Dosage (Adult) Flashcards
Adrenaline
Cardiac arrest: 1 mg IV, repeated at 3-5 minute intervals, no maximum dose
Anaphylaxis/SAR: 500 microg IM, repeated at 5 minute intervals, no maximum dose; 5 mg NEB, single dose only
Severe life-threatening bronchospasm/silent chest: 500 microg IM, repeated at 5 minute intervals, no max dose
Amiodarone
300 mg IV, slow pushover 1-2 minutes, repeated once at 150 mg if refractory to 5 DCCS
Total maximum dose - 450 mg
Aspirin
> /= 18 years - 300 mg PO chewed and swallowed, followed by a small sip of water (if possible)
Box jellyfish antivenom
If associated with current cardiac arrest: 20000 units combined with sodium chloride 0.9% to a volume of 20 mL, slow push over 2-5 minutes, repeated immediately up to 2 times, total maximum dose 60000 units
If associated with:
- Decreased level of consciousness
- Cardiac AND/OR respiratory distress or collapse
- Total surface area affected greater than half the surface area of one limb
- Intractable pain unrelieved by icepacks, methoxyflurane AND/OR narcotic analgesia
IM: 60000 units, single dose only
IV INF: 20000 units via SPRINGFUSOR combined with sodium chloride 0.9% to a volume of 20 mL, infusion over 20 minutes, single dose only
Ceftriaxone
IM: 2 gm (2 × 1 gm IM injections), single dose only
Syringe preparation: Reconstitute two separate vials each containing 1 gm of ceftriaxone with 2.4 mL of water for injection or lidocaine 1% in a 3 mL syringe to achieve a final concentration of 1 gm/3 mL
IV: 2 gm, slow push over 5 minutes, single dose only
Syringe preparation: Reconstitute 2 gm of ceftriaxone with 18.8 mL of water for injection in a 20 mL syringe to achieve a final concentration of 2 gm/20 mL. Ensure syringe is appropriately labelled.
Clopidogrel
Patients >/=18 years with STEMI where the receiving interventional cardiologist is requesting clopidogrel administration - 600 mg PO
Patients >/=18 years with STEMI who have received tenecteplase - 300 mg PO
Dexamethasone
Not given to adults
Droperidol
QAS Clinical Consultation and Advice Line consultation and approval required in all patients >/=65 OR 13-15 years
IV or IM
>/=65 years - 5 mg, may be repeated once at 15 minutes, total maximum dose 10 mg
16-<65 years - 10 mg, may be repeated once at 15 minutes, total maximum dose 20 mg
13-15 years - 0.1-0.2 mg/kg, single maximum dose 10 mg, may be repeated once at 15 minutes, total maximum dose 20 mg
Enoxaparin
Patients with STEMI who have received QAS tenecteplase
Loading dose - 30 mg IV to be administered 15 minutes prior to SUBCUT maintenance dose
Maintenance dose - 1 mg/kg, single dose only, not to exceed 100 mg, to be administered 15 minutes after IV loading dose
Fentanyl
NAS, IV, IM
>70 years/cachectic or frail - 25-50 microg, repeat at up to 50 microg every 10 minutes, total maximum dose 100 microg
<70 years - 25-100 microg, repeat at up to 50 microg every 10 minutes, total maximum dose 200 microg
Glucagon
For all indicated presentations and routes - 1 mg, single dose only
Syringe preparation - Reconstitute 1 mg of glucagon with 1 mL of water for injection in a 3 mL syringe to achieve a final concentration of 1 mg/1 mL
Glucose gel
15 gm PO, repeated once at 15 minutes if BGL </=4.0 mmol/L, total maximum dose 30 gm
Glucose 10%
15 gm (150 mL), repeated at 10 gm (100 mL) boluses every 5 minutes until BGL >4.0 mmol/L
Glyceryl trinitrate
For all indicated presentations - 400 microg (one spray) sublingual, repeated at 5 minute intervals, no maximum dose
Heparin
5000 units IV OR dose requested by the receiving interventional cardiologist
Single dose only
Hydrocortisone
Asthma, COPD exacerbation, adrenal crisis - 100 mg IM or IV, single dose only
Refractory anaphylaxis - 200 mg IM or IV, single dose only
Hydroxocobalamin
5 gm over 15 minutes
Ibuprofen
200-400 mg, must not be administered within 6 hours of previous ibuprofen administration
Influenza vaccine
Inject pre-filled syringe slowly over a count of 5 seconds into the deltoid, single dose only
Ipratropium bromide
500 microg repeated at 20 minute intervals, total max dose 1.5 mg
Loratadine
10 mg, single dose only, not to be administered within 24 hours of previous antihistamine administration without approval from consult line
Magnesium sulphate
For box jellyfish envenomation and Irukandji syndrome only
10 mmol over 20 minutes, repeated once at 20 minutes, total maximum dose 20 mmol
Administer via SPRINGFUSOR 30 mL
Methoxyflurane
3 mL, repeated once after 20 minutes, total max dose 6 mL, total max weekly dose 15 mL
Midazolam
5 mg, total max dose 20 mg
Repeated every 10 minutes for NAS/IM or every 5 for IV
Morphine
> 70 years/cachectic or frail - 2.5-5 mg IM or 2.5 only IV, repeated at up to 5 mg every 10 minutes, total max dose 10 mg
<70 years - 2.5-10 mg IM or 2.5-5 mg only IV, repeated at up to 5 mg every 5 minutes, total max dose 20 mg
Naloxone
1.6 mg (4 ampoules) single dose only but split between two syringes to administer, one in each thigh
Ondansetron
4-8 mg, total max dose 8 mg, must not be given within 8 hours of previous ondansetron administration
Oxytocin
10 international units (1 ampoule) single dose only
Oxygen
Titrate as needed
Paracetamol
0.5-1 gram repeated every 4 hours, total max dose 4 grams in 24 hours
Salbutamol
12 (1.2 mg) Metered Dose Inhaler inhalations, repeat at 10 minutes, no max dose
5 mg nebulised, repeated PRN, no max dose
Sodium chloride 0.9%
Significant burns - mL/hr to be infused = 15 mL/hr x TBSA (nearest 10%), if >100 kg administer an additional 200 mL/hr
All other uses - titrate to presentation and response, use caution in TBI to avoid increasing intercranial pressure (titrate systolic BP to 100-120) and in fluid replacement for major haemorrhage (titrate to achieve radial pulse)
Sucrose 24%
Not given to adults
Tenecteplase
Dosage calculated by weight, refer to DTP for increments and solution volume
Ticagrelor
180 mg
Tranexamic acid
1 gram, single dose only
Water for injection
As authorised on individual DTP’s
