Med Doses Flashcards
Adrenaline
- 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
Asprin
300mg PO no repeat
Ceftriaxone
- 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
Dexamethasone
Asthma, moderate-severe croup, COPD, croup 8mg IV/oral neat, no repeat
Dextrose 10%
- Diabetic hypoglycaemia, unable to follow commands 150ml IV. Repeat 100ml at 5-10min intervals
Fentanyl
- 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
Glucagon
- Diabetic hypoglycaemia unable to follow commands 1u IM neat, no repeat
- Anaphylactic patients with heart failure or beta blocked 1u IM/IV no repeat
GTN
- 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
Heparin
4000u/4ml IV not repeat
Ipratropium bromide
- Asthma, COPD, anaphylaxis with bronchospasm 500mcg (2 nebules) neb, no repeat
Ketamine
- 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
Lignocaine
Dilution of IM 3.5ml no repeat
Methoxyflurane
- 3ml inhaled, repeat 3ml as required interval, max 6ml
Midazolam
- 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
Morphine
- 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
Naloxone
- Heroin OD 1.6-2mg IM, neat, no repeat
- Other opioid OD 100mcg IV diluted with 3ml NaCl = 100mcg/ml, repeat 100mcg at 2min intervals max 2mg.
400mcg IM Neat, no repeat
Olanzipine
Agitation 10mg(2 tablets) 5mg (1 tablet) PO, repeat 5-10mg at 20min interval once only
Ondansetron
Nausea/vomiting, spinally imobilised patient, planned aeromedical evacuation, penetrating eye trauma, prochlorperazine contraindicated
8mg IV neat, 4mg oral max 8mg
Oxytocin
Primary PPH IM 10u/1ml neat, repeat 10u at 5min interval once only
Prochlorperazine
Vertigo, severe headache, ondansetron contraindicated 12.5mg IM neat, no repeat
Paracetamol
Pain relief, severe headache 500mg-1000mg PO, no repeat
Salbutamol
- Asthma 10mg (2 nebules) repeat 5mg at 5min intervals no max
- COPD 10mg (2 nebs) no repeat
- Anaphylaxis with bronchospasm 5mg repeat 5mg at 20min intervals no max
Tenectaplase
STEMI IV diluted with sterile H2O=5mg/ml <60kg= 30mg 60-69kg= 35mg 70-79kg= 40mg 80-89kg= 45mg >90kg= 50mg Age >75 half dose No repeat