Med Doses Flashcards

1
Q

Adrenaline

A
  1. cardiac arrest 1mg IV neat. Repeat 1mg at 4min (every second cycle)
  2. Anaphylaxis 500mcg IM neat. Repeat 500mcg at 5min intervals, no max
  3. Severe asthma 500mcg IM neat. Repeat 500mcg at 5-10min intervals, max 1.5mg
  4. Croup 5mg/5ml neb. Consult for repeat
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2
Q

Asprin

A

300mg PO no repeat

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3
Q

Ceftriaxone

A
  1. Severe sepsis 1000mg IV diluted with 10ml WFI=100mg/ml. No repeat
  2. Meningococcal septicaemia 1000mg IV/IM diluted with 10ml WFI=100mg/ml (IV) or 4ml lignocaine= 250mg/ml (IM) no repeat
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4
Q

Dexamethasone

A

Asthma, moderate-severe croup, COPD, croup 8mg IV/oral neat, no repeat

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5
Q

Dextrose 10%

A
  1. Diabetic hypoglycaemia, unable to follow commands 150ml IV. Repeat 100ml at 5-10min intervals
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6
Q

Fentanyl

A
  1. 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
  2. Severe headache up to 50mcg IV diluted with 8ml NaCl. Repeat up to 50mcg IV at 5min intervals, max 200mcg
  3. CPR interfering patient 100mcg IV, 200mcg IM. Repeat 100mcg IV at 1-2min intervals no max. No repeat IM
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7
Q

Glucagon

A
  1. Diabetic hypoglycaemia unable to follow commands 1u IM neat, no repeat
  2. Anaphylactic patients with heart failure or beta blocked 1u IM/IV no repeat
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8
Q

GTN

A
  1. ACS 300mcg-600mcg SL tablet and 50mg patch repeat 300-600mcg at 5min intervals no max
  2. Acute LVF 300-600mcg tablet SL and 50mg patch. Repeat 300-600mcg at 5min intervals no max
  3. Autonomic dysreflexia 300-600mcg tablet SL. Repeat 300-600mcg at 10min intervals no max
  4. Preterm labour (consult) 50mg patch repeat 50mg at 1hr if contractions remain
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9
Q

Heparin

A

4000u/4ml IV not repeat

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10
Q

Ipratropium bromide

A
  1. Asthma, COPD, anaphylaxis with bronchospasm 500mcg (2 nebules) neb, no repeat
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11
Q

Ketamine

A
  1. Pain relief 75mg/50mg IN neat. Repeat 75/50mg at 20min intervals no max
  2. Agitation <60kg= 200mg IM(neat)
    60kg-90kg= 300mg IM
    >90kg= 400mg IM
    Consult for repeat
  3. 200mg IM (neat)
    50-100mg IV (consult) diluted with 18ml NaCl= 10mg/ml
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12
Q

Lignocaine

A

Dilution of IM 3.5ml no repeat

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13
Q

Methoxyflurane

A
  1. 3ml inhaled, repeat 3ml as required interval, max 6ml
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14
Q

Midazolam

A
  1. Agitation 5-10mg/2.5mg-5mg IM neat. Repeat 5-10mg/2.5mg-5mg at 10min max 20mg
  2. Status epilepticus 10mg/5mg IM repeat 10mg at 10min, 5mg at 5min intervals
  3. Agitation with hyperthermia or increased muscle tone (consult) 2.5mg-5mg IV consult for repeat
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15
Q

Morphine

A
  1. 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
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16
Q

Naloxone

A
  1. Heroin OD 1.6-2mg IM, neat, no repeat
  2. Other opioid OD 100mcg IV diluted with 3ml NaCl = 100mcg/ml, repeat 100mcg at 2min intervals max 2mg.
    400mcg IM Neat, no repeat
17
Q

Olanzipine

A

Agitation 10mg(2 tablets) 5mg (1 tablet) PO, repeat 5-10mg at 20min interval once only

18
Q

Ondansetron

A

Nausea/vomiting, spinally imobilised patient, planned aeromedical evacuation, penetrating eye trauma, prochlorperazine contraindicated
8mg IV neat, 4mg oral max 8mg

19
Q

Oxytocin

A

Primary PPH IM 10u/1ml neat, repeat 10u at 5min interval once only

20
Q

Prochlorperazine

A

Vertigo, severe headache, ondansetron contraindicated 12.5mg IM neat, no repeat

21
Q

Paracetamol

A

Pain relief, severe headache 500mg-1000mg PO, no repeat

22
Q

Salbutamol

A
  1. Asthma 10mg (2 nebules) repeat 5mg at 5min intervals no max
  2. COPD 10mg (2 nebs) no repeat
  3. Anaphylaxis with bronchospasm 5mg repeat 5mg at 20min intervals no max
23
Q

Tenectaplase

A
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