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JRCALC Guidelines 2013 > Drug Dosages - Adult > Flashcards

Drug Dosages - Adult Flashcards

1
Q

Adrenaline (ADX/ADM)

Repeat Adult Dosage

A
  • ADX = 1mg every 3-5 mins - max 10 doses.

- ADM = 0.5mg every 5 mins - no max dose limit.

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2
Q

Amiodarone (AMO)

Initial Adult Dosage

A

300mg IV - after 3rd shock.

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3
Q

Amiodarone (AMO)

Repeat Adult Dosage

A

150mg IV - after 5th shock - no further repeat doses (max total 450mg)

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4
Q

Aspirin (ASP)

Initial Adult Dose

A

300mg PO - no repeat doses.

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5
Q

Atropine (ATR)

Initial Adult Dose

A

600mcg IV

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6
Q

Atropine (ATR)

Repeat Adult Dose

A

600mcg IV - every 3-5 minutes - max total dose of 3mg.

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7
Q

Benzylpenicillin (BPN)

Initial Adult Dose

A
  • IV - 1.2g in 20ml water - no repeat doses.

- IM - 1.2g in 4ml water - no repeat doses.

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8
Q

Chlorphenamine (CPH)

Initial Adult Dose

A
  • IV - 10mg in 1ml - no repeat doses.

- PO - 4mg tablet - no repeat doses.

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9
Q

Clopidogrel (CLO)

Initial Adult Dose

A

Dependent on pt care pathway (as per local protocol):

  • Thrombolysis - 300mg (no repeat doses).
  • PPCI - 600mg (no repeat doses).
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10
Q

Diazepam (DZP)

Initial Adult Dose

A

IV - 10mg in 2ml

Rectal - 10mg or 20mg (single dose)

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11
Q

Adrenaline (ADX/ADM)

Initial Adult Dosage

A
  • Cardiac Arrest - 1mg IV (1:10,000 - ADX)

- Anaphylaxis & life-threatening asthma - 0.5mg IM (1:1000 - ADM)

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12
Q

Diazepam (DZP)

Repeat Adult Dose

A

IV - 10mg after 5 mins (up to max total 20mg)

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13
Q

Furosemide (FRM)

Initial Adult Dosage

A

40mg or 50mg (depending on presentation)
(Single dose only)

Administer slowly over 2 mins.

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14
Q

Glucagon (GLU)

Initial Adult Dosage

A

1mg IM (Single dose only)

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15
Q

Glucose 10% (GLX)

Initial Adult Dosage

A

10g (100ml) IV

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16
Q

Glucose 10% (GLX)

Repeat Adult Dosage

A

10g (100ml) every 5 mins (max total dose of 30g (300ml))

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17
Q

Glucose 40% Oral Gel (GLG)

Initial Adult Dosage

A

10g (in 25g tube) PO

18
Q

Glucose 40% Oral Gel (GLG)

Repeat Adult Dosage

A

10g (in 25g tube) PO every 5 mins (No Max Limit)

19
Q

Glyceryl Trinitrate (GTN)

Initial Adult Dosage

A

400-800mcg Sublingual spray

2mg, 3mg or 5mg Buccal tablet

20
Q

Glyceryl Trinitrate (GTN)

Repeat Adult Dosage

A

400-800mcg Sublingual spray
2mg, 3mg or 5mg Buccal tablet

Every 5-10 minutes (No Max limit)

21
Q

Heparin (HEP)

Initial Adult Dosage

A

When administered with Reteplase:
- 5000 units (1ml)

When administered with Tenecteplase:
- 4000 units (0.8ml) if 67kg

No repeat dose unless heparin infusion has not commenced within 45 mins of original bolus of Reteplase or Tenecteplase - in this case a further 1000 unit heparin bolus may be required.

22
Q

Hydrocortisone (HYC)

Initial Adult Dosage

A

Asthma & Adrenal Crisis - 100mg IV (No repeat doses)

Anaphylaxis - 200mg IV (No repeat doses)

Slow injection over min 2 minutes.

Can also be administered IM where IV access is impossible.

23
Q

Ibuprofen (IBP)

Initial Adult Dosage

A

400mg PO

24
Q

Ibuprofen (IBP)

Repeat Adult Dosage

A

400mg - every 8 hours

Max dose 1.2g per 24hrs.

25
Q

Ipratropium Bromide (IPR)

Initial Adult Dosage

A

500mcg Nebulised with 6-8 L/min O2

No repeat doses

26
Q

Metoclopramide (MTC)

Initial Adult Dosage

A

10mg IV (No repeat dose)

27
Q

Misoprostol (MIS)

Initial Adult Dosage

A

600mcg PO (3 x 200mcg tabs) - No repeat doses.

1mg PR (5 x 200mcg tabs) - No repeat doses.

28
Q

Morphine Sulphate (MOR)

Initial Adult Dosage

A

IV - Diluted with NaCl (0.9%) to make 10mg in 10ml - should be administered slowly at rate of 2mg/min up to appropriate dose for age.

IV - 10mg
Oral - 20mg
IM/Subcutaneous - 10mg (undiluted)

Smaller doses can be administered at clinical discretion (please see full JRCALC for details)

29
Q

Morphine Sulphate (MOR)

Repeat Adult Dosage

A

IV - 10mg at interval of 5 mins (Total max dose 20mg)
PO - 20mg at interval of 60 mins (Total max dose 40mg)
IM/Subcutaneous - 10mg at interval of 60 mins (Total max dose 20mg)

30
Q

Naloxone Hydrochloride (NLX)

Initial Adult Dosage

A

400mcg IV/IM

31
Q

Naloxone Hydrochloride (NLX)

Repeat Adult Dosage

A

400mcg IV/IM at interval of 3 mins (Total max dose 4400mcg)

For IM doses vary administration site for repeat doses to avoid buildup of fluid intramuscularly.

32
Q

Ondansetron (ODT)

Initial Adult Dosage

A

4 mg IV (slow injection over 2 mins)/IM

33
Q

Paracetamol (PAR)

Initial Adult Dose

A 
1g PO (2 x 500mg tabs)
1g IV (100ml)
34
Q

Paracetamol (PAR)

Repeat Adult Dose

A

1 gram every 4-6hrs (Max 4g in 24hrs)

35
Q

Reteplase (RPA)

Initial Adult Dose

A

First dose - 10 units IV

Second dose after 30 mins - 10 units IV

36
Q

Salbutamol (SLB)

Initial Adult Dose

A

5mg nebulised with 6-8 L/min O2

37
Q

Salbutamol (SLB)

Repeat Adult Dose

A

5mg nebulised every 5 mins (No max limit)

38
Q

0.9% Sodium Chloride (SCP)

Initial Adult Dose

A

Most conditions - 250ml except for:

Sepsis - 1 litre
Burns - 1 litre
Limb crush injury - 2 litres

39
Q

0.9% Sodium Chloride (SCP)

Repeat Adult Dose

A

Most conditions - 250ml with repeats PRN except for:

Sepsis - 1 litre (repeat interval 30mins)
Burns - 1 litre (no repeat doses)
Limb crush injury - 2 litres (no repeat doses)

40
Q

Sodium Lactate Compound (SLC)

Initial Adult Dosage

A

Most conditions - 250ml except for:

Sepsis - 1 litre
Burns - 1 litre
Limb crush injury - 2 litres

41
Q

Sodium Lactate Compound (SLC)

Repeat Adult Dosage

A

Most conditions - 250ml with repeats PRN except for:

Sepsis - 1 litre (repeat interval 30mins)
Burns - 1 litre (no repeat doses)
Limb crush injury - 2 litres (no repeat doses)

42
Q

Syntometrine (SYN)

Initial Adult Dosage

A

500mcg Ergometrine & 5 units oxytocin IM

JRCALC Guidelines 2013 (3 decks)

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