Drugs List

Question 1

What emergency is epinephrine/adrenaline used in?

Answer 1

Anaphylaxis
Cardiac arrest in ALS

Question 2

What is the emergency adult dose of epinephrine in anaphylaxis including route of administration?

Answer 2

500micrograms (500mcg) 1:1000 concentration
IM

Question 3

What is the emergency dosing for adrenaline/epinephrine for a cardiac arrest including the route?

Answer 3

1mg IV/IO 1:10000 concentration

Question 4

What emergency situation is atropine used for?

Answer 4

Periarrest/unstable bradycardia

Organophosphate poisoning

Question 5

What is the emergency dosing and route of administration of atropine for unstable bradycardia/peri-arrest?

Answer 5

500micrograms IV (0.5mg)

Question 6

What is the next management for peri-arrest/bradycardia if atropine doesn’t work?

Answer 6

Transcutaneous pacing -> transvenous pacing if fails

Question 7

What is the emergency dosing and route of administration of atropine for organophosphate poisoning?

Answer 7

1-2mg IV

Question 8

What emergency is aspirin used to treat?

Answer 8

STEMI
NSTEMI
Unstable angina
Ischaemic stroke

Question 9

What is the emergency dosing of aspirin, include the route ?

Answer 9

300mg oral/chewed

Question 10

What is the emergency dosing for clopidogrel if the patient is planning for PCI?

What if they are not planned for PCI?

Answer 10

600mg oral for PCI

300mg oral for non PCI

Question 11

What are the emergency uses for calcium gluconate?

Answer 11

Hyperkalaemia
Hypocalcaemia

Question 12

What is the emergency dosing for calcium gluconate to manage severe Hyperkalaemia including route?

Answer 12

10ml 10% calcium gluconate IV over 5-10mins

Question 13

What is the emergency management of symptomatic severe hypocalcaemia?

Answer 13

10-20ml of 10% calcium gluconate IV over 10-20mins

Question 14

What is the emergency dosing of an insulin dextrose infusion used to treat hyperkalaemia?

Answer 14

Bolus (5mins) of 10units actrapid immediately followed by rapid bolus (2mins) of 50ml 50% dextrose

Question 15

What are the emergency options for treatingng hypoglycaemia (including route)?

Answer 15

Oral glucose/dextrose tablet
IV glucose
IM glucagon

Question 16

When is it appropriate to give a patient oral glucose/dextrose tablets to emergency manage hypoglycaemia?

Answer 16

Conscious with no issues swallowing

Question 17

When is it appropriate to give a patient IV glucosee or IM glucagon?

Answer 17

When they are unconscious or unable to swalloww

Question 18

When do you give IV glucose over IM glucagon for emergencyncy hypoglycaemia management?

Answer 18

IV if there is IV access, if theres no IV access IM glucagon is most appropriate

Question 19

What are the emergency management options for treating hypoglycaemia?

Answer 19

Oral glucose/dextrose tablets
IM glucagon
IV glucose

Question 20

When are oral glucose/dextrose tablets suitable to treat hypoglycaemia?

Answer 20

Patient is conscious and able to swallow

Question 21

When is IM glucagon or IV glucose suitable for managing hypoglycaemia?

Answer 21

When the patient is unconscious or unable to swallow

Question 22

When is IM glucagon used over IV glucose in managing hypooglycaemia?

Answer 22

IM glucagon = when no IV access
IV glucose in= when there IS IV access

Question 23

How much oral glucose should a patient receive with hypoglycaemia?

Answer 23

Between 15g - 20g which is the equivalent to about 4-5 dextrose tablets

Question 24

What is the dose of IM glucagon to treat hypoglycaemia when theres no IV access?

Answer 24

1mg

Question 25

What is the dosing of IV glucose to treat hypoglycaemia?

Answer 25

100ml of 20% glucose over 10-15mins

Question 26

What is the emergency indication for lorazepam?

Answer 26

Status epilepticus (seizures lasting longer than 5 mins)

Question 27

What is the emergency dosing of lorazepam for status epilepticus?

Answer 27

4mg IV Or 4mg IM if no IV access suitable

Question 28

What is the emergency indication for diazepam?

Answer 28

Status epilepticus

Question 29

What is the emergency dosing of diazepam for status epilepticus?

Answer 29

10mg IV diazepam

Question 30

What are the emergency situations where nebulised salbutamol is required?

Answer 30

Acute life threatening/severe asthma exacerbation Severe COPD exacerbation Severe hyperkalaemia

Question 31

What is the emergency dosing of nebulised salbutamol for treating acute severe/life threatening asthma or COPD exacerbation?

Answer 31

2.5 - 5mg nebulised salbutamol driven by 8L oxygen over 15-20mins

Question 32

What is the emergency dosing of Prednisolone in asthma?

Answer 32

40-50mg of oral Prednisolone for 5days OD

Question 33

What are the emergency indications for morphine?

Answer 33

MI Pulmonary oedema Severe dyspnoea in breathlessness

Question 34

What is the emergency dosing of morphine?

Answer 34

2.5-5mg IV

Question 35

What is the emergency dosing of Naloxone?

Answer 35

400micrograms IV up to a total of 10mg