Drugs we’ve learnt Flashcards
Fentanyl
100mcg / 2ml
IV: >70 - 25mcg repeated up to 25mcg every 5mins. Max of 100
<70 - 25-50mcg repeated up to 50mcg every 5 mins. Total max of 200.
IM: >70 - 25-50mcg repeated up to 50mcg every 10mins. Total of 100
<70- 25-100mcg repeated up to 50mcg every 10mins. Max of 200
NAS: >70- 25-50mcg repeated up to 50mcg every 10mins. Max of 100
<70- 50-100mcg repeated up to 100mcg every 10mins. Max of 200
Precautions: Older people Hypo tension Resp burns and depression Addiction MAOI therapy
Morphine
10mg/ 1ml
IM: >70- 2.5-5mg repeated up to 5 every 10 mins. Max of 10mg
<70- 2.5-10mg repeated up to 5mg every 10mins. Max of 20mg
IV: >70- 2.5mg repeated up to 2.5 every 5mins. Max of 10mg
<70- 2.5-5mg repeated up to 5mg every 5mins. Max of 20mg
KSAR and Kidney disease (renal failure) Precautions: Old people Hypotension Resp burns and depression Addiction MAOI therapy Cardiac chest pain
Ondansetron
4mg/2ml ampoule
4mg tablet
PO: 4-8mg max of 8mg
IM: 4-8mg max of 8mg
IV: 4-8mg max of 8mg
KSAR
Congenital long QT syndrome
Current apomorphine therapy
Patients <3 years old
Paracetamol
Tablet 500mg paracetamol
PO: 0.5-1 g repeated every 4 hours. Max of 4g in 24 hours
KSAR Patients < 1 month old Precautions: Hepatic or renal dysfunction Patients taking anticoagulants
Methoxyflurane
Bottle 3ml
INH: 3ml repeated once after 20mins. Max of 6ml
KSAR
Patients <1 year old
History of significant liver or renal disease
History of malignant hyperthermia
Salbutamol
MDI: 100mcg / puff
Nebule 2.5mg/ 2.5ml
Nebule 5mg/ 2.5ml
Ampoule 500mcg / 1ml
MDI: 12 MDI inhalation’s repeated at 10mins. No max dose
NEB: 5mg repeated PRN no max dose
Contras:
KSAR
Patients <1 year
Ipratropium bromide
Nebule 250mcg / 1ml
NEB: 500mcg repeated 20mins. Total max of 1.5mg
Contras:
KSAR
Patients < 1 year old
Glyceryl trinitrate (GTN)
Spray: 400mcg/ dose, 200 doses
Ampoule: 50mg / 10ml
SUBLING: 400mcg every 5 mins. No max dose
Contras: ( 2 heads, 2 hearts, 1 penis) KSAR Acute CVA Head trauma Heart rate <50 or >150 BPM Systolic BP < 100mmHg Viagra or Levitra in the last 24 hours
Aspirin
Tablet 300mg
PO: 300mg chewed and swallowed followed by some water (where possible)
Contras:
KSAR
Chest pain associated with psychostimulant overdose
Bleeding or clotting disorders (haemophilia)
Current GI bleed or Peptic ulcers
Patients <18 years
Adrenaline
Ampoule 1mg/ 1ml
Ampoule 1mg/ 10ml
Epipen 300mcg
Anaphylaxis or severe allergy:
- IM: 500mcg repeated at 5mins. No max dose (300mcg if known pregnancy) - same for sever bronchospasm or silent chest
- NEB: 5mg single dose only
Cardiac arrest:
IV: 1mg repeated at 3-5mins. No max dose
Droperidol
Vial 10mg/ 2ml
IM and IV:
over 65- 5mg repeat at 15mins. Max of 10mg
16-65 years- 10mg repeat at 15mins. Max of 20mg
13-15 - 0.1-0.2 mg/ kg single max dose of 10mg. Repeat once at 15 mins. Max of 20mg
Contras: KSAR Parkinson’s Previous dystonic reaction to droperidol Patients < 8 years old
QAS advice line needed for all pt’s over 65 years or between 13-15years
Naloxone
Presentation:
Ampoule, 400mcg/ml
IM: 1.6mg single dose only
IV: CCP only
Contraindications:
KSAR
NEWBORNS
Midazolam
Ampoule.5mg/ 1ml
Dose:
Seizures...
NAS: >70 - 2.5mg every 10mins max 10mg
<70 - 5mg every 10mins max 20mg
IM: >70 - 2.5mg every 10mins max 10mg
<70 - 5mg every 10mins max 20mg
Contraindications:
KSAR
Glucose gel
Adult dose: 15g PO repeated once at 15mins if BGL <4.0mmol/L. Total max dose of 30g
Paediatric dose: >2years 15g repeated once at 15mins if BGL <4.0mmol/L. Total max dose 30g
Contraindications:
Unconscious
Patients with difficulty swallowing
Patients <2 years old
Glucose 10% - Dextrose
Dose: 15g (150ml) repeated at 100ml (10g) bolouses every 5 minutes until BGL >4.0 mmol/L.
Contraindications:
NIL
