Drugs

Question 1

Amoxicillin indications

Answer 1

Sepsis : 12+, 1 or more high risk, 30+ mins to hosp

Cellulitis

Question 2

Amoxicillin dosage

Answer 2

1.2g IV over 1-2mins

Question 3

Ceftriaxone indications

Answer 3

Suspected meningococcal septicaemia

Question 4

Ceftriaxone dosage

Answer 4

2g IV - adult (diluted to 10ml)

Question 5

Gentamicin indications

Answer 5

Sepsis when infection is urinary, abdomen or unknowns and : 12+, 1+ risk factors, 30+ mins from hospital

Given with amoxicillin

Question 6

Gentamicin dosage

Answer 6

400mg more than 80kgs
320mg 60-80 kgs
240mg if less than 60kgs

Diluted to 10-20ml

Question 7

Fentanyl indications

Answer 7

1) moderate to severe pain
2) CPO with severe anxiety
3) pain, agitation or SOB during end of life care

Question 8

Fentanyl dosage

Answer 8

IV 10-50mcg 5-10mins (adult)
(diluted to 10ml)

Question 9

Ketamine indications

Answer 9

1) severe pain not controlled with an opiate

Question 10

Ketamine dosage

Answer 10

0.25mg/kg -> max dose 25mg/100kgs

Question 11

Lignocaine indications

Answer 11

1) subcutaneous injection for
- pain before IV
- digital ring block

2) IO injection for significant bone pain

Question 12

Lignocaine dosage

Answer 12

Subcutaneous = max 200mg (20ml)
IO = 50mg (5ml)

Question 13

Ondansetron indications

Answer 13

Clinically significant nausea and/or vomiting

Question 14

Ondansetron dosage

Answer 14

IV = 8mg/4ml
IM= 4mg/2ml

Question 15

Midazolam indications

Answer 15

1) seizures
2) agitated delirium

Question 16

Midazolam dosage

Answer 16

IV = 10mg/2ml diluted to 10ml, give 5mg (5ml) as bolus

IM = 10mg (2ml undiluted)

Question 17

Naloxone indications

Answer 17

Opiate poisoning is suspected & significantly impaired LOC or breathing

Adverse effects from opiates

Question 18

Naloxone dosage

Answer 18

IV = 0.1-0.4mg every 5mins (diluted 0.1mg/ml)
IM = 0.8mg (2ml undiluted)

Question 19

Sodium valproate indications

Answer 19

Status epilepticus that has NOT responded to 2x dose of midazolam

Question 20

Sodium valproate dosage

Answer 20

1200mg adult = 3x ampoule
Each ampoule diluted to total of 10-20mo

Question 21

Tranexamix Acid (TXA) Indications

Answer 21

1)PPH
2)hypovolemia -> uncontrolled bleeding
3) bleeding severe enough to require fluids

Question 22

TXA dosage

Answer 22

1g/10ml

Question 23

Volume administration equation

Answer 23

Want / Got x Volume