Med Doses Flashcards
1
Q
Adrenaline
A
- cardiac arrest 1mg IV neat. Repeat 1mg at 4min (every second cycle)
- Anaphylaxis 500mcg IM neat. Repeat 500mcg at 5min intervals, no max
- Severe asthma 500mcg IM neat. Repeat 500mcg at 5-10min intervals, max 1.5mg
- Croup 5mg/5ml neb. Consult for repeat
2
Q
Asprin
A
300mg PO no repeat
3
Q
Ceftriaxone
A
- Severe sepsis 1000mg IV diluted with 10ml WFI=100mg/ml. No repeat
- Meningococcal septicaemia 1000mg IV/IM diluted with 10ml WFI=100mg/ml (IV) or 4ml lignocaine= 250mg/ml (IM) no repeat
4
Q
Dexamethasone
A
Asthma, moderate-severe croup, COPD, croup 8mg IV/oral neat, no repeat
5
Q
Dextrose 10%
A
- Diabetic hypoglycaemia, unable to follow commands 150ml IV. Repeat 100ml at 5-10min intervals
6
Q
Fentanyl
A
- Pain relief - up to 50mcg IV, diluted with 8ml NaCl= 10mcg/1ml. Repeat up to 50mcg IV at 5min intervals
- 200mcg/100mcg IN, repeat 100mcg/50mcg IN at 5-10min intervals max 400mcg/200mcg
- 100mcg/1mcg/kg IM, repeat 50mcg at 15min interval once only - Severe headache up to 50mcg IV diluted with 8ml NaCl. Repeat up to 50mcg IV at 5min intervals, max 200mcg
- CPR interfering patient 100mcg IV, 200mcg IM. Repeat 100mcg IV at 1-2min intervals no max. No repeat IM
7
Q
Glucagon
A
- Diabetic hypoglycaemia unable to follow commands 1u IM neat, no repeat
- Anaphylactic patients with heart failure or beta blocked 1u IM/IV no repeat
8
Q
GTN
A
- ACS 300mcg-600mcg SL tablet and 50mg patch repeat 300-600mcg at 5min intervals no max
- Acute LVF 300-600mcg tablet SL and 50mg patch. Repeat 300-600mcg at 5min intervals no max
- Autonomic dysreflexia 300-600mcg tablet SL. Repeat 300-600mcg at 10min intervals no max
- Preterm labour (consult) 50mg patch repeat 50mg at 1hr if contractions remain
9
Q
Heparin
A
4000u/4ml IV not repeat
10
Q
Ipratropium bromide
A
- Asthma, COPD, anaphylaxis with bronchospasm 500mcg (2 nebules) neb, no repeat
11
Q
Ketamine
A
- Pain relief 75mg/50mg IN neat. Repeat 75/50mg at 20min intervals no max
- Agitation <60kg= 200mg IM(neat)
60kg-90kg= 300mg IM
>90kg= 400mg IM
Consult for repeat - 200mg IM (neat)
50-100mg IV (consult) diluted with 18ml NaCl= 10mg/ml
12
Q
Lignocaine
A
Dilution of IM 3.5ml no repeat
13
Q
Methoxyflurane
A
- 3ml inhaled, repeat 3ml as required interval, max 6ml
14
Q
Midazolam
A
- Agitation 5-10mg/2.5mg-5mg IM neat. Repeat 5-10mg/2.5mg-5mg at 10min max 20mg
- Status epilepticus 10mg/5mg IM repeat 10mg at 10min, 5mg at 5min intervals
- Agitation with hyperthermia or increased muscle tone (consult) 2.5mg-5mg IV consult for repeat
15
Q
Morphine
A
- Pain relief IV up to 5mg diluted with 9ml NaCl =1mg/ml, repeat at 5min intervals max 20mg
10mg/0.1mg/kg IM neat, repeat 5mg at 15min intervals once only