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3/4: YX - Emergency Drugs List > Emergency Drug List > Flashcards

Emergency Drug List Flashcards

1
Q

What are the emergency indications for epinephrine (adrenaline)?

A
  • Cardio-pulmonary Resuscitation
  • Acute anaphylaxis and laryngeal oedema
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2
Q

What dose of epinephrine should be used in the CPR of an adult?

A

1mg every 3-5 minutes as required

(10mL of a 100μg/mL solution is recommended)

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3
Q

How is epinephrine administered when used for CPR?

A

IV injection

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4
Q

What is the route of administration of epinephrine used to treat acute anaphylaxis and laryngeal oedema?

A

IM injection

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5
Q

What dose of epinephrine should be used to treat an adult with acute anaphylaxis?

A

500μg repeated at 5 min intervals according to blood pressure, HR and respiratory function

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6
Q

Where should epinephrine be injected?

A

The anterolateral aspect of the middle third of the thigh

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7
Q

What are the emergency indications for hydrocortisone?

A
  • Laryngeal oedema in anaphylaxis (as an adjunct to epinephrine)
  • Severe and life-threatening acute asthma
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8
Q

What is the route of emergency hydrocortisone administration?

A

IV injection

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9
Q

What is the dose of hydrocortisone used in adjunctive therapy for anaphylaxis in adults?

A

100-300mg

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10
Q

What is the dose of hydrocortisone given in acute severe/life threatening asthma in adults?

A

100mg every 6 hours until conversion to oral prednisolone is possible

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11
Q

As what formulation should IV hydrocortisone be given?

A

Hydrocortisone sodium succinate

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12
Q

What is the emergency indication for Chlorphenamine?

A

Anaphylaxis (used with adrenaline and hydrocortisone)

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13
Q

What is the route of administration of emergency Chlorphenamine?

A

IV injection (or IM)

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14
Q

What dose of IV Chlorphenamine should be given to an adult with anaphylaxis?

A

10mg repeated if necessary

(No more than 4 times/day)

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15
Q

What are the emergency indications for atropine?

A
  • Bradycardia due to β-blocker OD
  • Intra-operative bradycardia
  • Bradycardia due to MI
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16
Q

How should emergency atropine be administered?

A

IV injection

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17
Q

What dose of atropine is used in β-blocker OD in adults?

A

3mg

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18
Q

What dose of atropine is given for intra-operative bradycardia?

A

300-600 μg (larger if an emergency)

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19
Q

What dose of atropine should be use post-MI?

(this I’m pretty sure is the use they’re most concerned with us knowing)

A

500 μg every 3-5 minutes up to 3mg

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20
Q

What are the emergency indications for aspirin?

A
  • NSTEMI
  • STEMI
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21
Q

What is the route of administration of emergency aspirin?

A

Oral - chewed or dissolved in water

22
Q

What is the dose of emergency aspirin?

A

300mg

23
Q

What is the emergency indication for Clopidogrel?

A

ACS

24
Q

What is the emergency dose of Clopidogrel?

A

300mg

25
Q

What is the route of administration of Clopidogrel?

A

Oral

26
Q

What are the emergency indications for Calcium Gluconate?

A
  • Acute severe hyperkalaemia (>6.5mmol/L plasma or ECG changes)
  • Acute severe hypocalcaemia
27
Q

What is the route of administration of Calcium Gluconate?

A

Slow IV injection

28
Q

What is the dose of Calcium Gluconate for hypocalcaemia?

A

Pretty complex, wouldn’t bother learning tbh but it’s essentially 10-20mL but with lots of if’s and but’s and changes to make

29
Q

What is the dose of Cacium Gluconate in hyperkalaemia?

A

10-20mL of 10% Calcium Gluconate

The dose should be titrated as ECG improves

30
Q

What are the emergency indications for Diazepam?

A
  • Severe anxiety/panic attacks
  • Status epilepticus
31
Q

What are the routes of administration of emergency Diazepam?

A
  • IM injection/slow IV (anxiety and panic attacks)
  • IV injection/PR (status epilepticus)
32
Q

What is the dose of Diazepam used in severe anxiety/panic attacks?

A

10mg with another 10mg after 4 hours if required

33
Q

How should IV Diazepam be administered in severe anxiety/panic attacks?

A

Into a large vein at no more than 5mg/minute

34
Q

What dose of Diazepam should be given IV in status epilepticus?

A

10mg then 10mg after 10 minutes if required

Give at a rate of 5mg/min

35
Q

What is the dose of PR Diazepam used in status epilepticus?

A

10-20mg and repeated after 10-15 mins if required

36
Q

What is the emergency indication for Lorazepam?

A

Status epilepticus

37
Q

What is the route of administration of Lorazepam in status epilepticus?

A

Slow IV injection

38
Q

What is the dose of Lorazepam in status epilepticus?

A

4mg then 4mg after 10 minutes if required (maximum of 2 doses)

39
Q

What is the emergency indication of nebuliser salbutamol?

A

Acute moderate/severe/life threatening asthma

40
Q

What is the dose of nebuliser salbutamol used in adults with acute asthma exacerbation?

A

5mg given via O₂ driven nebuliser repeated every 20-30 mins or as required

41
Q

What is the main emergency indication (other than acute pain) of morphine?

A

MI

42
Q

What is the route of administration of morphine in MI?

A

Slow IV injection (1-2mg/minute)

43
Q

What is the dose of morphine used in MI?

A

5-10mg followed by another dose if required

44
Q

What are the emergency indications for Naloxone?

A
  • Medical opioid overdose
  • Non-medical opioid overdose
45
Q

How is Naloxone administered for medical opioid overdose?

A

IV injection or IV infusion

46
Q

What is the dosage of IV injection Naloxone?

A

400 μg then 800 μg for up to 2 doses at 1 minute intervals and a then 2mg dose (only use another dose if no response to previous dose) before reviewing diagnosis

47
Q

How is Naloxone administered for non-medical opioid overdosage?

A

IM

48
Q

What is the dose of Naloxone in non-medical opioid overdosage?

A

400 μg every 2-3 minutes and continue until breathing normally or contents of syringe is used up

49
Q

How should emergency fluids be prescribed?

A

500ml of 0.9% saline over 15 minutes up to a maximum of 2L before getting senior review

50
Q

How should dosage of IV fluids be adjusted in at risk populations?

A

Give 250ml bolus instead of 500ml

51
Q

What other drugs should you know about for emergency scenarios?

A
  • Insulin/dextrose infusions
  • All hypoglycaemia treatments
52
Q
A

3/4: YX - Emergency Drugs List (1 decks)

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