Emergency Medication Dosages and Protocols

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Questions and Answers

What is the maximum dosage frequency for administering Nebulized Salbutamol in a patient experiencing severe respiratory distress?

Every 10 minutes, max 5 doses

Every 15 minutes, max 2 doses

Every 20 minutes, max 3 doses (correct)

Every 30 minutes, max 4 doses

What is the recommended dosage for Methoxyflurane in patients who are aware and able to cooperate?

1ml

3ml (correct)

10ml

5ml

What is the maximum allowable dose for Paracetamol within a 24-hour period?

4g (correct)

What is the recommended initial dose of epinephrine for anaphylaxis when administered intramuscularly?

0.5mg Signup and view all the answers

In the event of cardiac arrest, how often should the dose of amiodarone be repeated after the 5th shock?

After 5 minutes Signup and view all the answers

What is the appropriate route of administration for Fentanyl when treating severe traumatic pain as a second-line agent?

Intravenous Signup and view all the answers

What is the maximum dose of atropine permitted for symptomatic bradycardia?

3mg Signup and view all the answers

Under what condition should Heparin not be administered?

Hypersensitivity to Heparin Signup and view all the answers

What should be added to the sodium chloride to achieve the correct concentration for post-ROSC administration of epinephrine?

9mls NaCl Signup and view all the answers

For local anesthesia during IV cannulation, what is the recommended dosage?

0.1ml Signup and view all the answers

In what situation is the use of Intramuscular (IM) administration of a medication at 1mg/kg indicated?

For severe traumatic pain as the first-line agent Signup and view all the answers

What is the required dose of glucose for hypoglycemia when not able to swallow?

10g Signup and view all the answers

What is the maximum single dose of IV medication when treating pain with the combination of 400mcg in 10ml NaCl?

400mcg Signup and view all the answers

Which medication is indicated for acute cardiac pulmonary edema with a systolic BP greater than 90 mmHg?

Glyceryl Trinitrate Signup and view all the answers

What is the max allowable dose of glucose gel for hypoglycemia?

15g Signup and view all the answers

Which route of administration is used for treating moderate to severe pain in an adult with the recommended dose of 180 mcg?

IN Signup and view all the answers

Study Notes

Anaphylaxis and Life-Threatening Asthma

Route: IM
Dose: 0.5 mg (0.5 ml at 1:1,000)
Repeat: Every 5 mins, no maximum dose.

Cardiac Arrest

Medication: Adrenaline
Route: IV/IO
Initial Dose: 1 mg (1 ml at 1:1,000)
Repeat: Every 3-5 mins (every second loop).

Post Return of Spontaneous Circulation (ROSC)

Medication: Adrenaline (50 mcg)
Route: IV
Dose Preparation: Add 9 ml NaCl to make 1 mg/10 ml.
Repeat: Every 3-5 mins to maintain systolic BP > 100 mmHg after 2 × 250 ml NaCl boluses.

Amiodarone for Cardiac Arrest

Indication: Persistent/shock-resistant VF/pulseless VT after 3rd shock.
Route: IV/IO
Initial Dose: 300 mg (6 ml).
Repeat: 150 mg after the 5th shock.

Aspirin

Indication: Chest pain/discomfort of presumed cardiac origin.
Route: PO
Dose: 300 mg (1 tablet).
Administration: Single dose.

Symptomatic Bradycardia

Medication: Atropine
Route: IV
Dose: 0.6 mg (0.5 ml as neat).
Repeat: Every 3-5 mins (max 3 mg).

Organophosphate Poisoning

Route: IV
Dose: 1-2 mg (10-20 ml), add 11 ml NaCl for dilution to make 1.2 mg/12 ml.
Repeat: Every 5 mins until Atropinisation.
Alternate Routes: IN (10 sprays max 10), PO/Topical (5 sprays max 5), IM (5-10 mg).

Moderate to Severe Pain Management

Adult (IN): 180 mcg (3 x 0.2 ml); repeat 60 mcg after 5 mins.
Small/Elderly/Frail (IN): 120 mcg (2 x 0.2 ml); repeat 60 mcg after 5 mins.

Glucagon

Indication: Hypoglycemia (3rd line agent if IV access not available).
Route: IM
Dose: 1 mg (1 ml).
Administration: Use Hypokit with 3 ml vanishing point; repeat once after 10 mins.

Glucose Administration

Glucose 10% (IV): Treats hypoglycemia; initial dose 15 g (150 ml).
Repeat: 5-10 mins, giving 10 g titrating to effect.
Glucose Gel: PO, 15 g single tube, repeat once after 10 mins.

Glyceryl Trinitrate

Indication: Acute cardiac pulmonary edema and autonomic dysreflexia.
Route: SL
Dose: 400 mcg (1 spray); repeat every 5 mins with no max.

Heparin

Indication: Confirmed STEMI for CATH lab transport.
Route: IV
Single Dose: 5000 IU (5 ml).

Opioid Pain Management

Nebulised Fentanyl: 500 mcg (2 ml); repeat every 20 mins (max 3 doses).
IV Fentanyl: 5-20 mg titrated to effect (1-2 ml), max repeat every 5 mins.
IM/Fentanyl: First line for severe trauma; 1 mg/kg (max 100 mg).

Sedatives/Behavioral Management

IM Dose: 4 mg/kg (max 400 mg); for severely disturbed behavior.
For Combative TBI: 2 mg/kg (max 200 mg).

Methoxyflurane

Indication: Pain management contraindicated in severe renal impairment.
Routes: IH (3 ml), IM (5 mg 1 ml), IV (2.5 mg 2.5 ml with NaCl).

Paracetamol

Indication: Mild to moderate pain.
Route: PO
Dosage: 500-1000 mg (1-2 tablets); max dose 4 g in 24 hrs.
Repeat: Every 4 hrs if needed.

Miscellaneous Route Options

Inhaled/Nebulised Dosage Forms: Varying according to condition and age; ensure spacing and repeat guidelines are adhered to.

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Description

Test your knowledge on emergency medication protocols, including dosages, routes, and contraindications for various life-threatening conditions. This quiz covers essential information for managing anaphylaxis, cardiac arrest, and post-ROSC scenarios. Ensure you're well-prepared for critical interventions!