Drugs Flashcards
4 Hs
Hyper/Hypokalemia
Hypoxia
Hypothermia
Hypovolaemia
4 Ts
Tamponade
Toxins
Tension Pneumothorax
Thrombosis
Ketamine (dose)
200mg in 20ml
unstable pts
Ketamine (Precautions)
Laryngospasm
caution in CVD
increased secretions
raised intra-ocular pressure
Ketamine (Onset and Duration)
Onset: 60-90seconds
Duration: 10-20mins
Propofol (dose)
200mg in 20ml neat
stable pts
Propofol (onset and duration)
Onset: 15-45sec
Duration: 2-4mins
Propofol (precautions)
Hypotension
reduced cerebral perfusion
risk of arrhytmia
very short acting (2-4min)
EGG ALLERGYS
Suxamethonium (dose)
200mg in 4ml neat (2 vials)
Suxamethonium (Precautions)
Hyperkalemia
Malignant Hyperthermia
Myathenia gravia
Bradycardia
Increase intra-ocular pressure
Suxamethonium (Onset and Duration)
Onset: 45-60seconds
Duration: 10mins approx
Rocuronium (dose)
100mg in 10ml (undiluted) 2x vials
Rocuronium (Precautions)
Allergy (rare)
Long Duration time
Rocuronium (Onset and Duration)
Onset: 60sec
Duration: 24-40mins
Adrenaline (infusuion dose)
Remove 6ml from DEXTROSE 100ml bag
6mg in 94mls 5% Dex
Adrenaline (Cardiac Arrest Dose)
Non Shockable: Immediately - then alt cycles (1mg / 10mls of 1:10,000)
Shockable: After every second shock (1mg)
Metaraminol (dose)
3mg in 6ml (premade syringes)
Repeat in 2-3 mins if nil response
Amiodarone
300mg initial (after 3rd shock)
150mg 5th cycle
Make it up with dexteose
Calcium Chloride
6.8mmol
Hyperkalemia
Hypocalcemia
Ca channel blocker
Atropine
600mcg every 3-5mins (max 3mg)
Isoprenaline
20mcg (1ml)
Adenosine
6mg
Wait 1-2 mins then repeat
Dobutamine
CHF and cardiogenic shock by MI
2.5-10mcg/kg/min
Dopamine
CHF and cardiogenic shock by MI
Moderate dose: 2-10mcg/kg
Metaraminol
0.5 - 1mg slow bolus
Wait 2-3mins repeat
Hypotension
3mg in 6ml (premade)
