DTPs

Question 1

Aspirin

Answer 1

DOSE: PO - 300mg, max = nil

INDI: Suspected ACS, ACPO.

CONT: <18yo, ADR, Chest Pain w/ Psychostimulant, Bleeding/Clotting Disorders, GI Bleed/Peptic Ulcers.

Question 2

Paracetamol

Answer 2

DOSE: PO - 500mg, max = 4g in 24h

INDI: Mild to moderate pain, Fever

CONT: ADR, <1mo

Question 3

Glyceryl Trinitrate (GTN)

Answer 3

DOSE: SUB - 400mcg, max = nil

INDI: Sus ACS, ACPO, Irukanji Syndrome

CONT: ADR, HR < 50/>150bpm, Sys BP <100, CVA, Head Trauma, ED Meds

Question 4

Adrenaline

Answer 4

DOSE: EPI - 300mcg, IM - 500mcg,
Peds >6yo - 300mcg, <6yo - 150mcg, Max = nil
NEB - 5mg

INDI: Anaphylaxis/ADR, Life Threatening Broncospasm, Bradycardia w/ Poor Perfusion, Cardiac Arrest, Croup, Shock.

CONT: Nil

Question 5

Salbutamol

Answer 5

DOSE: MDI - 12x 1.2mg, NEB - 5mg/2.5ml
Peds NEB - <6yo - 2.5mg, >6yo - 5mg, Max = Nil
Peds MDI - <6yo - 6x 1.2mg, >6yo - 12x 1.2mg
INDI: Bronchospasm

CONT: ADR, <1yo

Question 6

Glucose Gel

Answer 6

DOSE: PO - 15g. Max = 30g

INDI: Systemic Hypoglycaemia

CONT: Unconscious, Difficulty Swallowing, <2yo

Question 7

Glucagon

Answer 7

DOSE: IM - 1mg/1ml, Peds >25kg - 1mg, Peds <25 - 0.5mg. Max = 1 Dose

INDI: Symptomatic Hypoglycaemia, Refractory Anaphylaxis.

CONT: ADR

Question 8

Oxygen

Answer 8

DOSE: GAS - 450L @ 15Lpm. Max = Nil

INDI: Many

CONT: Paraquat Poisoning, Hx Bleomycin Therapy.

Question 9

Methoxyflurane

Answer 9

DOSE: INH - 3ml. Max = 6ml

INDI: Pain

CONT: <1yo, ADR, Hx Liver/Kidney Disease, Hx Malignant Hyperthermia.

Question 10

Clopidogrel

Answer 10

DOSE: PO - 600mg

INDI: STEMI

CONT: <18yo, ADR, Pt Cont for Pre Hosp Fibrinolysis admin., Current clopidogrel/Ticagrelor Therapy, Active Bleeding, Prior Intracranial Haemorrhage.

Question 11

Dexamethasone

Answer 11

DOSE: PO - 5-10kg = 0.5mL, 10-15kg = 1.0mL, >15kg = 1.5mL.

INDI: Croup

CONT: <6mo->6yo, ADR, Steroid Admin in last 4h.

Question 12

Enoxaparin

Answer 12

DOSE: IV - 30mg, SUBCUT - 1mg/kg. IV given 15min prior to SUBCUT (loading dose). Max = 1 Dose.

INDI: STEMI

CONT: ADR, Pt Cont for Pre Hosp Fibrinolysis admin.

Question 13

Fentanyl

Answer 13

DOSE: NAS - >70yo - 25-50mcg, <70yo - 25-100mcg.
SUBCUT - QAS Approval Required
IM - >70yo - 25-50mcg, <70yo - 25-100mcg.
IV - >70yo - 25mcg, <70yo - 25-50mcg.
>70yo Max = 100mg, <70yo Max = 200mg.

INDI: Significant Pain, Sedation, Autonomic Dysreflexia w/ Sys BP >160, Induction for Rapid Sequence Intubation (RSI).

CONT: ADR.

Question 14

Heparin

Answer 14

DOSE: IV - 5000units

INDI: STEMI

CONT: ADR, <18yo, active bleeding/clotting disorder, prior intercranial haemorrhage, current anticoagulants

Question 15

Ipratropium Bromide

Answer 15

DOSE: NEB - 500mcg. Max = 1.5mg
Peds - >6yo - 500mcg, <6yo - 250mcg

INDI: Mod bronchospasm, severe bronchospasm.

CONT: ADR, <1yo

Question 16

Morphine

Answer 16

DOSE: IM/IV - 2.5mg. Max = 20mg.
Peds IM/IV - 10-15kg - 2mg, 15-25kg - 3mg, 25-30kg - 5mg.

INDI: Significant pain, sedation, autonomic dysreflexia (w/ sys BP >160mmHg

CONT: ADR, kidney disease

Question 17

Ondansetron

Answer 17

DOSE: PO/IM/IV - 4-8mg. Max=8mg.
Peds PO - >5yo - 4mg, <4yo - 2mg
Peds IM -
Peds IV -

INDI: Significant vomiting

CONT: ADR, Congenital long QT syndrome, Current apomorphine therapy (used in severe Parkinson’s disease), <2yo

Question 18

Sodium Chloride 0.9%

Answer 18

DOSE: PRN

INDI: Inadequate tissue perfusion/shock, Hypovolemia, Significant burns, dilute drugs, flush.

CONT: Nil

Question 19

Tenecteplase

Answer 19

DOSE:

INDI: STEMI

CONT:

Question 20

Ticagrelor

Answer 20

DOSE: PO - 180mg

INDI: STEMI Accepted for PCI

CONT: ADR, <18yo, pt currently taking ticagrelor, active bleeding, prior intercranial haemorrhage, hx hepatic impairment

Question 21

Hydrocortisone

Answer 21

DOSE: IM/IV - 100mg
Peds IM/IV - 4mg/kg

INDI: Asthma, CPOD, Refractory anaphylaxis, symptomatic adrenal insufficiency.

CONT: ADR