Year 3 Emergency Drugs Flashcards
What dose of Adrenaline is given in a Cardiac Arrest?
1mg of 1:10000 IV
What dose of Adrenaline is given in Anaphylaxis?
0.5ml of 1:1000 IM
What dose of Hydrocortisone is given in Anaphylaxis?
100-300mg IV
What dose of Chlorphenamine is given in Anaphylaxis?
10mg IV or IM (can be repeated up to four times a day)
What dose of Atropine is given in Post MI Bradycardia??
500mcg every 3-5 minutes IV (max 3mg per course)
What dose of Aspirin is given in MI/Stroke/TIA?
300mg PO
What dose of Clopidogrel is given with Aspirin in MI/Stroke/TIA?
300mg then 75mg (only continued for 6 months if unprovoked attack)
What dose of Calcium Gluconate is given in Acute Hyperkalaemia?
30ml 10% IV over 10mins
10ml if calcium chloride
Describe the doses of Insulin/Dextrose given in Hyperkalaemia
Insulin should be diluted and mixed with 0.9% NaCl at a concentration of 1 unit/ml, infusion rate at 0.1 units/kg/hr
10% Glucose solution given at a rate of 125ml/hr
Describe the management of a CONSCIOUS Hypoglycaemic patient (able to swallow)
15 - 20g of Carbohydrates (often in the form of fruit juice 150 - 200ml)
After Glucose has risen above 4mmol/l give a long acting carbohydrate (such as Bread)
Do not omit Insulin if due, just re-evaluate dosage
Describe the management of an UNCONSCIOUS Hypoglycaemic patient
1mg IM Glucagon
If no response within 10 minutes then give IV 10% Glucose infusion
After Glucose has risen above 4mmol/l give a long acting carbohydrate (such as Bread)
Do not omit Insulin if due, just re-evaluate dosage
State the dose of Diazepam in Status Epilepticus
10mg, then another 10mg 10 minutes later if required (give at a rate of 5mg per minute IV)
State the dose of Lorazepam in Status Epilepticus
4mg, then another 4mg 10 minutes later if requires (Slow IV into a large vein)
State the dose of Salbutamol given in an mild/moderate asthma attack
5mg Nebulised every 15 mins
State the dose of Salbutamol given in a severe asthma attack
5mg Nebulised back to back
What dose of Prednisolone is given in an acute Asthma Attack?
40mg PO
alternatively IV Hydrocortisone 100mg every 6hrs
What dose of Morphine is given to control Acute Pain?
10mg every 4 hours (PO, Subcut, or IM)
What dose of Morphine is given to control Chronic Pain?
5-10mg every 4 hours (PO, Subcut, or IM)
What doses of Naloxone are given in Opioid Overdose?
Initially 400mcg, then up to 2 doses of 800mcg (1 minute apart), can then increase to 2mg for one further dose (IV)
Describe DKA Management
1) 0.9% Saline Bolus
2) 50 units act rapid in 50ml fluid, rate of 0.1 units/kg/hr
3) Consider adding K+ to second bag of fluid
Once glucose <14 mmol/l start dextrose infusion
