Pharmacological Condition Management

Question 1

Acute Coronary Syndrome

Answer 1

1. Aspirin 300mg PO
2. GTN 600mcg S/L
   (repeat 600mcg at 5/60 interval)
3. GTN 50mg transdermal

Question 2

Cardiogenic Acute Pulmonary Oedema

Answer 2

1. GTN 600mcg S/L
2. GTN 50mg transdermal
   + CPAP 10mcH2O

Question 3

Asthma

Answer 3

1. Salbutamol pMDI 4 -12 (20/60 intervals) with 4 inh per dose
2. OR / Salbutamol 10mg (5mL) Neb
3. Ipratroprium Bromide 500mcg
   (2mL)
4. Dexamethasone 8mg IV

(Repeat Salbutamol 5mg (2.5mL) at 5/60 intervals if needed

Question 4

COPD

Answer 4

1. 10mg Salbutamol NEB
2. 500mcg Ipratropium Bromide NEB
3. 8mg Dexamethasone

Question 5

Stridor

Answer 5

1. 5mg Adrenaline NEB
   (consult for repeat)
2. 8mg Dexamethasone IV/IM

Question 6

Nausea / Vomiting

Answer 6

Ondansetron 4mg PO
(max 8mg) (8mg IV avail)
OR
Prochlorperazine 12.5mg IM

Question 7

Hypoglycaemia
BGL < 4

Answer 7

1. Glucose 15g PO
   (max 30g)

OR

2. Dextrose 10% 15g / 150mL + flush
   (Rpt 10g / 100mL at 10/60)

If unable to insert IV
- Glucagon IU IM

Question 8

Hyperglycaemia
BGL > 11

Answer 8

1. N/Saline 20mL/Kg IV

Question 9

GCSE Seizure

Answer 9

1. 10mg IM

Question 10

Anaphylaxis

Answer 10

1. Adrenaline 500mcg IM
   (Repeat 5/60ly)
2. Insert IV
3. O2

Question 11

Anaphylaxis R.A.S.H

Answer 11

1. Adrenaline 5mg NEB
2. Salbutamol 5mg / 4-12 pMDI
3. Ipratropium Bromide 500mcg / 4-8 pMDI
4. N/Saline IV max 40mL/Kg

Inadequate / Bet Blocker use: Glucagon 1mg IV/IM (Rpt at 5/60 if needed)

Question 12

Shock

Answer 12

1. Normal Saline 1000 - 2000mL IV