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AV CPG's > Medication Doses > Flashcards

Medication Doses Flashcards

1
Q

Amiodarone - Cardiac Arrest

A

300mg after the 3rd shock

150mg after the 5th shock

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2
Q

CPR Interfering patient

A 
Fentanyl 100mcg 1-2min (no max)
If fentanyl ineffective: 
Ketamine 50-100mg 1-2min (no max)
If no IV access:
Fentanyl 200mcg or Ketamine 200mg IM
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3
Q

RSI - standard

A

Ketamine 1.5mg/kg (max 200mg)
If GCS >10 Midaz 5mg IV
Rocuronium 1mg/kg (max 100mg)

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4
Q

RSI - modified (ketamine contraindicated)

A

Fentanyl 100-200mcg
Midaz 5-10mg IV
Rocuronium 1mg/kg (max 100mg)

(If serotonin syndrome use a morph/midaz combination)

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5
Q

Narrow complex tachycardia (stable BP <90)

A

If BP < 90 or no reversion with valsalva

Adenosine 6mg - if no reversion after 2/60
Adenosine 12mg repeat once after 2/60

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6
Q

Narrow complex tachycardia (unstable - deteriorating rapidly)

A

Synchronised Cardioversion
Midaz 1-2mg
Fentanyl 50mcg

Cardioversion 150J repeat x 1
If unsuccessful change to anterior posterior and DCCS 200J

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7
Q

Wide complex tachycardia - stable

A

Amiodarone 5mg/kg (max 300mg) over 20/60 single dose

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8
Q

Wide complex tachycardia - unstable

A

Synchronised cardioversion

Midaz 1-2mg
Fentanyl 50mcg

DCCS 150J repeat x 1
If unsuccessful anterior/posterior position DCCS 200J

If successful or unsuccessful continue to run the amiodarone infusion

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9
Q

Inadequate Perfusion (cardiogenic) - no crackles

A

N/Saline 250ml IV repeat as required.

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10
Q

Inadequate Perfusion (cardiogenic) crackles or ext poor perfusion

A

Adrenaline Infusion
- commence @ 5mcg/min (5ml/hr) titration to achieve SBP 100mmHg (max 250mcg)

If no syringe pump.
- Adrenaline 10mcg IV @ 2/60

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11
Q

STEMI

A

Heparin 4000units. Repeat 1000units at 1hour

Tenectaplase

  • <60kg 30mg 6000units 6ml
  • 60-69kg 35mg 7000units 7mls
  • 70-79kg 40mg 8000units 8mls
  • 80-89kg 45mg 9000units 9mls
  • 90-99kg 50mg 10000units 10mls
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12
Q

Morphine - pain relief

A

IV - Up to 5mg max 20mg

IM - 10mg repeat 5mg after 15min or frail/<60kg 0.1mg/kg no repeat.

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13
Q

Fentanyl - pain relief

A

IV - up to 50mcg max 200mcg
IN - 200mcg repeat 50mcg til 400mcg. If elderly/frail/<60kg 100mcg repeat 50mcg max 200mcg
IM - 100mcg repeat 50mcg after 15min or 1mcg/kg no repeat.

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14
Q

Ketamine - pain relief

A

IV - 10-20mg at 5-10min. Procedural pain relief 20-30mg at 2min until dissociation
Infusion - 0.1-0.3mg/kg/hr

IN - 75mg repeat 50mg at 20min no max or
- if frail/<60kg/elderly 50mg repeat 25mg at 20min no max

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15
Q

Headache

A

Prochlorperazine 12.5mg.
Paracetamol 1g
Fentanyl if pain >7 and still 15min away from hospital

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16
Q

Bradycardia - unstable

A

Atropine 600mcg
Atropine 1200mcg @ 3-5min if inadequate response.

Continue 600mcg if adequate response 3-5min as required max 3mg

17
Q

Asthma - Mild/Mod

A

Salbutamol pMDI 4-12 doses at 20min intervals. 4 breaths between each puff

18
Q

Asthma - severe

A

Salbutamol 10mg (5ml) repeat at 5min 5mg (2.5ml)
Ipratropium Bromide 500mcg once
Dexamethasone 8mg IV/oral

19
Q

Asthma - Inadequate response to severe management

A

Adrenaline 500mcg IM repeat at 5-10min (max 1.5mg)

IV adrenaline if no response to IM or thunderstorm asthma consult
20mcg at 2min.

MICA
If no response to IM
50-100mcg IV at 2-5min if infusion not available or whilst infusion being set up

Infusion 2-15mcg/min (2-15ml/hr)

20
Q

COPD

A

Salbutamol 10mg repeat 5mg at 5min
Ipratropium Bromide 500mcg
Dexamethasone 8mg

MICA
Severe resp distress and RR >24
CPAP @ 7.5cm H20 increase to 10cm if nil improvement

21
Q

Upper Airway Obstruction

A

5 back blows moving to 5 chest thrust repeat.

Unconscious manually remove obstruction. Commence chest compressions if unable to remove.

22
Q

Upper Airway Obstruction - all other stridor

A

Adrenaline 5mg Nebulised. Consult for further

Dexamethasone 8mg IV/IM

23
Q

Nausea and Vomiting - Adult

A

Ondasertron 8mg IV or 4mg oral. Repeat 4mg once after 10min.

IM can be administered using 4mg. If severe a further 4mg can be given.

The preferred treatment for N+V in pregnant patients with signs of dehydration is fluid rehydration

24
Q

Hypoglycaemia

A

Responding to commands:
- 15g oral glucose (max 30g)

Not responding to commands or glucose ineffective:

  • Dextrose 10% 15g (150ml) IV 10ml N/Saline flush before and after.
  • After 5-10min no return to normal further 10g (100ml) titration to effect.
  • If IV unable IM glucagon 1IU.
25
Q

Hyperglycaemia

A

N/Saline 20ml/kg IV titration to perfusion.

Consider antiemetic.

26
Q

Seizures - adult

A
  • Midazolam 10mg IM repeat 10mg after 10min
  • Elderly/frail/<60kg Midaz 5mg repeat 5mg after 5min
  • IV Midaz 5mg
  • Elderly/Frail/<60kg 2mg

No response after 5min

  • 2-5mg IV repeat after 2-5min (Max 30mg with IM+IV)
  • elderly/frail/<60kg 2mg IV repeat at 2-5min
  • Consult for further
  • Endotracheal intubation if no improvement
27
Q

Anaphylaxis - Adult

A

Adrenaline 500mcg IM repeat @ 5/60
Oxygen 15lt NRB

  • Stridor
    Adrenaline 5mg nebulised consult for further
  • Bronchospasm
    Salbutamol 5mg neb or pMDI 4-12 repeat at 20min.
    Ipratropium bromide 500mcg.
    Dexamethasone 8mg IV/oral
  • BP <90
    N/Saline 20ml/kg (max 40ml/kg)
  • Inadequate response with hx of heart failure or taking beta blockers
    Glucagon 1mg IV/IM repeat once at 5min

Inadequate response after 2 doses of IM
Adrenaline infusion 5mcg/min increase 5mcg @ 2/60

Extremely poor perfusion or impending cardiac arrest
Adrenaline 10mcg at 2/60. Or if poor response
Adrenaline 50-100mcg IV as required

28
Q

Inadequate Perfusion (non-cardiogenic/Non-hypovolaemic)

A

Inadequate or extremely poor perfusion and chest clear:
- N/Saline 20ml/kg over 30min

No change:
- Adrenaline infusion 5mcg/min (5ml/hr) increase 5mcg @ 2/60

  • If no infusion available 10mcg @ 2/60
  • If poor response 50-100mcg as required.
29
Q

Meningococcal Septicaemia - Adult

A

1g Ceftriaxone

IV dilute with 9.5ml water administered over 2min
IM dilute with 3.5ml lidocaine into upper lateral thigh.

30
Q

Heroin OD - Adult

A

Naloxone 1-6mg-2mg IM single dose only

31
Q

Opioid OD other

A

Naloxone 100mcg IV. Repeat every 2/60 until pt self ventilating (max 2mg)

Draw up into 5ml syringe with 3ml N/saline = 100mcg/ml

If no IV

400mcg IM single dose.

32
Q

TCA OD

A

Sodium Bicarbonate 8.4% 100ml IV given over 3/60. Repeat 100ml after 10/60. Consult for further.

Consider ETT if pt GCS<10 after mx
RR - 20-24
Fi02 - 100%
ETC02 - 20-25mmHg

A more alkaline environment will de-activate the medication.

AV CPG's (11 decks)

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