Adult Dosages Flashcards

1
Q

Adrenaline

Adult Dosages

A

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

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2
Q

Aspirin

Adult Dosages

A

Aspirin

✓ Suspected ACS
✓ Acute cardiogenic pulmonary oedema

Adult) PO > 18 300 mg.

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3
Q

Ceftriaxone

Adult Dosages

A

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

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4
Q

Droperidol

Adult Dosages

A

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.

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5
Q

Fentanyl

Adult Dosages

A

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.

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6
Q

Glucagon

Adult Dosages

A

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.

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7
Q

Glucose gel

Adult Dosages

A

Glucose gel

✓ Symptomatic hypoglycaemia (with ability to self-administer oral glucose)

Adult) PO 15 g. 15mins (if BGL < 4.0). TMD 30g.

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8
Q

Glucose 10%

Adult Dosages

A

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.

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9
Q

Glyceryl trinitrate

Adult Dosages

A

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.

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10
Q

Hydrocortisone

Adult Dosages

A

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.

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11
Q

Ibuprofen

Adult Dosages

A

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.

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12
Q

Ipratropium bromide

Adult Dosages

A

Ipratropium bromide

✓ Moderate bronchospasm (unresponsive to initial QAS salbutamol NEB)
✓ Severe bronchospasm

Adult) NEB 500 microg. 20mins. TMD 1.5mg.

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13
Q

Loratadine

Adult Dosages

A

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.

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14
Q

Methoxyflurane

Adult Dosages

A

Methoxyflurane

✓ Pain

Adult) INH 3 mL. 20mins. TMD 6mL.

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15
Q

Midazolam

Adult Dosages

A

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

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16
Q

Morphine

Adult Dosages

A

Morphine

✓ Significant pain
✓ Autonomic dysreflexia (with a systolic BP > 160 mmHg)

Adult) IM > 70 – 2.5-5mg. 10mins. TMD 10mg.
IM < 70 – 2.5-10mg. 10mins (5mg). TMD 20mg.

Adult) IV > 70 – 2.5mg. 5mins. TMD 10mg.
Adult) IV < 70 – 2.5-5mg. 5mins. TMD 20mg.

17
Q

Naloxone

Adult Dosages

A

Naloxone

✓ Respiratory depression (secondary to the administration of narcotic drugs)

Adult) IM 1.6mg. SD.

18
Q

Ondansetron

Adult Dosages

A

Ondansetron

✓ Significant nausea AND/OR vomiting

Adult) PO/IM 4-8mg. TMD 8mg.
Adult) IV 4-8mg. Slow push 2-3mins. TMD 8mg.

19
Q

Oxytocin

Adult Dosages

A

Oxytocin

✓ Active management of the third stage of labour (following confirmed of delivery of all fetuses) AND the prevention of primary post-partum haemorrhage

Adult) IM 10 International Units. SD

✓ Management of uncontrolled primary or secondary post-partum haemorrhage

Adult) IV Loading dose – 10 International Units. Slow push over 2-5 minutes.
May be given in addition to a dose that may have been administered for: Active management of the third stage of labour/the prevention of primary PPH.

20
Q

Paracetamol

Adult Dosages

A

Paracetamol

✓ Mild to moderate pain
✓ Fever (causing distress)

Adult) PO 0.5-1g. 4hrs. TMD 4g in 24hrs.

Must not be administered within 4 hours of previous paracetamol administration.

21
Q

Salbutamol

Adult Dosages

A

Salbutamol

✓ Bronchospasm

Adult) MDI 12 (1.2mg) inhalations. 10mins. NMD.
Adult) NEB 5mg. PRN. NMD.

22
Q

Tranexamic acid

Adult Dosages

A

Tranexamic acid

✓ Recent traumatic injuries (3 hours or less) with a COAST score of 3 or greater
✓ Management of uncontrolled primary post-partum haemorrhage (3 hours or less)

Adult) IV 1g. Slow push over 10 minutes. SD
Adult) IV INF 1 g over 10 minutes. SD

Infusion preparation: Mix 1 g of tranexamic acid in a 100 mL bag of sodium chloride 0.9%. Ensure bag is appropriately labelled. Administer over 10 minutes (approx. 3 dops/second).