Emergency Drug Doses

1. Adrenaline i.v. - cardiac arrest

0.3 mg

0.5 mg

1 mg

2 mg

3 mg

10 ml of 1:10,000

Explanation

10 ml of 1:10,000

2. Furosemide i.v. - pulmonary oedema

40-80 mg

10-20 mg

5-10 mg

25-50 mg

50-100 mg

30-60 mg

or 2.5 times the patient's normal dose

Explanation

or 2.5 times the patient's normal dose

3. Amiodarone i.v. - cardiac arrest

50 mg

75 mg

100 mg

200 mg

300 mg

400 mg

4. Morphine i.v. - pulmonary oedema or acute coronary syndrome

5-10 mg

2.5-5 mg

10-20 mg

7.5-15 mg

5. Chlorpheniramine i.v. - anaphylaxis

10 mg

4 mg

8 mg

15 mg

2 mg

6. Hydrocortisone i.v. - acute severe asthma and anaphylaxis

200 mg

100 mg

300 mg

400 mg

500 mg

7. Adrenaline i.m. - anaphylaxis

0.5 mg

0.1 mg

1.0 mg

5 mg

10 mg

0.5 ml diluted 1:1000

Explanation

0.5 ml diluted 1:1000

8. Salbutamol nebs - acute severe asthma

5 mg

2.5 mg

10 mg

20 mg

500 micrograms

1 mg

250 micrograms

9. Prednisolone p.o. - acute severe asthma

40 mg

60 mg

20 mg

100 mg

30 mg

10 mg

Give for at least 5 days

Explanation

Give for at least 5 days

10. Ipratropium nebs - acute severe asthma

500 micrograms

250 micrograms

1 mg

2.5 mg

2.5-5 mg

5 mg

Can be given every 6 hours

Explanation

Can be given every 6 hours

11. Procyclidine - acute dystonia

5-10 mg

2.5-5 mg

10-15 mg

1-3 mg

0.5-1 mg

12. Lorazepam i.v. - seizures

4 mg

5 mg

2 mg

1 mg

3 mg

13. Naloxone (i.v., i.m. or s.c.) - opioid overdose

40-400 micrograms

40-400 mg

20-200 micrograms

2-200 mg

Give 40 micrograms and repeat as needed up to 400 micrograms

Explanation

Give 40 micrograms and repeat as needed up to 400 micrograms

14. Flumazenil - benzo OD

200 micrograms

300 micrograms

400 micrograms

500 micrograms

15. Glycerol trinitrate (GTN) i.v. - pulmonary oedema

10-200 micrograms

100-200 micrograms

10-20 micorgrams

10-20 miligrams

20-500 micrograms

16. When to use high-flow O2 (15l non-rebreather mask)

Acute asthma

Cardiac arrest

Shock

Sepsis

Major trauma

MI

Anaphylaxis

Stroke

Major head injury

CO poisoning

Paracetamol poisoning

Sickle cell crisis

Pneumonia

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17. Treatment of hypoglycaemia

50 ml of 20% glucose i.v.

100 ml of 20% glucose i.v.

5 jelly babies

10 jelly babies

5 teaspoons of sugar

2 teaspoons of sugar

Hypostop buccally

75 ml coca cola

90 ml coca cola

55 ml lucozade

40 ml ribena

15 ml ribena

Glucagon 1 mg i.m.

Glucagon 5 mg i.m.

Initial treatment = 10-20 g glucose followed by complex carbohydrate snack
Glucagon is ineffective in malnutrition

Explanation

Initial treatment = 10-20 g glucose followed by complex carbohydrate snack
Glucagon is ineffective in malnutrition

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Emergency Drug Doses

1. Adrenaline i.v. - cardiac arrest

2.

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2. Furosemide i.v. - pulmonary oedema

3. Amiodarone i.v. - cardiac arrest

4. Morphine i.v. - pulmonary oedema or acute coronary syndrome

5. Chlorpheniramine i.v. - anaphylaxis

6. Hydrocortisone i.v. - acute severe asthma and anaphylaxis

7. Adrenaline i.m. - anaphylaxis

8. Salbutamol nebs - acute severe asthma

9. Prednisolone p.o. - acute severe asthma

10. Ipratropium nebs - acute severe asthma

11. Procyclidine - acute dystonia

12. Lorazepam i.v. - seizures

13. Naloxone (i.v., i.m. or s.c.) - opioid overdose

14. Flumazenil - benzo OD

15. Glycerol trinitrate (GTN) i.v. - pulmonary oedema

16. When to use high-flow O2 (15l non-rebreather mask)

17. Treatment of hypoglycaemia