familiarisation stuff

Question 1

what is Ceftriaxone used for

Answer 1

 Suspected meningococcal septicaemia.

Question 2

what is droperidol indicated for

Answer 2

 Patients aged greater than or equal to 12 years with agitated delirium causing a mild to moderate risk to safety, when olanzapine has not been administered or is ineffective.

Question 3

dosage of droperidol

Answer 3

• 10 mg IM or IV.
• Reduce the dose to 5 mg if the patient is frail.
• The dose may be repeated once after 20 minutes.

Question 4

indications for Gentamicin

Answer 4

 Sepsis (in addition to amoxicillin/clavulanic acid), where the site of infection is the urinary tract, the abdomen, or is unknown and:
ū The patient is aged greater than or equal to 12 years, and
ū One or more high risk factors are present, and
ū Time to hospital is greater than 30 minutes.

Question 5

dose for Gentamicin

Answer 5

• 400 mg if weighs greater than 80 kg.
• 320 mg if weighs 60-80 kg.
• 240 mg if weighs less than 60 kg.

Question 6

Olanzapine indication

Answer 6

 Patients aged greater than or equal to 12 years with agitated delirium causing a mild to moderate risk to safety, when the patient will take an oral medicine.

Question 7

Olanzapine dose

Answer 7

• 10 mg PO.
• Reduce the patient to 5 mg PO if the patient is frail.
• The dose may be repeated once after 20 minutes.

Question 8

midazolam indications

Answer 8

Indications
 Prolonged seizures.
 Agitated delirium causing a mild to moderate risk to safety and droperidol is
unavailable or ineffective.
 Pain associated with severe muscle spasm.
 Sedation, for example for joint relocation.
 Sedation post intubation.
 Severe anxiety associated with COPD.

Question 9

dose and when in ameiodarone given

Answer 9

Cardiac arrest: after the 3rd shock
a) 300 mg for an adult.
b) If VF or VT persists, a second dose of 150 mg may be administered.
c) See the paediatric drug dose tables for a child.

Question 10

IV fentanyl dose

Answer 10

• IV for analgesia:
  a) 10-50 mcg every five minutes for an adult. Use a dose at the lower end of the range if the patient is small, frail or cardiovascularly unstable.
  b) See the paediatric drug dose tables for a child.

Question 11

IN fentanyl dose

Answer 11

IN for analgesia:
a) 100 mcg IN for an adult weighing 80 kg or less. Further doses of 50 mcg may be administered every ten minutes without a maximum dose. Halve these doses if the patient is frail or cardiovascularly unstable.
b) 200 mcg IN for an adult weighing greater than 80 kg. Further doses of
100 mcg may be administered every ten minutes without a maximum dose. Halve these doses if the patient is frail or cardiovascularly unstable.
c) See the paediatric drug dose tables for a child.

Question 12

IM fentanyl dose

Answer 12

IM for analgesia if IV access cannot be obtained and IN administration is inappropriate:
a) 50-100 mcg IM for an adult. Use a dose at the lower end of the range if the patient is small, frail or cardiovascularly unstable. This may be repeated once after 20 minutes.
b) See the paediatric drug dose tables for a child. This may be repeated once after 20 minutes.

Question 13

drawing up fentanyl

Answer 13

Dilute 100 mcg to a total of 10 ml for an adult or a child whose weight has been rounded up to 30 kg or more. This final solution contains 10 mcg/ml

Question 14

naloxone dose

Answer 14

• 0.1-0.4 mg IV every five minutes as required for an adult.
• 0.8 mg IM as required for an adult. This may be repeated every 20 minutes.
• See the paediatric drug dose tables for a child.

Question 15

morphine IV dose

Answer 15

1-5mg every 5 mins as required

Question 16

IM/SC morphine dose

Answer 16

5-10mg every 20 mins up to a total of 3 doses

Question 17

admin of IV morphine

Answer 17

dilute 10mg of morphine to a total of 10ml sodium, 1mg/ml

Question 18

onset and duration of mrphine

Answer 18

onset 2-5 mins
duration 30-60mins