Adult Drug Dosages

Question 1

ACPO

Answer 1

GTN 300 microg every 5 mins prn
- SBP > 100
- Adequate conscious state
- No PDE 5

Question 2

Chest pain/acute coronary syndrome

Answer 2

• Aspirin 300 mg
• SL GTN 300 mg repeat 5 mins prn
  • Adequate BP
  • Rate/rhythm appropriate
  • no PDE5

Question 3

Primary PPH

Answer 3

IV tranexamic acid 1 g

If reduced M 250 mL aliquots up to 20 mL/kg saline

Question 4

Secondary PPH

Answer 4

Consult ECP

Question 5

Mild or moderate allergy

Answer 5

Oral fexofenadine 180 mg (>12 yo)

Question 6

Anaphylaxis

Answer 6

IM Adrenaline
- 10 microg/kg (single max 500 microg)

Neb Adrenaline
- 5 mg/5 mL

Saline
- 10-20 mL/kg max 250 mL

Prednisolone
- 50 mg oral

Question 7

Fluid resuscitation (medical)

Answer 7

IV Saline
- 250 mL aliquots up to 20 mL/kg

Question 8

Hypoglycaemia

Answer 8

Oral carbs

Oral glucose
- 15 g

IM glucagon
- 1 mg/iu

IV glucose
- titrated against gcs and bgl

Question 9

Nausea and vomiting

Answer 9

Ondansetron
- ODT/IV/IM 4 mg (max 8 mg)

IV Droperidol
- 250-500 microg
Dilute 10 mg/2 mL in 100 mL bag, draw off 2.5 - 5 mL

Question 10

Sepsis

Answer 10

IV saline
-250 mL aliquots up to 20 mL/kg

Question 11

TBI/Hypoxic BI

Answer 11

IV Saline
- 250 mL aliquots up to 20 mL/kg
- Aim for MAP 90/SBP 110

Question 12

Challenging behaviours

Answer 12

Oral Lorazepam
- 1-2 mg

IM droperidol
- 5-10 mg (5 usually adequate)

Question 13

Seizure

Answer 13

IM Midazolam
- 0.1 mg/kg max single dose 10 mg, treat once PRN @ 5 mins total max dose 20 mg

Question 14

Pain mild-moderate

Answer 14

Paracetamol
- Oral 1000 mg
- IV 1000 mg over 10 mins

Oral Ibuprofen
- 400 mg

IV/IM Ketorolac
- 10 mg

Methoxyflurane
- 3 mL

Question 15

Pain Moderate-Severe

Answer 15

If sedation score < 2

IV Fentanyl
- up to 50 microg, total max 300 microg in 1st hour and 100 microg over 3 hours

IN Fentanyl
- up to 200 microg (max 400 microg)

IV Morphine
- 2.5 mg - 5 mg, total max dose 30 mg

Question 16

Mild asthma

Answer 16

MDI Salbutamol
- 1200 microg (12 puffs) prn

Question 17

Moderate asthma

Answer 17

MDI Salbutamol
- 1200 microg (12 puffs), max 3 doses

MDI Ipratroprium
- 168 microg (8 puffs)

Nebuliser
- 5 mg salbutamol
- 500 microg ipratoprium

Oral prednisolone
- 50 mg

Question 18

Severe asthma

Answer 18

Nebuliser
- Salbutamol 15 mg prn
- Ipratroprium 500 microg every 20 mins, max 3 doses

Oral prednisolone
- 50 mg

Question 19

Life threatening asthma

Answer 19

Nebulised salbutamol
- continuous

Nebulised ipratroprium
- 500 microg every 20 mins max 3 doses

Consider:
IM Adrenaline - 500 microg
IV saline - 250 mL aliquots max 20 mL/kg

Question 20

COPD

Answer 20

Salbutamol MDI
- 12 puffs

Ipratroprium
- 8 puffs

Neb salbutamol
- 5 mg

Neb ipratroprium
- 500 microg

Oral prednisolone
- 50 mg

Question 21

Narcotic OD

Answer 21

IV naloxone
- 50-100 microg

IM naloxone
- 400 microg

IN naloxone
- 120 microg

Question 22

Burns

Answer 22

IV Saline
- 10 mL/kg aliquots (max 250 mL) up to 20 mL/kg

Question 23

Crush

Answer 23

IV Saline
- 250 mL aliquots up to 20 mL/kg

Neb salbutamol
- ECP consult if signs of hyperkalemia

Question 24

Severe haemorrhage

Answer 24

IV Saline
- 10 mL/kg aliquots (max 250 mL) up to 20 mL/kg

IV TXA
- 1 g
- slow push 2-3 mins, if > 16, < 3 hours from injury, hr > 120 and/or SBP <90

Question 25

Spinal injury with signs of neurogenic shock

Answer 25

IV Saline
- 250 mL aliquots to 20 mL/kg
- target MAP 80/SBP 100

Question 26

Meningococcal

Answer 26

IV/IM Benzylpenicillin
- 2.4 g (made up as 1.2 g in 3.2 mL water)