route of administration is needed for naloxone?

A

400 micrograms initially then 800 micrograms for up to 2 doses at 1 min intervals
If still not responding give 2 mg and then 4 mg dose.
Preferable IV but can give SC or IM if no access.

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16
Q

What dose of prednisolone is needed in asthma?

A

Child age <11= 1-2mg/ kg up to 40 mg

Age >12/ adult- 40-50mg for 5 days minimum