CPG's

Question 1

How do you prepare CEFTRIAXONE?

For adults

Answer 1

Dilute Ceftriaxone 1g with 9.5mL of Water for injection and administer 1g IV over approximately 2 mins

Question 2

How do you delivery Ceftriaxone if you are unable to obtain IV access?
For adults

Answer 2

Dilute Ceftriaxone 1g with 3.5mL 1% Lignocaine HCL and administer 1g IM into the upper lateral thigh or large muscle mass

Question 3

What are the signs of Septicaemia with Meningococcal Septicaemia?

Answer 3

• Fever, rigour, joint & muscle pain
• Cold hands and feet
• Tachycardia, hypotension
• Tachypnoea

Question 4

What are the Meningeal signs with Meningococcal Septicaemia?

Answer 4

• Headache, photophobia, neck stiffness
• Nausea & Vomiting
• Altered conscious state

Question 5

How do you prepare CEFTRIAXONE?
For paeds
MICA Skill only

Answer 5

Dilute Ceftriaxone 1g with 9.5mL of Water for injection and administer 50mg/kg IV over approximately 2 mins

Question 6

How do you delivery Ceftriaxone if you are unable to obtain IV access?
For adults

Answer 6

Dilute Ceftriaxone 1g with 3.5mL 1% Lignocaine HCL and administer 50mg/kg IM into the upper lateral thigh or large muscle mass

Question 7

What is the max dose of Ceftriaxone you can administer to a paed for Meningococcal Septicaemia?

Answer 7

1000mg

Question 8

What is the presentation of Ceftriaxone?

Answer 8

1g sterile powder in glass vial

Question 9

What are the primary indications for Ceftriaxone?

Answer 9

1. Suspected meningococcal septicaemia

2. Sever sepsis (consult nly)

Question 10

What are the contraindications for Ceftriaxone?

Answer 10

Allery to Cephalosporin antibiotics

Question 11

What are the precautions for Ceftriaxone?

Answer 11

Allergy to penicillin

Question 12

What are the side effects of ceftriaxone?

Answer 12

Nausea
Vomiting
Skin Rash

Question 13

According to AV CPG, Sepsis criteria includes presence of an infenction and 2 or more of what:

Answer 13

Temp >38 or <36
HR >90
RR >20
BP <90

Question 14

According to AV CPG’s, what do you do if Sepsis is suspected?

Answer 14

Call MICA

Normal Saline 20mL/kg IV over 30 minutes

Question 15

What do you consider with sepsis if there are prolonged transport itmes (over 1 hour)

Answer 15

consider ceftriaxone 1g IV (consult)

Question 16

What is the presentation of Lignocaine 1%?

Answer 16

50mg in 5mL amp

Question 17

What is the pharmacology of lignocaine?

Answer 17

a local anaesthetic

• prevents nerve impulses

Question 18

what re the primary indications of lignocaine?

Answer 18

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

Question 19

what are the contraindications of lignocaine?

Answer 19

known hypersensitivity

Question 20

WHat is the treatment for a headache (or any severity)?

Answer 20

Paracetemol 100mg oral
or 500mg if old/frail/liver disease

With or without

Prochlorperazine 12.5mg

Question 21

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.

Answer 21

Treat as sever headache:

IV or IN Fentanyl

Question 22

What is the aim of IV or IN fent in treating sever headaches?

Answer 22

to reduce pain to below 7