Medication

Question 1

Adrenaline

Answer 1

Anaphylaxis, severe asthma, cardiac arrest and ROSC
No contraindications
Intramuscular 0.5ml drawn from a 1:1000 vial
Intravenous 1ml drawn a 1:1000 vial (only cardiac)
Repeated every 3-5 minutes no max

Question 2

Amiodarone

Answer 2

Cardiac arrest post three consecutive shocks (VF/VT)
No contraindications in this use
Intravenous 300mg in 6 ml drawn from 2 vials of 150mg in 3 ml
Repeated 150mg in 3 ml dosage after another three consecutive shocks

Question 3

Aspirin

Answer 3

Acute coronary syndrome (cardiac chest pain)
Hypersensitivity to salicylates, active bleeding or bleeding tendencies (clotting disorders)
Oral chewed 300mg tablet single dose

Question 4

Cophenylcaine

Answer 4

Epistaxis and oral haemorrhage
Hypersensitivity to amide anaesthetics and pregnancy
Intranasal 5mg in one spray
Per oral 5 mg one spray
Repeat 1-2 minutes max of 25 mg or 5 sprays

Question 5

Fentanyl

Answer 5

Significant pain
Hypersensitivity to fentanyl or other phenylpiperdines
Intramuscular 25mcg in 0.5ml straight from 100mcg in 2ml vial
Intravenous 25mcg in 2.5ml as whole 2ml vial drawn and diluted with 8 ml saline
Intranasal 60mcg in 0.2ml from 600mcg in 2ml drawn extra 0.1 to prime aspirator

Question 6

Gastrolyte

Answer 6

Dehydration
No contraindications
Per oral one sachet in water
Repeat as needed

Question 7

Glucagon

Answer 7

Hypoglycaemia 2nd line
Hypersensitivity to glucagon/lactose and pheochromocytoma
Intramuscular 1mg via giving set

Question 8

Glucose 10%

Answer 8

Hypoglycaemia 1st line in unconscious or risk of aspiration
No contraindications in this setting
Intravenous 10g in 100ml from 50g in 500ml draw 5X 20ml vials with a bag of saline drip FLUSH after ever syringe
Repeat in 5 minutes if needed

Question 9

Glucose gel

Answer 9

Hypoglycaemia 1st line if alert
Altered GCS and paediatric under 2
Per oral 15 g sachet
Repeat as needed

Question 10

Glyceryl trinitrate (GTN)

Answer 10

Acute coronary syndrome (cardiac chest pain) acute cardiac pulmonary oedema
Hypotension under 90 systolic, symptomatic Brady/tachycardia and use of erectile dysfunction meds in 24 hours
Sublingual 0.4mg one spray
Repeated every 5 minutes no max

Question 11

Hydrocortisone

Answer 11

Anaphylaxis, severe asthma, exacerbation COPD
hypersensitivity
Intramuscular 200mg in 4 ml 2X vials
Intravenous 200mg in 10 ml dilute with 6 ml saline
Single dose

Question 12

Ipratropium bromide

Answer 12

Severe asthma and COPD
hypersensitivity to ipratropium bromide and atropine
Nebulise 500mcg in 2ml 2X vials WITH 5mg in 2ml salbutamol
Repeat as needed

Question 13

Methoxyflurane

Answer 13

Mild/moderate pain
Malignant hyperthermia, eclampsia, use of tetracycline antibiotics, hyperthermia, liver/ renal diseases, altered GCS and behavioural disturbances
Inhaled 3ml vial whistle
Single repeat after 20 minutes

Question 14

Midazolam

Answer 14

Seizure and sedation
Hypersensitivity to benzodiazepines, symptomatic hypotension and shock
Intranasal 5mg in 1ml
Intramuscular 5mg in 1ml
Intravenous 2.5mg in 2.5ml dilute vial with 12ml saline making 15mg in 15ml
Repeat after 5 minutes max 15 mg

Question 15

Morphine

Answer 15

Severe pain
Active labour, symptomatic hypotension and hypersensitivity to opiates
Intramuscular 5mg in 0.5ml
Intravenous 5mg in 5 ml dilute with 9 mls saline
Repeat after 5 minutes max 20mg

Question 16

Naloxone

Answer 16

Respiratory depression secondary to narcotics overdose
None in this setting
Intramuscular 400mcg in 1 ml
Intravenous 40 mcg in 1 ml dilute with 9 ml of saline
Repeat as needed no max

Question 17

Ondansetron

Answer 17

Nausea/vomit prophylaxis in c-spine
Hypersensitivity to ondansetron or other 5HT3 receptor antagonists
Intramuscular 4mg in 2ml
Sublingual 4mg wafer
Intravenous 4mg in 10 ml slow push dilute with 8ml saline

Question 18

Paracetamol

Answer 18

Minor pain, headache, fever
Hypersensitivity, previous dose less than 4 hours or 4mg in 24 hours, respiratory depression
Per oral 0.5/1g
Repeat every 4 hours 4G max

Question 19

Phenergan

Answer 19

Minor allergy
Hypersensitivity, breast feeding, history of dystonic reactions
Per oral 10mg
Single dose

Question 20

Prochlorperazine

Answer 20

Vertigo and motion sickness
Hypotension shock, altered GCS and hypersensitivity
Intramuscular 12.5 mg in 1ml
Single dose

Question 21

Salbutamol

Answer 21

Bronchospasm, smoke inhalation, salt water aspiration and pulmonary oedema
Hypersensitivity
Nebulise 5mg in 2ml
Repeat as needed

Question 22

Sodium chloride

Answer 22

Fluid therapy
Fluid overload
Hypovolaemic shock IV 20ml X kg 250ml bolus
Hypovolaemic cardiac shock IV 20ml X kg once only
ROSC IV 250ml as required