CPG's Flashcards
How do you prepare CEFTRIAXONE?
For adults
Dilute Ceftriaxone 1g with 9.5mL of Water for injection and administer 1g IV over approximately 2 mins
How do you delivery Ceftriaxone if you are unable to obtain IV access?
For adults
Dilute Ceftriaxone 1g with 3.5mL 1% Lignocaine HCL and administer 1g IM into the upper lateral thigh or large muscle mass
What are the signs of Septicaemia with Meningococcal Septicaemia?
- Fever, rigour, joint & muscle pain
- Cold hands and feet
- Tachycardia, hypotension
- Tachypnoea
What are the Meningeal signs with Meningococcal Septicaemia?
- Headache, photophobia, neck stiffness
- Nausea & Vomiting
- Altered conscious state
How do you prepare CEFTRIAXONE?
For paeds
MICA Skill only
Dilute Ceftriaxone 1g with 9.5mL of Water for injection and administer 50mg/kg IV over approximately 2 mins
How do you delivery Ceftriaxone if you are unable to obtain IV access?
For adults
Dilute Ceftriaxone 1g with 3.5mL 1% Lignocaine HCL and administer 50mg/kg IM into the upper lateral thigh or large muscle mass
What is the max dose of Ceftriaxone you can administer to a paed for Meningococcal Septicaemia?
1000mg
What is the presentation of Ceftriaxone?
1g sterile powder in glass vial
What are the primary indications for Ceftriaxone?
- Suspected meningococcal septicaemia
2. Sever sepsis (consult nly)
What are the contraindications for Ceftriaxone?
Allery to Cephalosporin antibiotics
What are the precautions for Ceftriaxone?
Allergy to penicillin
What are the side effects of ceftriaxone?
Nausea
Vomiting
Skin Rash
According to AV CPG, Sepsis criteria includes presence of an infenction and 2 or more of what:
Temp >38 or <36
HR >90
RR >20
BP <90
According to AV CPG’s, what do you do if Sepsis is suspected?
Call MICA
Normal Saline 20mL/kg IV over 30 minutes
What do you consider with sepsis if there are prolonged transport itmes (over 1 hour)
consider ceftriaxone 1g IV (consult)
What is the presentation of Lignocaine 1%?
50mg in 5mL amp
What is the pharmacology of lignocaine?
a local anaesthetic
- prevents nerve impulses
what re the primary indications of lignocaine?
1 - dilutent for ceftriaxone for IM administration in suspected meningococcal
2 - chest wall infiltration as a local anaesthetic to facilitate chest decompression in patients with GCS >10
what are the contraindications of lignocaine?
known hypersensitivity
WHat is the treatment for a headache (or any severity)?
Paracetemol 100mg oral
or 500mg if old/frail/liver disease
With or without
Prochlorperazine 12.5mg
How do you treat a headache is after 15mins of paracetemola nd stemitil treatment headache remians as sever amnd hospital is still 15 mins away.
Treat as sever headache:
IV or IN Fentanyl
What is the aim of IV or IN fent in treating sever headaches?
to reduce pain to below 7
