Drug doses Flashcards
What is the administration and dose of salbutamol to treat an asthma attack?
5mg salbutamol - nebulised
Can be given every 15-30 minutes or 10mg/hour if required.
What are the side effects of salbutamol
Tremor
Tachycardia
Arrhythmias
Hypokalaemia
What route and dose of prednisone is given to treat an asthma attack?
40mg oral prednisolone
If oral prednisolone is not able to be taken, what dose of hydrocortisone is given to treat an asthma attack?
100mg IV hydrocortisone
What are the indications for calcium gluconate?
Severe hypocalcaemia Severe hyperkalaemia (Treat > 6.5 or ECG changes)
How should calcium gluconate be given?
Slow IV over 5-10 mins
What is the dose of calcium gluconate?
10-20ml of 10% calcium gluconate
Other than calcium gluconate, what else should be given to treat hyperkalaemia?
IV Insulin/Dextrose
What dose of insulin/dextrose should be given?
10 units insulin
50ml of 50% dextrose (25g)
What is the emergency treatment for hypoglycaemia?
10-20g glucose in snack
IM or IV glucagon
If no response in 10 minutes, IV infusion glucose
How would you set up an IV infusion of glucose to treat hypoglycaemia?
75-80ml of 20%
What dose of glucagon is used to treat hypoglycaemia?
1mg IV or IM
Which patient group will glucagon be ineffective in?
Malnourished patients - mechanism is to mobilise glycogen stored in the liver, but these patients will have inadequate stores
What does of aspirin is given in ACS treatment?
300mg PO
What dose and delivery of morphine is given for MI or ACS?
5-10mg IV
What dose of clopidogrel is given post MI if patient is not already taking?
Loading dose of 300mg
Then 75mg OD
What adrenaline would you give in anaphylaxis?
- 5mg
0. 5ml of 1:1000
What dose and route of chlorphenamine would you give in anaphylaxis?
10mg IV or IM
What dose of hydrocortisone would you give in anaphylaxis?
200mg IV
What is the dose and route of lorazepam?
4mg IV Lorazepam
If IV access if not gained, how else can you administer benzodiazepines?
Midasolam - mouth (buccal)
Diazepam - 10-20mg rectal
What antidote is given for opiate overdose?
Naloxone
400micrograms to start
If no response: 800micrograms for up to 2 doses 1 minute apart
What dose of diazepam IV is given in convulsions?
10mg at rate of 1ml/minute
What dose of adrenaline would you give in CPR?
1mg of 1:10000
What dose of atropine would you give in a patient with bradycardia following an MI?
500 micg IV every 3-5mins
What dose of atropine would you give in a patient with bradycardia following beta-blocker overdose?
3mg
What dose of morphine can you give to manage pain?
Oral - 10mg every 4 hours
IV - 5mg every 4 hours
