Emergency drug (doses)

Question 1

Management of cardiac arrest (3 options)

Answer 1

• DC shock 150J biphasic
• adrenaline 1 mg IV (10ml in 10, 000)
• amiodarone 300 mg IV (if shockable rhythm)

Question 2

Anaphylaxis management (3)

Answer 2

• Adrenaline 0.5 mg IM (0.5 ml in 1000)
• Hydrocortisone 200 mg IV
• Chlorpheniramine 10mg iV

Question 3

Seizure management (2 options)

Answer 3

• Lorazepam 4 mg IV
• Diazepam 10 mg PR (if no IV access)

Question 4

Hypoglycaemia management (3 options)

Answer 4

• 10% glucose 150ml IV or 20% glucose 75ml IV
• glucagon 1mg IM (if no IV access)

Question 5

Management of hyperkalaemia

Answer 5

• 10% calcium gluconate 10 ml IV (over 5 min)

THEN

• 10% glucose 250ml IV & 10 units Actrapid Insulin (over 30 mins)

Question 6

Bradycardia management

Answer 6

Atropine 500 mcg IV (repeat every 3-5 mins to max 3mg)

Question 7

Supraventricular tachycardia management

Answer 7

adenosine 6mg IV (followed by 12 mg and then another 12 mg if not successful)

Question 8

VT management

Answer 8

amiodarone 300mg IV over 20-60 mins

Question 9

Rapid tranqualisation of agitated patient (who is at risk to self/others)

Answer 9

Lorazepam 1-2 mg PO/IM

or

Haloperidol 2-5mg PO/IM

Question 10

Where is Haloperidol contraindicated?

Answer 10

• Lewy body dementia
• Parkinson’s disease
• alcohol withdrawal