Doses Flashcards
Opiate overdose
IV naloxone 0.4-2mg
Benzodiazepine overdose
IV flumazenil 200 micrograms over 15 seconds
Plus further 100 micrograms at 60 second intervals
Max of 600 micrograms in 6 mins
Hypoglycaemia
200ml 10% glucose IV stat
SEPSIS 6
Blood cultures Measure urine output Fluid resuscitation - 500ml 0.9% saline over 15 minutes. If not improved after 2 get senior. Antibiotics - 1g IV meropenem stat Measure lactate High flow oxygen
Anaphylaxis in order you need to give
IM adrenaline 0.5mg, repeated every 5 mins as needed
IV chlorphenamine 10mg
IV hydrocortisone 200mg
STEMI in order you need to give
Aspirin 300mg
IV morphine 5-10mg + IV metoclopramide 10mg
NSTEMI in order you need to give
IV morphine 5-10mg + IV metoclopramide 10mg
GTN PRN
Aspirin 300mg
If high risk grace score, followed by……
SC fondaparinux 2.5mg
Clopidogrel 300mg
Acute severe pulmonary oedema in order you need to give
IV diamorphine 1.25-5mg
IV furosemide 40-80mg
GTN spray if systolic >90
Bradycardia with adverse signs (shock, syncope, chest pain, HF)
IV atropine 500 micrograms
Acute asthma
Salbutamol 5mg nebulised with oxygen
Ipratropium 0.5mg nebulised with oxygen
Oral prednisolone 40-50mg
IV magnesium sulphate 1.2-2g over 20 minutes
Exacerbation of COPD
Salbutamol 5mg nebulised with oxygen Ipratropium 0.5mg nebulised with oxygen Oral prednisolone 30mg IV hydrocortisone 200mg ABx if infective cause
PE in order you need to give (haemodynamically stable vs unstable)
IV morphine 5-10mg + IV metoclopramide 10mg
SC fondaparinux 2.5mg or SC enoxaparin 1mg/kg
If unstable: IV alteplase 10mg
Varices
IV terlipressin 1-2mg over 6 hours
Features of meningism in meningitis
IV dexamethasone 10mg
Encephalitis
IV aciclovir 10mg/kg
Status ellipticus in order they need to be given
IV lorazepam 4mg
Treat malnourishment and hypoglycaemia if present with IV thiamine 250mg and 50ml 50% glucose respectively
IVI phenytoin 15-18mg/kg at rate of 50mg/min
Propofol infusion if >1 hour
DKA
50 units insulin with 50ml 0.9% saline
Infuse at rate of 0.1 units/kg/hour
DON’T ADD K+ TO FIRST BAG but thereafter use VBG results to guide K+ replacement
Unconscious hypoglycaemia
200ml 10% glucose over 15 minutes
Hyperglycaemic hyperosmolar state
Rehydrate slowly with 0.9% saline
Only use insulin if blood glucose not falling by 5mmol/L/hour
Myxoedema coma (hypothyroid crisis)
IV liothyronine 5-20 micrograms over 2 hours
IV hydrocortisone 100mg
Thyrotoxic storm (hyperthyroid crisis)
Oral propranolol 60mg
Oral carbimazole 15-25mg
IV hydrocortisone 100mg
Addisonian crisis
IV hydrocortisone 100mg
Fluid resuscitation
Treat hypoglycaemia
Paracetamol overdose
Within 4 hours give 50mg activated charcoal
N-acetylcysteine
Hyperkalaemia >6.5mmol or ECG changes
30ml of 10% calcium gluconate over 5-10 minutes
10 units insulin in 50ml of 50% glucose
10-20mg salbutamol via nebuliser
