Resus Medications

Adrenaline (large) 1:10 000

arrest dose - full 10ml

push dose - 1ml of vial reconstituted to 10ml NaCl

Adrenaline (small) 1:1000

anaphylaxis - 0.5mg IM

nebuliser - 5mg (x5 vials)

low BP infusion - 6mg (6ml) into 100ml 5% glucose *yellow line

Adensosine

SVT - 6mg, 12mg, 18mg

Amiodarone

arrest dose - 300mg in 30ml 5% glucose

arrythmias (ie Rapid AF) infusion - 150mg in 100ml 5% glucose (loading dose) OR 900mg in 500ml 5% glucose *low sorb

Atropine

symptomatic brady

organophosphate OD

Calcium gluconate

hyper/hypokalaemia

Calcium chloride

x3 stronger than gluconate

calcium channel & beta blocker OD

Glucose 50%

hypoglycaemia

used for actrapid infusions

GTN

relaxes blood vessel walls → vasodilation

HTN

APO

Acute HF

MI

Isoprenaline

infusion for symptomatic brady - 2mg in 100ml 5% glucose *low sorb

Magnesium

relaxes smooth muscles

Asthma

COPD

Arrhythmias

Seizure prevention in eclampsia

Meteraminol

Hypotension

push dose - 0.5 to 1mg IV to increase BP

infusion (short term tx) - 30mg to 60ml NaCl or 5% glucose

Noradrenaline

Hypotension - 6mg to 100ml 5% glucose *yellow line

Sodium Bicarb

hyperkalaemia - 1 to 2mmol/kg

metabolic acidosis

trycyclic antidepressant OD

Rocuronium

paralytic

onset 45-60sec

duration 45min

Suxamethonium

paralytic

onset 30-60 secs

duration 3-5 mins

Vecuronium

paralytic

onset - 1.5-3mins

duration 45-60 mins

Ketamine

sedation

Propofol

sedation

*reduce dose in elderly or haemodynamic unstable patients

*causes hypotension

Thiopental sodium

sedation

470mg to 18.8ml NaCl

*not compatible with most drugs

Acetlcysteine (NAC)

paracetamol OD

Alteplase

stroke lysis, if within 4.5hr onset window

Aminophylline

asthma

Digoxin

arrhythmias - rapid AF, SVT

HF

Dobutamine

cardiogenic shock

4th pressor - 500mg to 100ml NaCl or 5% glucose

*yellow line

Dopamine

cardiogenic shock

also a pressor

*yellow line

Esmolol

aortic dissection

thyrotoxicosis

Fentanyl

analgesia

analgesia for intubated patients

Frusemide

fluid overload

Levetiracetam (keppra)

seizures

Midazolam

seizures

sedation

Morphine

analgesia

sedation

Naloxone

reversal agent for opioids

Metoprolol

arrhythmias - rapid AF

Droperidol

sedation

*max dose 20mg

nausea/vomiting - small dose

Flumazanil

benzo OD

Octreotide

variceal bleeding

Phenobarbital

seizures

Phenytoin

seizures

*filter needed

Physostigmine

anticholinergic delirium

Prothrombinex

bleeds for patients on warfrin or with factor deficiencies

Salbutamol

bronchodilator

nebulise - 5mg

bolus IV - 1ml to 10ml NaCl, administer 250mcg over 1 min

Infusion - 6mg in 100ml NaCl or 5% glucose

Sodium chloride 3% (hypertonic solution)

raised ICP

cerebral oedema post head injury

Mannitol

omotic diuretic

lower ICP

increase urine output

Sodium Nitroprusside

HTN emergencies

*wrap in alfoil

Vasopressin

hypotension

3rd pressor - 20 units in 10ml NaCl or 5% glucose

*yellow line

Verapamil

arrhythmias - rapid AF, SVT

5mg to 10ml NaCl or 5% glucose

Benzotropine

reverses distonic reactions caused by antipsychotic meds like droperidol

Caffine

CNS & respiratory stimulator

stimulate breathing in preterm babies experiencing apnea

severe post-lumbar puncture headaches

Intralipid

reverse complications of Biers block from lignocaine going to heart —> cardiac arrest

Human Cl Esterase Inhibitor

Angiodema

Lignocaine

biers block

arrhythmias

numbing

Methylene Blue

methemoglobinemia - blood disorder where oxygen cant be released properly

last resort when pressors not working

Neostigmine

neuromuscular reversal