Emergency Precriptions

Question 1

Cardiac arrest

Answer 1

D.C. shock

Adrenaline 1mg IV (10 ml of 1 in 10,000)

Amiodarone 300mg IV (if shockable)

Question 2

Anaphylaxis

Answer 2

Adrenaline 0.5mg IM (0.5ml of 1 in 1000)

Hydrocortisone 200mg IV

Chlorpheniramine 10mg IV

Question 3

Seizure

Answer 3

Lorazepam 4mg IV

No IV access, diazepam 10mg PR

Question 4

Hypoglycaemia

Answer 4

10% glucose 150ml IV (repeat as needed)

Glucagon 1mg IM (if no IV access)

Question 5

Hyperkalaemia

Answer 5

10% calcium gluconate 10ml over 5 minutes

10% glucose 250ml IV

10 units actrapid insulin added over 30 minutes

Question 6

Bradycardia

Answer 6

Atropine 500mcg IV (repeat every 3-5 minutes to maximum of 3mg)

Question 7

SVT

Answer 7

Adenosine 6mg IV (followed by 12mg, and then 12mg if unsuccessful)

NB- must be given as a bonus and flushed quickly via a large vein

Question 8

VT (without adverse signs)

Answer 8

300mg IV over 20-60 minutes

Question 9

Rapid tranquilisation

Answer 9

Lorazepam 1-2mg PO/IM

Haloperidol 2-5mg PO/ IM

NB- use oral where possible, half dose in elderly and renal failure, haloperidol has contraindications