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Emergency drugs and tx Flashcards

1
Q

Cardiac arrest

Unshockable rhythm

A

1mg adrenaline IV

Every 3-5mins

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2
Q

Narrow complex tachycardia

A

Vagal manoeuvre: carotid, valsalva
6mg adenosine + saline flush
12mg adenosine + saline flush

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3
Q

Bradycardia

A 
Atropine 500 micrograms IV
No response
\+ 500 microgram to 3mg max
Adrenaline 2-10 micrograms/ min
Transcutaneous pacing
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4
Q

Anaphylaxis

A

0.5mg adrenaline IM every 5 min
10mg chlorphenamine IV
200mg hydrocortisone IV
?IM glucagon 1mg on b blocker

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5
Q

AF/ atrial flutter

New onset

A 
Compromised: HR>150, HF, 
- DC cardiovert, 
- or metoprolol up to 5mg IV 
Uncomprimised
- bisoprolol 5-10mg PO
- Flecainide 2mg/kg IV
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6
Q

AF/ atrial flutter

Pre existing >48h

A 
Comprimised
- metoprolol 5mg over 5 min
- 500 micrograms digoxin IV
- amiodarone 300mg
Uncomprimised
- bisoprolol PO, 5-10mg 
- digoxin 500 microgram PO
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7
Q

VF/VT

A

1mg adrenaline IV (3-5)mins

300mg Amiodarone IV

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8
Q

STEMI

A 
GTN spray
300mg aspirin PO
5-10mg morphine IV
10mg Metoclopramide IV
PCI
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9
Q

NSTEMI

A 
GTN spray
300mg aspirin
300mg clopidogrel PO
2.5mg fondaparinux SC (eGFR>30)
Simvastatin 40mg ON
Bisoprolol PO (HR>70, BP>110)
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10
Q

Acute asthma

A 
Sit up + O2
5mg salbutamol nebs
0.5mg ipratropium nebs
40mg prednisolone
- or 100mg hydrocortisone IV
CXR- pneumothorax
Life threatening: 
- 1.2 to 2mg IV magnesium sulphate
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11
Q

P edema

A 
Sit up + O2
2.5 to 5mg diamorphine slow IV
40-80mg furosemide slow IV
GTN spray 
GTN infusion (BP>110)
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12
Q

Hypoglycaemia

A 
No swallow 
- 1mg glucagon IM
- 100ml 20% glucose IV
Swallow
- Hypostop
- 160ml, 10% glucose IV
Repeat BM 10mins
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13
Q

Status epilepticus

A 
Repeat every 10mins 
Lorazepam 2-4mg slow IV
Or
Buccal midazolam 10mg
Or
Rectal diazepam 10mg

Keppra 30mg/kg

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14
Q

Hyperkalaemie

Severe: >6.5 or symptomatic

A

Cardiac monitor
IV calcium gluconate 10%, 10ml over 2mins
10 units actrapid in 50ml 50% glucose over 15mins
20mg salbutamol nebs: resistant
? Sodium bicarbonate

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15
Q

Hyperkalaemia

Severe = x

A

Severe > 6.5

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16
Q

Adenosine

A

6,12,12mg fast IV, every 5 mins

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17
Q

Amiodarone infusion

A

300mg over 30mins

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18
Q

Atropine

A

Brady
- 0.5mg, every min, IV, max 3mg
Arrest
3mg once only IV

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19
Q

Calcium gluconate

A

10% in 10ml IV, over 2 mins, every 15 mins to max 50ml

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20
Q

Digoxin infusion

A

500micrograms in 30mins

Once only IV

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21
Q

Adrenaline

A 
Anaphylaxis
- 0.5mg IM, 1:1000 0.5ml
- every 5min
Arrest
- 1mg IV: 1:10,000 10ml
- every 3min
22
Q

Morphine

A

5mg IV every 5 mins

23
Q

Verapamil

A

5mg in 2min, IV, every 5 min

15 MG max

24
Q

Aminophylline

A

5mg/kg in 20min

Once IV

25
Q

Furosemide

A

40-120mg once IV

Max 1mg/kg

26
Q

GTN infusion

A

2-10mg/h if systolic >90

Infusion IV

27
Q

Hydrocortisone

A

100-200mg IV

QDS

28
Q

Ipratropium

A

500 micrograms 4h, Neb

29
Q

Magnesium

A

8mmol
1.2-2g over 20min
Once IV

30
Q

Salbutamol

A

5mg Neb, continuous

31
Q

Glucose

A

10% 200ml
20% 100ml
50% 50ml

32
Q

Diazepam

A

10mg, every 5 min IV/PR

30mg max

33
Q

Lorazepam

A

4mg every 5 min, IV

12mg max

34
Q

Naloxone

A

400microgram IV every 3 min

Aka 0.4mg

35
Q

Phenytoin

A

15mg/kg at 50mg/min

Once IV infusion

36
Q

Bleeding TXA

A

1g in 10min bolus

1g TDS infusion over 8h

37
Q

Loading kepra

A

20-30mg/kg

60mg/kg (BRI: status)

38
Q

Severe low Mg

A

< 0.5 or 0.6

39
Q

Anticipatory drugs

A 
Morphine 2.5mg SC 1h
Midazolam 2.5-5mg SC
Cyclizine 50mg SC 8h
Levomepromazine 2.5-5mg SC 8h
Haloperidol 500mcg SC 12h
Buscopan 20mg SC 1h (max 120mg)
40
Q

Hydrocortisone in sepsis

A

50mg QDS IV

41
Q

Seizure
Rectal diazepam
Buffalo midazolam

A

10mg rectal diazepam

10mg buccal midazolam

42
Q

Midazolam IV sedation

A

O.5-2mg increments

Initial:
2mg under 60
1mg over 60

43
Q

IV Fentanyl dose
Adult and child
Spontaneous breathing

A

50-100mcg
Max 200mcg

1-2 mcg/kg

44
Q

Hypertonic saline

A

100ml of 5% NaCl over 10min

45
Q

Sumatriptan

Used for and dose

A

Migraine or cluster headache
6mg SC
10-20mg IN

46
Q

IV metoprolol for AF

A

5mg over 5 mins

IV metoprolol

47
Q

Sodium bicarbonate IV

Uses and dose

A

Hyperkalaemia
DKA pH<7

Tx
1.26% sodium bicarbonate
250ml over 2h

48
Q

PE/DVT

Treatment dose LMWH

A

Fragmin (dalteparin)
200unit/kg SC

eGFR<30
Enoxaparin 1mg/kg SC

49
Q

Mannitol

For raised ICP

A

0.5g/kg over 15min

Place urinary catheter

50
Q

Isoprenaline infusion

A

5mcg/minute

51
Q

Adrenaline infusion

A

2-10mcg/min

52
Q

Suggamadex dose

Medicine (20 decks)

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