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PAR 202 DRUGS > Drugs > Flashcards

Drugs Flashcards

1
Q

Ceftriaxone Indications

A

Suspected meningococcal septicaemia (with a non-blanching petechial AND/OR purpuric rash)

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2
Q

Ceftriaxone contraindications

A

Allergy/adverse drug reaction

Known anaphylaxis or severe allergic reaction to penicillin based drugs

Patients less than 1 month (QAS consult)

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3
Q

Ceftriaxone Adult dose IM

A

2g (2 x 1g IM injections)
Single dose only
Syringe prep: reconstitute two separate vials each containing 1 g of ceftriaxone with 2.6 mL of water for injection in a 3 ml syringe to achieve conc. of 1g/3mL

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4
Q

Ceftriaxone Adult dose IV

A

2g over 20 minutes
Single dose only
Infusion prep: reconstitute 2 g of ceftriaxone with 19.2 mL of water for injection = concentration of 2g/20mL. Administer by SPRINGFUSER at a rate of 60mL/hr (over 20 mins)

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5
Q

Ceftriaxone Paediatric dose IM

A
  • all require QAS consult

50mg/kg (rounded to nearest5kg)
Total max dose 1g
Single dose only

Infusion prep: reconstitute 1 g of ceftriaxone with 2.6mL of water for injection. Withdraw the required dose into a 3mL syringe

ALL DOSES OVER 2mL are to be administered by two separate injections into alternate muscles

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6
Q

Ceftriaxone Paediatric dose IV - greater than 20kg approx. older than 4 yrs)

A

50mg/kg (rounded up to the nearest 5kg)
Total max dose 2g
Single dose only
- Syringe prep: reconstitute 2g of ceftriaxone with 9.2ml of water for injection in a 30mL syringe. To achieve a conc. Of 200mg/mL (2g/10mL). Leave the excess in the vial.

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7
Q

Droperidol indications

A

Acute behavioural disturbances (with a sat score > or equal to 2)

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8
Q

Droperidol contraindications

A 
Absolute 
allergy/adverse drug reaction 
Parkinson’s disease
Previous dystonic reaction to droperidol
Pateints <8yrs

Relative
- Suspected sepsis

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9
Q

Droperidol adult dose IM or IV

Consultation required for > 65 years OR 13-15 years

A

> 65 = 5mg. Repeated once at 15min prn, total max 10mg

16 to 65 years = 10mg. repeated once at 15min prn, total max 20mg

13 – 15years = 0.1 to 0.2mg/kg single max 10mg, repeated once at 15 min prn, total max 20mg

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10
Q

Droperidol Paediatric dose IM or IV

Consult required

A

8 – 12 years
0.1 to 0.2mg/kg
single max 10mg
repeated once at 15 min prn. Total max 20mg

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11
Q

Midazolam Indications

A

Generalised seizures/focal seizures (GCS < or equal to 12)

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12
Q

Midazolam contraindications

A

Allergy or adverse drug reaction

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13
Q

Midazolam Adult dose IV

A

70 yrs or older
2.5mg. Repeated 5 mins. Total max dose 10mg

< 70yrs
5mg. Repeated 5 mins. Total max dose 20mg

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14
Q

Midazolam Adult dose IM or NAS

A

70 yrs or older
2.5mg. Repeated 10 mins. Total max dose 10mg

< 70yrs
5mg. Repeated 10 mins. Total max dose 20mg

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15
Q

Midazolam Paediatric dose NAS or IM

A

200 microg/kg. single dose not to exceed 5mg
Repeated at half the initial dose (max 2.5mg) at 10 mins
Total max dose 10mg

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16
Q

Glucose 10% Indications and contraindications

A

Indications = Symptomatic hypoglycaemia

Contraindications = NILL

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17
Q

Glucose 10% Adult dose

A

IV
15g (150mL)
Repeated once at 100mL (10g) every 5 mins until BGL >4 mmol/L

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18
Q

Glucose 10% Paediatric dose

A

IV
0.25 g/ kg (2.5mL/kg)
Repeated at 1mL/kg every 5 mins until BGL = >4.0 mmol/L

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19
Q

Glucose gel indications

A

Symptomatic hypoglycaemia

20
Q

Glucose gel contraindications

A

Unconsciousness

Patients with difficulty swallowing

Patients <2yrs

21
Q

Glucose gel adult dose

A

15g
Repeated once if BGL <4.0 mmol/L
Total max dose 30g

22
Q

Glucose gel Paediatric dose

A

> or equal to 2 yrs = 15 g
Repeated once at 15 mins if BGL <4 mmol/L
Total max dose 30g

23
Q

Glucagon indications

A

Symptomatic hypoglycaemia

Refractory anaphylaxis (unresponsive to 3 x IM adrenaline and fluid resus)

24
Q

Glucagon contraindications

A

allergy/adverse drug reaction

25
Q

Glucagon syringe preparations

A

> 25kg and adults = reconstitute 1mg of glucagon with 1mL of water for injection in a 3mL syringe

Less than or equal to 25kg = reconstitute 1mg of glucagon with 2mL of water for injection in a 3mL syringe to achieve a final conc. Of 1mg/2mL. Decant 1mL for 0.5mg/1mL

26
Q

Glucagon adult dose for symptomatic hypoglycaemia

A

IM

1mg single dose only

27
Q

Glucagon paediatric dose for symptomatic hypoglycaemia

A

IM
>25kg = 1mg single dose only

< or equal 25kg = 0.5mg single dose only

28
Q

Glucagon adult dose for refractory anaphylaxis

A

IV (or IM if paramedics unable to achieve IV access)

1mg single dose only

29
Q

Glucagon paediatric dose for refractory anaphylaxis

A

IV (or IM if paramedics unable to achieve IV access)

> 25kg = 1mg single dose only

< or equal 25kg = 0.5mg single dose only

30
Q

Adrenaline Indications

A

Cardiac arrest

Anaphylaxis OR severe allergic reaction

Severe life-threatening bronchospasm OR silent chest

31
Q

Adrenaline contraindications

A

NONE

32
Q

Adrenaline adult dose cardiac arrest

A

Adult dose = IV 1mg repeated 3-5 min intervals No max dose

33
Q

Adrenaline adult dose anaphylaxis

A

IM = 500microg (300 if known pregnancy) repeated 5 mins. No max dose

NEB = 5mg Single dose only (only to be administered after IM)

34
Q

Adrenaline paediatric dose anaphylaxis

A 
IM 
6 yrs or older = 300 microg 
6-1yr = 150 microg
6 months – 1yr =100 microg
< 6 moths = 50 microg 
ALL repeated at 5 mins. No max dose 
NEB = 5mg Single dose only (only to be administered after IM)
35
Q

Adrenaline adult dose bronchospasm or silent chest

A

IM = 500microg (300 if known pregnancy) repeated 5 mins. No max dose

36
Q

Adrenaline paediatric dose bronchospasm or silent chest

A 
IM 
6 yrs or older = 300 microg 
6-1yr = 150 microg
6 months – 1yr =100 microg
< 6 moths = 50 microg 
ALL repeated at 5 mins. No max dose
37
Q

Salbutamol indications

A

Bronchospasm

Suspected hyperkalaemia (with QRS widening AND/OR AV dissociation) – CCP NEEDED

38
Q

Salbutamol contraindications

A

Allergy and/or adverse drug reaction

Patients <1yr

39
Q

Salbutamol adult dose

A

MDI
12 (1.2) MDI inhalations
Repeat at 10 mins
No max dose

NEB
5mg repeat PRN
No max dose

40
Q

Salbutamol paediatric dose MDI

A

1-5 yrs = 6 (600) microg MDI inhalations. Repeated 10 mins. No max dose

> or equal to 6 years = 12 (1.2mg) MDI inhalations. Repeated at 10 mins. No max dose

41
Q

Salbutamol paediatric dose NEB

A

1-5yrs = 2.5 mg. repeated PRN. No max dose

> or equal to 6 yrs = 5mg. Repeated PRN. No max dose

42
Q

Ipratropium bromide Indications

A 
Moderate bronchospasm (unresponsive to QAS salbutamol NEB)
Severe bronchospasm
43
Q

Ipratropium bromide contraindications

A

Allergy or adverse drug reaction

Patients < 1yr

44
Q

Ipratropium bromide adult dose

A

NEB
500 microg. Repeated 20 mins
Total max dose = 1.5 mg

45
Q

Ipratropium bromide Paediatric dose

A

NEB
6 yrs or older = 500 microg. Repeated 20 mins. Total max dose = 1.5 mg

1-5yrs = 250 microg. Repeated 20 min intervals. Total max dose = 750 microg

PAR 202 DRUGS (1 decks)

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