Emergency drugs list

Question 1

Anaphylaxis

Answer 1

Adrenaline 1:1,000 500 mcg IM

Question 2

CA: PEA

Answer 2

Adrenaline 1:10,000 1mg IV (repeated every 3-5 minutes)

Question 3

CA: asystole

Answer 3

Adrenaline 1:10,000 1mg IV (repeated every 3-5 minutes)

Question 4

CA: VF

Answer 4

Shockable rhythm (200J, 300J, 360J)
then 1mg 1:10,000 Adrenaline IV
IV Amiodarone 300 mg

Question 5

CA: pulseless VTach

Answer 5

Shockable rhythm (200J, 300J, 360J)
then 1mg 1:10,000 Adrenaline IV

Question 6

Asthma (hydrocortisone)

Answer 6

200 mg IV QDS (if PO pred not avaliable)

Question 7

Addisonian crisis (hydrocortisone)

Answer 7

100 mg IV

Question 8

Severe IBD Flare (hydrocortisone)

Answer 8

500mg QDS IV

Question 9

Angioedema (hydrocortisone)

Answer 9

300mg IV

Question 10

Chlorpenamine (anaphylaxis)

Answer 10

10mg IM / IV

Question 11

Atropine (post-MI brady)

Answer 11

500 mcg every 3-5 minutes

Question 12

Aspirin (NSTEMI / STEMI)

Answer 12

300 mg PO

Question 13

Aspirin (stroke)

Answer 13

IF NOT haemorrhagic and not receiving thrombolysis
300 mg PO

Question 14

Clopidogrel (stroke)

Answer 14

If aspirin CI
75mg

Question 15

Clopidogrel (STEMI)

Answer 15

prevents VTE, combination with aspirin
300mg for one dose (18-75 years) then 75 mg

Question 16

Acute severe hyperkalaemia

Answer 16

30 ml 10% calcium gluconate (cardioprotective)
intravenous injection of soluble insulin (10 units) with 50 mL glucose 50% given over 15 minutes

Question 17

DKA

Answer 17

1L 0.9% saline in 1 hour
FRII 0.1 unites /kg /hr (within 15 minutes OR actrapid 10 units)

Question 18

HHS

Answer 18

(Insulin 0.05 units/kg/hour IF ^ ketones)
1L 0.9% saline over 1 hour

Question 19

Hypoglycaemia (unconscious)

Answer 19

IV 20% glucose 100 ml over 15 minutes
Consider Im glucagon 1mg (in absence of IV access)

Question 20

Status epilepticus

Answer 20

Community: 5 minutes Diazepam 20 mg PR
Buccal midazolam 10 mg
Hospital: 5 minutes
Lorazepam 4mg IV

Question 21

Acute asthma

Answer 21

Salbutamol 5mg Neb
Prenisolone 50 mg PO / Hydrocortisone 100 mg IV

Question 22

Acute Pain (> 8/10)

Answer 22

10 mg PO/SC/IM