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Drugs Lists > Emergency Drugs List > Flashcards

Emergency Drugs List Flashcards

1
Q

What is the indication, dose and route of administration for adrenaline/epinephrine?

A

Indication - Anaphylaxis

Dose - 500micrograms of 1 in a 1000 (works out as 0.5ml)

Route - IM Injection, anterolateral aspect of the middle 1/3 of the thigh

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2
Q

Can you repeat the dose of adrenaline?

A

Yes - Several times in 5 minute intervals, depending on the BP, pulse and resp function

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3
Q

What is the indication, dose and route of administration for hydrocortisone?

A

Indication - Anaphylaxis

Dose - 200mg

Route - IV (preferably as sodium succinate)

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4
Q

What is the indication, dose and route of administration for chlorphenamine maleate?

A

Indication - Anaphylaxis

Dose - 10mg

Route - IM or IV injection over 1 minute

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5
Q

What is the indication, dose and route of administration for atropine?

A

Indication - Post MI bradycardia (particularly if complicated by hypotension)

Dose - 500 micrograms every 3-5 minutes. Maximum 3mg per course.

Route - IV injection

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6
Q

What is the indication, dose and route of administration for aspirin?

A

Indication - Suspected TIA/ACS/AF/stroke

Dose - 300mg

Route - PO. If ACS, chewed or dispersed in water

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7
Q

What is the indication, dose and route of administration for clopidogrel?

A

Indication - Prevention of atherothrombotic events in acute MI with ST elevation

Dose - Initially 300mg, then 75mg daily for at least 4 weeks

Route - PO

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8
Q

What is the indication, dose and route of administration for calcium gluconate (in terms of calcium)?

What monitoring is required during administration?

A

Indication - Severe acute hypocalcaemia or hypocalcaemic tetany

Dose - 10-20ml of calcium gluconate injection 10%

Route - Slow IV injection

Monitoring - Plasma calcium and ECG monitoring

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9
Q

What is the indication, dose and route of administration for calcium gluconate (in terms of potassium)?

What monitoring is required?

A

Indication - Acute severe hyperkalaemia (over 6.5) or in the presence of ECG changes

Dose - 10-20ml of calcium gluconate 10%

Route - Slow IV injection

Monitoring - ECG

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10
Q

What is the indication, dose and route of administration for insulin/dextrose infusion?

What do you need to monitor?

A

Indication - Acute hyperkalaemia

Dose - Actrapid 10units soluble insulin with with glucose 25g
(Inject 10 units soluble insulin into 50ml vial of 50% glucose. Add mix into 100ml bag of 0.9% NaCl. Run infusion over a pump for 15 minutes)

Route - IV

Monitoring - Hypoglycaemia at 0,15,30,60,90 mins and 2,4,6,9 hours

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11
Q

What is the indication, dose and route of administration for salbutamol (in terms of potassium)?

A

Indication - Acute hyperkalaemia

Dose - 20mg. Reduce to 10mg is coronary artery disease. Avoid if tachycardia present.

Route - Nebulized

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12
Q

What is the indication, dose and route of administration for diazepam?

A

Indication - Status epilepticus

Dose - 10mg, then 10mg after 10 minutes if required. Admistered at a rate of 5mg per minute

Route - IV injection / PR

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13
Q

What is the indication, dose and route of administration for lorazepam?

A

Indication - Status epilepticus

Dose - 4mg for 1 dose, then 4mg after 10 minutes if required

Route - Slow IV injection. Diluted with equal volume water for injection.

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14
Q

What is the indication, dose and route of administration for salbutamol (asthma)?

A

Indication - Acute severe asthma

Dose - 5mg, repeat every 20-30mins or when required

Route - Oxygen driven nebuliser

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15
Q

What is the indication, dose and route of administration for prednisolone (asthma)?

A

Indication - Acute severe asthma

Dose - 40-50mg daily for at least 5 days

Route - PO

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16
Q

What is the indication, dose and route of administration for morphine?

A

Indication - MI/acute pulmonary oedema/

Dose - 5-10mg (2.5-5mg for elderly), given at 1-2mg a minute

Route - Slow IV injection

17
Q

What is the indication, dose and route of administration for naloxone?

A

Indication - Overdose of opiods

Dose - 400micrograms, then 800micrograms for up to 2 doses at 1 minute intervals, then 2mg for 1 dose, then 4mg for 1 dose

Route - IV injection, SC or IM if IV unavailable

18
Q

What is the indication, dose and route of administration for glucose?

A

Indication - Hypoglycaemia in unconcious patient/unresponsive to fast acting glucose

Dose - 75ml 20% glucose through a pump set at 300ml/hr, stopped after 15 minutes

Route - IV infusion into a large vein using a large gauge needle

19
Q

What is the indication, dose and route of administration for glucagon?

A

Indication - Hypoglycaemia in unconscious patient with no IV access

Dose - 1mg

Route - SC or IM

Drugs Lists (14 decks)

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