Adult Dosages Flashcards
Adrenaline
Adult Dosages
Adrenaline
✓ Cardiac arrest
Adult) IV 1 mg. 3-5min. NMD.
✓ Anaphylaxis OR severe allergic reaction
Adult) IM 500 microg (300 preg). 5min. NMD.
Adult) NEB 5 mg. SD (refract. to 3x IM).
✓ Severe life-threatening bronchospasm OR silent chest
Adult) IM 500 microg (300 preg). 5min. NMD.
✓ Croup
Aspirin
Adult Dosages
Aspirin
✓ Suspected ACS
✓ Acute cardiogenic pulmonary oedema
Adult) PO > 18 300 mg.
Ceftriaxone
Adult Dosages
Ceftriaxone
✓ Suspected meningococcal septicaemia
IV > IM
Adult) IM 2g (2x inj). SD. Reconstitute 2x 1g vials with 2.4mL water or lidocaine 1% in 3mL syringe. 1g/3mL.
Adult) IV 2g over 5min. SD. Reconstitute 2g with 18.8mL water in 20mL syringe. 2g/20mL
Droperidol
Adult Dosages
Droperidol
✓ Acute behavioural disturbances (SAT > 2)
QAS Consult >65 OR 13-15yrs
Adult) IM/IV > 65 5 mg. 15mins. TMD 10mg.
Adult) IM/IV 16-<65 10 mg. 15mins. TMD 20mg.
Fentanyl
Adult Dosages
Fentanyl
✓ Significant pain
✓ Autonomic dysreflexia (SBP > 160mmHg)
NAS > 70 – 25-50 microg. 10mins. TMD 100mcg.
NAS < 70 – 50-100 microg. 10mins. TMD 200mcg.
IM > 70 – 25-50 microg. 10mins. TMD 100mcg.
IM < 70 – 25-100 microg. 10mins (50mcg). TMD 200mcg.
IV > 70 – 25 microg. 5mins. TMD 100mcg.
IV < 70 – 25-50 microg. 5mins. TMD 200mcg.
Glucagon
Adult Dosages
Glucagon
✓ Symptomatic hypoglycaemia (inability to self-administer oral glucose)
Adult) IM 1 mg. Reconstitute with 1mL water in 3mL syringe.
✓ Refractory anaphylaxis (unresponsive to 3x IM adrenaline and adequate fluid resuscitation)
IV > IM
Adult) IM/IV 1 mg. Reconstitute with 1mL water in 3mL syringe.
Glucose gel
Adult Dosages
Glucose gel
✓ Symptomatic hypoglycaemia (with ability to self-administer oral glucose)
Adult) PO 15 g. 15mins (if BGL < 4.0). TMD 30g.
Glucose 10%
Adult Dosages
Glucose 10%
✓ Symptomatic hypoglycaemia (with the inability to self-administer oral glucose)
Adult) IV INF 15 g (150 mL). Repeated at 100 mL (10 g) boluses every 5mins until BGL > 4.0 mmol/L.
Glyceryl trinitrate
Adult Dosages
Glyceryl trinitrate
✓ Suspected ACS (with pain)
✓ Acute cardiogenic pulmonary oedema
✓ Autonomic dysreflexia (with a systolic BP > 160 mmHg)
✓ Irukandji syndrome (with a systolic BP > 160 mmHg)
Adult) SUBLING 400 microg. 5mins. NMD.
Hydrocortisone
Adult Dosages
Hydrocortisone
✓ Asthma (excluding mild)
✓ Acute exacerbation of COPD (with evidence of respiratory distress)
✓ Suspected, or at risk of, an acute adrenal insufficiency (adrenal crisis)
Adult) IM 100 mg. SD.
Adult) IV 100 mg. SD. Slow push over 1 minute.
✓ Refractory anaphylaxis with persistent wheeze (and unresponsive to 3 x IM adrenaline (epinephrine))
Adult) IM 200 mg. SD.
Adult) IV 200 mg. SD. Slow push over 1 minute.
Ibuprofen
Adult Dosages
Ibuprofen
✓ Moderate pain due to acute inflammation and tissue injury
Adult) PO 200-400 mg.
Must not be administered within 6 hours of previous ibuprofen administration.
Ipratropium bromide
Adult Dosages
Ipratropium bromide
✓ Moderate bronchospasm (unresponsive to initial QAS salbutamol NEB)
✓ Severe bronchospasm
Adult) NEB 500 microg. 20mins. TMD 1.5mg.
Loratadine
Adult Dosages
Loratadine
✓ Symptomatic urticaria (without evidence of anaphylaxis)
Adult) PO 10 mg. SD.
Not to be administered within 24 hours of previous antihistamine administration unless approval gained from QAS Clinical Consultation and Advice Line.
Methoxyflurane
Adult Dosages
Methoxyflurane
✓ Pain
Adult) INH 3 mL. 20mins. TMD 6mL.
Midazolam
Adult Dosages
Midazolam
✓ Generalised seizures/focal seizure (GCS < 12)
Adult) NAS/IM 5 mg. 10mins. TMD 20mg.
Adult) IV 5mg. 5mins. TMD 20mg.
✓ Acute behavioural disturbance (with a SAT score > 2) unresponsive to droperidol (max dose) administration
Adult) IM/IV *** call QAS Consultation