RRAPID

Question 1

Treatment for bradycardia with adverse features or risk of asystole

Answer 1

Atropine 500mcg every 3-5 mins until 3mg

Question 2

What are the adverse features of tachycardia?

Answer 2

Shock (BP <90)
Syncope
MI
HF

Question 3

What if the adverse features of tachycardia are/aren’t present?

Answer 3

Cardiology review
Synchronised DC shock
(if they aren’t present then pharmacological rate control-digoxin, beta blockers, adenosine)

Question 4

Treatment for ACS

Answer 4

Morphine (2.5-10mg IV)
GTN 2 sprays
Aspirin (300mg oral)
Ticagrelor (180mg oral)

Question 5

AKI Rx

Answer 5

STOP

Sepsis 6
Toxin control
Optimise BP
Prevent harm eg treat cause and complications

Question 6

Hyperkalaemia Rx

Answer 6

Calcium gluconate (10% 30ml IV 2 mins)
Insulin with glucose
Salbutamol nebulised

Treat cause

Question 7

Anaphylaxis Rx

Answer 7

Adrenaline 0.5mg IM
Chlorphenamine 10mg IV
Hydrocortisone 200mg IV
If there is an audible wheeze then treat as in asthma (salbutamol, ipratropium bromide, prednisolone)

Question 8

PE Rx

Answer 8

LMWH

Question 9

Pulmonary oedema Rx

Answer 9

?CPAP
Diamorphine 2.5mg IV
Furosemide 40-80mg IV
GTN 2 sprays

Question 10

Rx for seizure

Answer 10

IV lorazepam 1-2mg (then phenytoin if necessary)

Question 11

Hypoglycaemia Rx

Answer 11

150ml 10% glucose over 15 mins
OR
Hypostop gel if no risk of aspiration