Dosages

Question 1

Morphine IM dosages adult

Answer 1

> 70 2.5-5 mg
repeated at up to 5 mg every 10 mins
Total MAX dose 10 mg

<70 2.5-10 mg
repeated at up to 5 mg every 10 mins
Total MAX dose 20 mg

Question 2

Morphine IV dosages adult

Answer 2

> 70 2.5 mg
repeat at up to 2.5 mg every 5mins
Total MAX dose 10 mg

<70 2.5-5 mg
repeat at up to 5 mg every 5 mins
Total MAX dose 20 mg

Question 3

Morphine IM dosages paediatric

Answer 3

> 1 100-200 mcg/kg
single max dose 5 mg
total max dose 200 mcg kg

<1 Consult with QAS on-call medical officer

Question 4

Morphine IV dosages paediatric

Answer 4

> 1 100 mcg/kg
single MAX dose 2.5 mg
repeated at 50 mcg/kg (max 2.5 mg) at 5 min intervals
total MAX dose 200 mcg/kg

<1 approval from QAS consult doc

Question 5

Aspirin dosages

Answer 5

> 18 300 mg

chewed and swallowed by small sip water where possible

Question 6

Adrenalin adult dosages

Answer 6

IM 300 mcg repeated at 5 min intervals NO MAX DOSE
NEB 5 mg SINGLE DOSE ONLY

Cardiac Arrest
IV 1 mg repeat at 3-5 min NO MAX dose

Question 7

Adrenalin paed dosages

Answer 7

IM >6 300 mcg repeat 5 min intervals no max dose
10 kg 10 mcg/kg repeat 3-5 min intervals no max dose
IV <10kg 100 mcg repeated at 3-5 min intervals

Croup Neb 5mg single dose

Question 8

Fentanyl adult dosages IM

Answer 8

IM >70 25-50mcg
repeat at up to 50 mcg every 10 min
Total MAX dose 100 mcg

<70 25-100 mcg
repeated at up to 50 mcg every 10 min
Total max dose 200 mcg

Question 9

Fentanyld adult dosages IV

Answer 9

> 70 25mcg repeated at 25mcg every 5min
total max dose 100 mcg
<70 25mcg repeated at 25mcg every 5 min
total max dose 200 mcg

Question 10

Fentanyl paed dosages

Answer 10

NAS
>1 1.5 mcg/kg
repeated ONCE 1 mcg/kg at 10 min
Total max dose 100 mcg

<1 Consult only QAS doc approval

Question 11

Glucose 10% adult dose

Answer 11

150 mL repeated at 100 mL boluses every 5min until BGL >4.0 mmol

Question 12

Glucose 10% paed dose

Answer 12

2.5 mL/kg repeated at 1 mL/kg boluses every 5min until BGL >4.0 mmol

Question 13

GTN

Answer 13

400 mcg repeated at 5 min intervals, NO MAX dose

Question 14

GTN paed

Answer 14

Autonomic Dysreflexia and Irukandji syndrome (systolic BP >160 mm/Hg

QAS medical consult only

Question 15

Glucose Gel adult/paed (>2yo)

Answer 15

15g repeated once at 15mins if BGL <4.0mmol

Total Max Dose 30g

Question 16

Ipratropium bromide

Answer 16

Adult
500mcg Single Dose Only

Paed
>2yo 250mcg Single Dose Only

Question 17

Methoxyflurane

Answer 17

3mL repeated once after 20min total max dose 6mL

Paed (>1yo)
3mL single dose only

Question 18

Metoclopromide

Answer 18

Adult only drug >16yo
10-20 mg IM and IV
IV slow push over 1-2 minutes

Question 19

Midazolam adults

Answer 19

> 50 2.5 mg repeated every 10min NO MAX
<50 5 mg repated every 10min NO MAX

IM Seizures and convulsions

Question 20

Midazolam paed dosages

Answer 20

200 mcg/kg Not to exceed 5mg
repeat at half initial dose (up to 2.5mg) at 10 min intervals
NO MAX DOSE

Question 21

Naloxone

Answer 21

Adult
IM 1.6mg Single Dose Only

Paed
IM 20 mcg/kg (not to exceed 800mcg) Single Dose Only

Question 22

Ondansetron

Answer 22

Adult
IM/IV 4mg single dose only

Paed
IM/IV 0.1mg/kg single dose only not to exceed 4mg

Question 23

Paracetamol

Answer 23

Adult 0.5-1.0g repeated every 4hrs
total max dose is 4g/24hrs

Paed >1month 15mg/kg single dose only not to be administered within 4hrs of previous paracetamol administration

Question 24

Salbutamol

Answer 24

NEB 5mg as required, no max dose

Paeds >2yo
NEB 5mg no max dose, as required

Question 25

Sodium chloride 0.9% Paeds

Answer 25

10-20mL kg
Approval from QAS doc required
Total max dose 40mL/kg