ACP2 DTPs Flashcards
What are the indications for adrenaline?
- Anaphylaxis/severe allergic reaction
- Severe life-threatening bronchospasm/silent chest
- Cardiac arrest
- Croup (with stridor at rest)
What are the contraindications for adrenaline?
Nil
What is the IM dose of adrenaline for an adult with anaphylaxis?
500 microg, repeated at 5 minute intervals, no max dose.
What is the IM dose of adrenaline for an adult with severe life-threatening bronchospasm/silent chest?
500 microg, repeated at 5 minute intervals, no max dose.
What is the IM dose of adrenaline for an adult with anaphylaxis/severe allergic reaction/severe life-threatening bronchospasm/silent chest when there is a known pregnancy?
300 microg
What is the NEB dose for an adult with anaphylaxis/severe allergic reaction? What is the additional requirement before administering nebulised adrenaline?
5mg, single dose only. IM adrenaline must first be administered.
What is the IV dose of adrenaline for an adult in cardiac arrest?
1mg, repeated at 3 - 5 minutes, no max dose.
What is the IM dose of adrenaline for a child >6 with anaphylaxis/severe life-threatening bronchospasm/silent chest?
300 microg, repeated at 5 minute intervals, no max dose.
What is the IM dose of adrenaline for a child aged 1 - 6 with anaphylaxis/severe life-threatening bronchospasm/silent chest?
150 microg, repeated at 5 minute intervals, no max dose.
What is the IM dose of adrenaline for a child aged 6 months - 1 year with anaphylaxis/severe life-threatening bronchospasm/silent chest?
100 microg, repeated at 5 minute intervals, no max dose.
What is the IM dose of adrenaline for a child < 6 months with anaphylaxis/severe life-threatening bronchospasm/silent chest?
50 microg, repeated at 5 minute intervals, no max dose.
What is the NEB dose of adrenaline for a paed with anaphylaxis? What else is required for administration of nebulised adrenaline?
5mg, single dose only. IM adrenaline must also be administered.
What is the IV dose of adrenaline for a paed > 10kg (> 1 year) in cardiac arrest?
10microg/kg, repeated at 3 - 5 minute intervals, no max dose.
What is the IV dose of adrenaline for a paed < 10kg (< 1 year) in cardiac arrest?
100microg, repeated at 3 - 5 minute intervals, no max dose.
What is the NEB dose of adrenaline for a paed with croup and stridor at rest?
5mg, single dose only.
Is IM or IV adrenaline indicated for paeds with croup and stridor at rest?
No
What are the indications for aspirin?
- Suspected ACS
- Acute cardiogenic pulmonary oedema
What are the contraindications for aspirin?
- KSAR
- Chest pain associated with psychostimulant overdose
- Bleeding or clotting disorders
- Current GI bleeding OR peptic ulcers
- Patients < 18 years
What is the max daily dose of aspirin?
450mg
What is the dose of aspirin for suspected ACS / acute cardiogenic pulmonary oedema?
300mg tablet, chewed and swallowed with water.
What is the indication for ceftriaxone?
Suspected meningococcal septicaemia (with a non-blanching petechial AND/OR purpuric rash)
What are the contraindications for ceftriaxone?
- KSAR
- Known anaphylaxis/severe allergic reaction to penicillin based drugs
What is the IM dose of ceftriaxone for an adult, and how is it prepared?
1g. The powder is reconstituted with 3.6mL water for injection in a 10mL syringe to achieve a final concentration of 1g/4mL. Single dose only.
What is the IV dose of ceftriaxone for an adult, and how is it prepared?
1g, slow pushed over 3 - 5 minutes. The powder is reconstituted with 9.6mL water for injection in a 10mL syringe to achieve a final concentration of 1g/10mL. Single dose only.