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NSW Ambulance > Drug Doses and Preparations > Flashcards

Drug Doses and Preparations Flashcards

1
Q

What is the 5yrs & older salbutamol NEB dose for mild to moderate asthma?

A

5mg
Whilst indicated
No max dose

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2
Q

What is the 5yrs & older salbutamol MDI dose for mild to moderate asthma?

A

4-12 puffs
whilst indicated
no maximum dose

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3
Q

What is the 5yrs & over salbutamol NEB dose for severe asthma?

A

5mg
Whilst indicated
No max dose

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4
Q

What is the 4yrs & under salbutamol NEB dose for life threatening asthma?

A

2.5mg
Whilst indicated
No max dose

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5
Q

What is the 4yrs & under salbutamol NEB dose for mild to moderate asthma?

A

2.5mg
Whilst indicated
No max dose

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6
Q

What is the 4yrs & under salbutamol MDI dose for mild to moderate asthma?

A

2-6 puffs
whilst indicated
no maximum dose

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7
Q

What is the 5yrs & older salbutamol MDI dose for severe/life threatening asthma?

A

12 puffs
whilst indicated
no maximum dose

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8
Q

What is the 4yrs & under salbutamol MDI dose for severe/life threatening asthma?

A

6 puffs
whilst indicated
no maximum dose

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9
Q

What is the 4yrs & under salbutamol NEB dose for severe asthma?

A

2.5mg
Whilst indicated
No max dose

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10
Q

What is the 5yrs & over salbutamol NEB dose for life threatening asthma?

A

5mg
Whilst indicated
No max dose

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11
Q

What is the paediatric (6yrs & above only) hydrocortisone IM dose for severe & life threatening asthma?

A

4mg/kg
single dose only
Maximum dose of 100mg

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12
Q

What is the adult hydrocortisone IM dose for severe & life threatening asthma?

A

100mg
single dose only

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13
Q

What is the ≥6 yrs ipratropium bromide NEB dose for severe to life threatening asthma?

A

500mcg mixed with salbutamol
repeated once
total max dose 1mg

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14
Q

What is the ≥2 yrs - <6 yrs ipratropium bromide NEB dose for severe to life threatening asthma?

A

250mcg
repeated once
total max dose 500mcg

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15
Q

What is the ≥6 mths - <2 yrs ipratropium bromide NEB dose for severe to life threatening asthma?

A

125mcg
repeated once
total max dose 250mcg

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16
Q

What is the ≥16 adrenaline IM dose for life threatening asthma?

A

500mcg
every 5 mins
no max dose

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17
Q

What is the 15 & under adrenaline IM dose for life threatening asthma?

A

10mcg/kg (single max dose 500mcg)
every 5 mins
no max dose

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18
Q

What is the ≥16 adrenaline IM dose for cardiac arrest?

A

1mg
every 2nd cycle (approx 4 mins)
no max dose

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19
Q

What is the ≥16yrs glucagon IM dose for hypoglycaemia (BGL < 4mmol & ↓ LOC & unable to be cannulated for glucose 10%)

A

1mg
single dose only

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20
Q

What is the <16yrs glucagon IM dose for hypoglycemia (BGL < 4mmol & ↓ LOC & unable to be cannulated for glucose 10%)

A

0.5mg
single dose only

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21
Q

What is the ≥10yrs glucose 10% IV dose for hypoglycaemia (BGL < 4mmol & ↓ LOC)

A

15g bolus
whilst indicated
no max dose

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22
Q

What is the <10yrs glucose 10% IV dose for hypoglocaemia (BGL < 4mmol & ↓ LOC)

A

0.2g/kg bolus (max bolus 15g)
whilst indicated
no max dose

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23
Q

What is the ≥1yr PO dose of glucose gel for hypoglycaemia?

A

15g bolus
repeated once at 15 mins
total max dose 30g

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24
Q

What is the <1yr PO dose of glucose gel for hypoglycaemia?

A

small aliquots via gloved finger up to 15g
single dose only

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25
Q

What is the all age IV dose of compound sodium lactate for hyperglycaemia?

A

10mL/kg bolus
Whilst indicated
No max dose

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26
Q

What is the all age IV dose of compound sodium lactate for dehydration?

A

10mL/kg bolus
single dose only

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27
Q

What is the adult IM dose of midazolam for seizures?

A

5mg bolus
every 5 mins
total max dose 15mg

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28
Q

What is the paediatric NAS dose of midazolam for seizures?

A

0.3mg/kg (single max dose 5mg)
single dose only

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29
Q

What is the paediatric IM dose of midazolam for seizures?

A

0.15mg/kg (max bolus 5mg)
every 5 mins
total max dose 0.45mg/kg

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30
Q

What is the adult IV/IO dose of midazolam for seizures?

A

2.5mg diluted slow bolus
every 5 mins
total max dose 15mg

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31
Q

What is the paediatric IV/IO dose of midazolam for seizures?

A

0.15mg/kg diluted (max bolus 0.15mg/kg)
every 5 mins
total max dose 0.45mg/kg

32
Q

What is the 16yrs or older aspirin dose for ACS?

A

300mg
chewed and followed by small sip of water
single dose only

33
Q

What is the 16yrs & older GTN dose for ACS?

A

600mcgs
every 5 mins
total max dose
1.8mg (3 doses)

34
Q

What is the 16yrs & older IV fentanyl dose for analgesia (incl ACS)?

A

25-50mcg
every 5 mins
total max dose 5mcg/kg

35
Q

What is the 18 - 75yrs PO dose of clopidogrel for cardiac reperfusion (PHT)?

A

300mg
single dose only

36
Q

What is the 75yrs & older PO dose of clopidogrel for cardiac reperfusion (PHT)?

A

75mg
single dose only

37
Q

What is the 18 - 75yrs IV dose of tenecteplase for cardiac reperfusion (PHT)?

A

Weight adjusted dose (refer to table) to a maximum of 50mg administered 15 minutes prior to the first dose of enoxaparin sodium
single dose only

38
Q

What is the 75yrs & older IV dose of tenecteplase for cardiac reperfusion (PHT)?

A

Weight adjusted dose (refer to table) to a maximum of 50mg administered 15 minutes prior to the first dose of enoxaparin sodium
single dose only

39
Q

What is the ≥18 - <75yrs IV enoxaparin first dose for cardiac reperfusion (PHT)?

A

30mg (0.3mL)
15 minutes after tenecteplase administration

Note:
Discard 30mg (0.3mL) and attach sodium chloride 0.9% primed microbore extension set prior to administering the remaining 30mg (0.3mL) IV as a bolus and flush with 30mL sodium chloride 0.9%.

40
Q

What is the ≥18 - <75yrs SC enoxaparin second dose for cardiac reperfusion (PHT)?

A

Weight adjusted 1mg/kg (max dose of 100mg) administered 15 minutes after the 1st dose of enoxaparin sodium

41
Q

What is the ≥75yrs SC enoxaparin dose for cardiac reperfusion (PHT)?

A

0.75mg/kg (max 75mg)
15 mins after tenecteplase
single dose only

42
Q

What is the additional amount to be drawn up for the first dose only using a MAD?

43
Q

What is the all ages IM dose of oxytocin for 3rd stage of labour?

A

10 IU
Single dose only

44
Q

What is the all ages IM dose of oxytocin for PPH?

A

10 IU
Followed by infusion by ICP

45
Q

What is the 6yrs of age and above (incl adults) IM/IV hydrocortisone dose for adrenal crisis?

A

100mg
Repeat once after 15 minutes
Total max dose 200mg

46
Q

What is the 1 - 5 years of age IM/IV hydrocortisone dose for adrenal crisis?

A

50mg
Repeat once after 15 minutes
Max dose 100mg

47
Q

What is the < 1 year of age IM/IV hydrocortisone dose for adrenal crisis?

A

25mg
Repeat once after 15 minutes
Total max dose 50mg

48
Q

What is the all age IV dose of compound sodium lactate for dehydration?

A

10mL/kg bolus
single dose only

49
Q

How much NaCl is used to flush the cannula before and after tenecteplase administration?

A

10ml before
30ml after

50
Q

Oxygen Mask Flow Rates

A

Oxygen Mask Flow Rates

nasal prongs = 2-4l/min

hudson mask = 6-8l/min

NEB = 6-8l/min

CPAP = 8, 12 15l/min

non-rebreather = 15l/min

BVM = 15l/min

51
Q

What is the 16yrs & older IV morphine dose for analgesia?

A

2.5-5mg
every 5 mins
total max dose 0.5mg/kg

52
Q

What is the 16yrs & older IM/SC morphine dose for analgesia?

A

5-10mg
repeat once @ 15 mins
Max 2 doses

53
Q

What is the 16yrs & older SC fentanyl dose for analgesia?

A

50-100mcg undiluted
repeated once @ 15 mins
Max 2 doses

54
Q

What is the 16yrs & older IN fentanyl dose for analgesia?

A

50 -100 mcg undiluted
every 5 mins
no max dose

Note: remember to ad 0.1mL to initial dose for MAD dead space

55
Q

What is the paediatric repeat dose regime for IN fentanyl?

A

every 10 mins
max dose 5mcg/kg

56
Q

What is the 16yrs & older IM adrenaline dose for severe/life threatening anaphylaxis?

A

500mcg
every 5 mins
no max dose

57
Q

What is the under 16yrs IM adrenaline dose for severe/life threatening anaphylaxis?

A

10mcg/kg
single max dose 500mcg
every 5 mins
no max dose

58
Q

What is the 16yrs & older NEB adrenaline dose for severe/life threatening anaphylaxis?

A

5mg
every 30 mins
no max dose

59
Q

What is the under 16yrs NEB adrenaline dose for severe/life threatening anaphylaxis?

A

500mcg/kg
single max dose 5mg
every 20 mins
no max dose

60
Q

What is the 16yrs & older IV naloxone dose for opioid overdose?

A

100mcg diluted
every 2 mins
total max dose 2mg

61
Q

What is the 16yrs & older IM/IV naloxone dose for etorphine or buprenorphine overdose?

A

2mg undiluted
every 5 mins
no max dose

62
Q

What is the 16yrs & older IM naloxone dose for opioid overdose?

A

400mcg undiluted
every 2 mins
total max dose 2mg

63
Q

What is the under 16yrs IM/IV/IO naloxone dose for opioid overdose?

A

5mcg/kg diluted
single max dose 100mcg
every 2 mins
total max dose 2mg

64
Q

What is the under 16yrs IM/IV/IO naloxone dose for etorphine or buproneorphine overdose?

A

10mcg/kg diluted
single max dose 2mg
every 5 min
no max dose

65
Q

What is the preparation of naloxone?

A

Ampoule
400mcg/1mL

Dilution: 400mcg (1mL) ampoule diluted to 4mL with 3mL NacL (100mcg:1mL)

66
Q

What is the preparation of morphine?

A

ampoule
10mg/1mL

Dilution: 10mg (1mL) diluted with 9mL NaCl to a total volume of 10mL (1mg:1mL)

67
Q

What is the preparation of fentanyl?

A

Ampoule
100mcg/2mL

Dilution: 100mcg (2mL) fentanyl diluted to 10mL with 8mL sodium chloride 0.9% (10mcg:1mL)

68
Q

What is the 16yrs and over IM/IV adult hydrocortisone dose for anaphylaxis with persistent wheeze post salbutamol administration?

A

100mg reconstituted
Single dose only

Dilution: reconstitute with 2mL NaCl

69
Q

What is the under 16yrs IM/IV paediatric hydrocortisone dose for anaphylaxis with persistent wheeze post salbutamol administration?

A

4mg/kg
single max dose 100mg
Single dose only

70
Q

What is the preparation of hydrocortisone?

A

Vial
100mg powder

Reconstitute with 2mL NaCl (50mg/1mL)

71
Q

What is the 5yrs & older salbutamol NEB dose for anaphylaxis with bronchospasm?

A

5mg
Whilst indicated
No max dose

72
Q

What is the under 5yrs salbutamol NEB dose for anaphylaxis with bronchospasm?

A

2.5mg
whilst indicated
No max dose

73
Q

What are the preparations of salbutamol?

A

nebule
5mg/2.5mL
2.5mg/2.5mL

74
Q

What is the 16yrs & older IV glucagon dose for anaphylaxis with persistent hypotension post compound sodium lactate?

A

2mg
single dose only

75
Q

What is the preparation of glucagon?

A

vial
1mg powder

Reconstitute: with provided syringe containing 1mL of sterile water immediately prior to use

76
Q

What is the all age IV/IO dose for medical hypoperfusion/hypovolaemia in moderate to severe anaphylaxis with signs of shock?

A

20mL/kg
whilst indicated
no max dose

77
Q

What is the preparation of compound sodium lactate?

A

bag
500mL

Administration via pump set to patients ≥ 16 years of age
Administration via auto start burette and pump set to patients <16 years of age

NSW Ambulance (19 decks)

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