Common doses Flashcards
Nausea (non-cardiac)
Cyclizine 50mg 8-hourly (but causes fluid retention)
Nausea (cardiac)
Metoclopramide 10mg 8-hourly IM/IV (as cyclizine can cause fluid retention)
Blood clot prophylaxis
Low molecular weight heparin in hospital (not if bleeding risk, including recent ischaemic stroke). E.g. dalteparin 5000 units daily s/c)
Pain relief - no pain PRN
Paracetamol 1g up to 6 hourly oral
Regular pain relief - mild pain
Paracetamol 1g 6 hourly oral
PRN pain relief - mild pain
Codeine 30mg up to 6 hourly oral
Regular pain relief - severe pain
Co-codamol 30/500, 2 tablets, 6-hourly oral
PRN pain relief - severe
Morphine sulphate 10mg up to 6 hourly oral.
Oramorph normally used, usually 10mg/5ml
Ibuprofen
400mg 8 hourly
Amitriptyline (neuropathic pain)
10mg oral nightly
Pregabalin
75mg oral 12-hourly
Duloxetine (indication and dose?)
Painful diabetic neuropathy. 60mg oral nightly
Insulin is always s/c except…
sliding scales using short acting insulin (e.g. Actrapid or Novorapid) given by IV infusion
Gentamicin for severe infection
5-7mg OD IV
May be divided daily dosing in renal failure or endocarditis - 1mg/kg 12-hourly or 8 hourly
How does gentamicin monitoring work?
A nomogram is used and the treatment interval time is adjusted based on plasma concentration
What to do if INR is high but under 6?
Reduce warfarin
What to do if INR is 6-8
Omit warfarin for 2 days then lower dose
What to do if INR is more than 8
Omit warfarin and give 1-5mg oral vitamin K
What is a common treatment for neutropenic sepsis?
Piperacillin with tazobactam AND gentamicin
Morphine modified release and breakthrough
15mg modified-release morphine tablets twice a day with 5mg of oral morphine solution as required
What is the maximum daily dose of paracetamol?
4g
