Emergency management (in progress)

Question 1

Dose + route of adrenaline in adult anaphylaxis (mg)

Answer 1

0.5mg (1:1000) IM

Question 2

Dose + route of adrenaline in adult anaphylaxis (mL)

Answer 2

0.5mL of 1:1000 IM

Question 3

Dose/route of adrenaline in cardiac arrest (mg)

Answer 3

1mg (1:1000) IV

Question 4

Adrenaline in cardiac arrest (mL)

Answer 4

1mL of 1:1,000
OR
10mL of 1:10,000

Question 5

Emergency Contraception Options

Answer 5

Levonorgestral 1.5mg stat within 72-96hrs

Ulipristal Acetate 30mg po 5 days (Cant use hormonal methods of contraception for 5 days after)

Copper IUD insertion within 5 days

Question 6

Antibiotics for meningococcal disease

Answer 6

ceftriaxone 2 g (child 1 month or older: 50 mg/kg) IV or IM

OR

benzylpenicillin 2.4 g (or 60 mg/kg) IV or IM

Question 7

Dose + route of adrenaline in paediatric anaphylaxis (mg)

Answer 7

0.01mg/kg of 1:1000 IM

Question 8

Dose + route of adrenaline in paediatric anaphylaxis (mL)

Answer 8

0.01mL/kg of 1:1000 IM

Question 9

Acute anaphylaxis management

Answer 9

Call for help
Lay flat
Administer adrenaline, repeat every 5min as needed
Arrange transfer
Monitor vital signs
IV access
Oxygen if needed
Consider steroids, antihistamines, salbutamol

Question 10

Acute drug management of suspected cardiac CP

Answer 10

Aspirin 300mg orally

GTN spray 400-800microg subling Q5min OR GTN tab 300-600microg Q5min
Repeated up to 3 doses if pain persists

Analgesia eg fentanyl

Question 11

Acute management of severe croup

Answer 11

Nebulised adrenaline 5mL of 1:1000

AND

Dexamethasone 0.6mg/kg IM/IV/PO