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ASNSW Pharmacology > Paediatric Dose > Flashcards

Paediatric Dose Flashcards

1
Q

Adrenaline
Cardiac Arrest
<16
IV/IO

A

Preparation: 1mg in 1ml ampoule (1:1,000)
1mg in 10ml ampoule (1:10,000)
Route: IV/IO
Initial Dose: 10mcg/kg (1:10,000) bolus
Repeat: 2nd cycle (~ 4min)
Max Total: No Max

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2
Q

Adrenaline
Cardiac Arrest
<16
ETT

A

Preparation: 1mg in 1ml ampoule (1:1,000)
1mg in 10ml ampoule (1:10,000)
Route: ETT
Initial Dose: 100mcg/kg (1:1,000) bolus
Repeat: 2nd cycle (~ 4min)
Max Total: 5 doses
NB
ETT Adrenaline must only be used if IV/IO access is
unavailable.
Patients <1yr must have their ETT dose diluted to 1ml
total volume with NaCl 0.9% prior to administration.

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3
Q

Adrenaline
Life Threatening Asthma
<16
IM

A

Preparation: 1mg in 1ml ampoule (1:1,000)
1mg in 10ml ampoule (1:10,000)
Route: IM
Initial Dose: 10mcg/kg (1:1,000) bolus into lateral thigh
Max bolus: 500mcg
Repeat: 5min
Max Total: No Max

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4
Q

Adrenaline
Life Threatening Asthma
<16
IV

A

Indication: Unresponsive after 4x IM bolus injections.
Preparation: 1mg in 1ml ampoule (1:1,000)
1mg in 10ml ampoule (1:10,000)
Route: IV
Initial Dose: 2mcg/kg (1:10,000) bolus
Max bolus: 50mcg
Repeat: 2min
Max Total: No Max

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5
Q

Adrenaline
Severe/Life Threatening Anaphylaxis
<16
IM

A

Preparation: 1mg in 1ml ampoule (1:1,000)
1mg in 10ml ampoule (1:10,000)
Route: IM
Initial Dose: 10mcg/kg (1:1,000) bolus into lateral thigh.
Max bolus: 500mcg
Repeat: 5min
Max Total: No Max

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6
Q

Adrenaline
Severe/Life Threatening Anaphylaxis
<16
INFUSION

A

Indication: Unresponsive after 4x IM bolus injections.
Preparation: 1mg in 1ml ampoule (1:1,000)
1mg in 10ml ampoule (1:10,000)
Route: Infusion
Initial Dose: 1mg (1:10,000) diluted in 90ml
compound sodium lactate via burette
with micro drip. Commence 5mcg/min
(30 drops/min).
Repeat: Titrate whilst indicated.
Max Total: No Max.

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7
Q

Adrenaline
Severe/Life Threatening Anaphylaxis
<16
NEB

A

Preparation: 1mg in 1ml ampoule (1:1,000)
1mg in 10ml ampoule (1:10,000)
Route: NEB
Initial Dose: 500mcg/kg (1:1,000)
Max bolus: 5mg
Repeat: 30min
Max Total: No Max

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8
Q

Adrenaline
Newborn Resuscitation
IV/IO

A

Preparation: 1mg in 1ml ampoule (1:1,000)
1mg in 10ml ampoule (1:10,000)
Route: IV/IO
Initial Dose: 10mcg/kg (1:10,000)
Repeat: 4min
Max Total: No Max

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9
Q

Adrenaline
Croup
<16
NEB

A

Preparation: 1mg in 1ml ampoule (1:1,000)
1mg in 10ml ampoule (1:10,000)
Route: NEB
Initial Dose: 500mcg/kg (1:1,000)
Max bolus: 5mg
Repeat: 30min
Max Total: No Max

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10
Q

Adrenaline
Bradycardia
<16
IV/IO

A

Preparation: 1mg in 1ml ampoule (1:1,000)
1mg in 10ml ampoule (1:10,000)
Route: IV/IO
Initial Dose: 2mcg/kg (1:10,000)
Max bolus: 50mcg
Repeat: 2min
Max Total: No Max

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11
Q

Amiodarone
Cardiac Arrest
<16
IV/IO

A

Preparation: 150mg (3ml) ampoule (50mg:1ml)
Route: IV/IO
Initial Dose: 5mg/kg
Max bolus: 300mg
Repeat: Once 5mg/kg
Max total dose <= 450mg
Max Total: 10mg/kg
Max total dose <= 450mg

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12
Q

Atropine
Bradycardia
<16
IV/IO

A

Preparation: 600mcg in 1ml polyampoule (600mcg:1ml)
Diluted to 6ml (100mcg:1ml) with 5ml NaCl
Route: IV/IO
Initial Dose: 20mcg/kg diluted bolus
Repeat: Nil
Max Total: 20mcg/kg
NB Bolus may exceed bolus for patients >=16

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13
Q

Atropine
Bradycardia
<16
IM

A

Preparation: 600mcg in 1ml polyampoule (600mcg:1ml)
Route: IM
Initial Dose: 20mcg/kg undiluted bolus
Repeat: Nil
Max Total: 20mcg/kg
NB Should only be used where IV access is not available.
Bolus may exceed bolus for patients >=16

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14
Q

Atropine
Organophosphate Poisoning
<16
IV/IO

A

Indication: PR<80/min and/or
SBP <80mmHg and/or
[+] secretions/crackles or chest crepitation.
Preparation: 600mcg in 1ml polyampoule (600mcg:1ml)
Diluted to 6ml (100mcg:1ml) with 5ml NaCl
Route: IV/IO
Initial Dose: 20mcg/kg diluted bolus
Max bolus: 600mcg
Repeat: 1 min
Max Total: No Max

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15
Q

Atropine
Organophosphate Poisoning
<16
IM

A

Indication: PR<80/min and/or
SBP <80mmHg and/or
[+] secretions/crackles or chest crepitation.
Preparation: 600mcg in 1ml polyampoule (600mcg:1ml)
Route: IV
Initial Dose: 20mcg/kg undiluted bolus
Max bolus: 600mcg
Repeat: 3 min
Max Total: No Max
NB Should only be used where IV access is not available

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16
Q

Atropine
Nerve Agent Poisoning
>=1 - <16
IV/IO

A

Indication: ALL ages: Mild Nerve Agent poisoning
symptoms.
<6 yrs: Moderate - Severe Nerve Agent
poisoning symptoms.
>=6yrs: Moderate - Severe Nerve Agent
poisoning symptoms unresponsive to
maximum dose of Pralidoxime
Chloride/Atropine Autoinjector
and/or Pralidoxime Chloride/Atropine
Autoinjector is not available.
Preparation: 600mcg in 1ml polyampoule (600mcg:1ml)
Diluted to 6ml (100mcg:1ml) with 5ml NaCl
Route: IV/IO
Initial Dose: 20mcg/kg diluted bolus
Max bolus: 600mcg
Repeat: 1 min
Max Total: No Max

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17
Q

Atropine
Nerve Agent Poisoning
>=1 - <16
IM

A

Indication: ALL ages: Mild Nerve Agent poisoning
symptoms.
<6 yrs: Moderate - Severe Nerve Agent
poisoning symptoms.
>=6yrs: Moderate - Severe Nerve Agent
poisoning symptoms unresponsive to
maximum dose of Pralidoxime
Chloride/Atropine Autoinjector
and/or Pralidoxime Chloride/Atropine
Autoinjector is not available.
Preparation: 600mcg in 1ml polyampoule (600mcg:1ml)
Route: IM
Initial Dose: 20mcg/kg undiluted bolus
Max bolus: 600mcg
Repeat: 3 min
Max Total: No Max
NB Should only be used where IV access is not available

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18
Q

Atropine
Nerve Agent Poisoning
<1
IM

A

Indication: ALL ages: Mild Nerve Agent poisoning
symptoms.
<6 yrs: Moderate - Severe Nerve Agent
poisoning symptoms.
Preparation: 600mcg in 1ml polyampoule (600mcg:1ml)
Route: IM
Initial Dose: 50-100mcg diluted bolus
Repeat: 3 min
Max Total: No Max

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19
Q

Benzyl Penicillin
Meningococcal Septicaemia
>=1 - <10
IV/IO/IM

A

Preparation: 600mg as powder.
IV / IO dissolve 600mg in 10ml NaCl
IM dissolve 600mg in 2ml NaCl
Route: IV / IO / IM
Initial Dose: 600mg
Repeat: Nil
Max Total: 600mg

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20
Q

Benzyl Penicillin
Meningococcal Septicaemia
<1
IV/IO/IM

A

Preparation: 600mg as powder.
IV / IO dissolve 600mg in 10ml NaCl
IM dissolve 600mg in 2ml NaCl
Route: IV / IO / IM
Initial Dose: 300mg
Repeat: Nil
Max Total: 300mg

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21
Q

Calcium Gluconate
Hyperkalaemia
<16
IV/IO

A

Preparation: 2.2mmol in 10ml ampoule (~1g per 10ml)
Route: IV
Initial Dose: 70mg over 2 min
Max bolus: 1g
Repeat: 5 min
Max Total: 210mg/kg or 3g (whichever is less)

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22
Q 
Compound Sodium Lactate
Traumatic Hypovolaemia
<16
IV/IO
Auto start burette and pump set
A

Indication: 1. any key sign of shock
2. Penetrating trauma decreased LOC
and/or absent radial pulse.
Preparation: 500ml bag
Route: IV/IO
Initial Dose: 10ml/kg bolus
Max bolus: 250ml
Repeat: 10ml/kg to maintain BP within age range:
>=13 > 100mmHg
>=6 to <13 > 90mmHg
>=1 to <6 > 80mmHg
<1 > 70mmHg
Max Total: No Max

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23
Q 
Compound Sodium Lactate
Traumatic Cardiac Arrest
<16
IV/IO
Auto start burette and pump set
A 
Indication:    Traumatic cardiac arrest with no palpable 
                      central pulse (carotid or femoral)
Preparation:  500ml bag
Route:            IV/IO
Initial Dose:   10ml/kg bolus
                       Max bolus: 250ml
Repeat:          once
Max Total:      20ml/kg
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24
Q 
Compound Sodium Lactate
Newborn Resuscitation
ALL
IV/IO
Auto start burette and pump set
A 
Indication:     Pt unresponsive to CPR and resuscitation
Preparation:  500ml bag
Route:            IV/IO
Initial Dose:   10ml/kg bolus
Repeat:          Nil
Max Total:      10ml/kg
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25
Q

Fentanyl
Pain Management
>=6 - <16
IN

A 
Preparation: 450mcg (1.5ml) sealed vial
Route:           IN
Initial Dose:  75mcg undiluted
                     1. 105mcg (0.35ml) - patient receives 75mcg 
                        (0.25ml)
Repeat:        30mcg (0.1ml) undiluted every 5min while 
                     indicated
Max Total:    No Max
26
Q

Fentanyl
Pain Management
>=4 - <6
IN

A

Preparation: 450mcg (1.5ml) sealed vial
Route: IN
Initial Dose: 30mcg undiluted
1. 60mcg (0.2ml) - patient receives 30mcg
(0.1ml)
Repeat: 30mcg (0.1ml) undiluted every 5min while
indicated
Max Total: 90mcg (0.3ml)
NB This regimen may be repeated 30min after the last
administration whilst indicated.

27
Q

Fentanyl
Pain Management
3yrs old; 14kg
IN

A

Preparation: 450mcg (1.5ml) sealed vial.
450mcg (1.5ml) diluted to 7.5ml with 6ml
NaCl in a 10ml syringe (6mcg:0.1ml)
Route: IN
Initial Dose: 24mcg diluted
30mcg (0.5ml) - patient receives 24mcg
(0.4ml)
Repeat: 10min
12mcg (0.2ml)
NB This regimen may be repeated 30min after the last
administration whilst indicated.
Decant required dose from 10ml syringe using the
MAD syringe and drawing up needle.

28
Q

Fentanyl
Pain Management
2yrs old; 12kg
IN

A

Preparation: 450mcg (1.5ml) sealed vial.
450mcg (1.5ml) diluted to 7.5ml with 6ml
NaCl in a 10ml syringe (6mcg:0.1ml)
Route: IN
Initial Dose: 18mcg diluted
24mcg (0.4ml) - patient receives 18mcg
(0.3ml)
Repeat: 10min
12mcg (0.2ml)
NB This regimen may be repeated 30min after the last
administration whilst indicated.
Decant required dose from 10ml syringe using the
MAD syringe and drawing up needle.

29
Q

Fentanyl
Pain Management
1yr old; 10kg
IN

A

Preparation: 450mcg (1.5ml) sealed vial.
450mcg (1.5ml) diluted to 7.5ml with 6ml
NaCl in a 10ml syringe (6mcg:0.1ml)
Route: IN
Initial Dose: 18mcg diluted
24mcg (0.4ml) - patient receives 18mcg
(0.3ml)
Repeat: 10min
6mcg (0.1ml)
NB This regimen may be repeated 30min after the last
administration whilst indicated.
Decant required dose from 10ml syringe using the
MAD syringe and drawing up needle.

30
Q

Fentanyl
Pain Management
>=1 - <4
IN

A

Preparation: 450mcg (1.5ml) sealed vial.
450mcg (1.5ml) diluted to 7.5ml with 6ml
NaCl in a 10ml syringe (6mcg:0.1ml)
Route: IN
Initial Dose: 1.5mcg/kg diluted
Repeat: 0.75mcg/kg diluted every 10min while
indicated
Max Total: 3mcg/kg
NB This regimen may be repeated 30min after the last
administration whilst indicated.

31
Q

Glucagon
Hypoglycaemia
<16

A

Indication: BGL <4mmol and
[-] LOC and
unable to be cannulated for glucose 10%
Preparation: 1mg vial and syringe containing 1ml of sterile
water. Dissolve glucagon powder by adding
the entire contents of the syringe to the vial
containing the glucagon. Solution must be
prepared immediately prior to use.
Route: SC/IM
Initial Dose: 0.5mg
Repeat: Nil
Max Total: 0.5mg

32
Q

Glucose 10%
Hypoglycaemia
<10

A 
Indication:    BGL <4mmol and [-] LOC
Preparation: Glucose 10% - 50g per 500ml bag
Route:           IV/IO
Initial Dose:  0.2g/kg bolus
                      Max bolus: 15g
Repeat:         whilst indicated
Max Total:     No Max
33
Q

Glucose 10%
Newborn Resuscitation
Newborn

A 
Indication:    BGL <2.6mmol 
Preparation: Glucose 10% - 50g per 500ml bag
Route:           IV/IO
Initial Dose:  0.2g/kg bolus
                      Max bolus: 15g
Repeat:         whilst indicated
Max Total:     No Max
34
Q

Glucose Gel

<1

A

Indication: <28 days of age with BGL <2.6mmol and
conscious and able to swallow.
Preparation: 15g glucose in a 37.5g tube containing
glucose gel 40%
Route: BU
Initial Dose: small aliquots via a gloved finger up to 15g
whilst indicated.
Repeat: Nil
Max Total: 15g
NB admin small aliquots via a gloved finger and carefully monitor for response.

35
Q

Hydrocortisone
Adrenal Crisis
<16

A

Indication: Symptomatic patients with Adrenal
Insufficiency. Patients with existing Dr or
hospital care plan should be administered
the dose state on the plan.
Preparation: 100mg vial reconstituted with 2ml NaCl
(50mg:1ml)
Route: IM/IV
Initial Dose: 4mg/kg bolus
Max bolus: 100mg
Repeat: Nil
Max Total: 4mg/kg up to 100mg

36
Q

Hydrocortisone
Asthma/Anaphylaxis/COPD Exacerbation
<16

A

Indication: <6yrs
moderate - severe/life threatening asthma.
Anaphylaxis patients with persistent
wheeze post salbutamol.
Preparation: 100mg vial reconstituted with 2ml NaCl
(50mg:1ml)
Route: IM/IV
Initial Dose: 4mg/kg bolus
Max bolus: 100mg
Repeat: Nil
Max Total: 4mg/kg up to 100mg

37
Q

Ibuprofen
Pain Management
>=7 - <12

A 
Preparation:  200mg tablet
Route:            PO
Initial Dose:   200mg
                       Max dose: 200mg
Repeat:          4-6hrs
Max Total:      800mg in 24 hrs
38
Q

Ipratropium Bromide
Asthma/COPD
>=2 - <=6

A

Indication: Moderate - Severe/Life threatening asthma
and symptomatic patients with COPD
Preparation: 250mcg in 1ml nebule
Route: NEB
Initial Dose: 250mcg mixed with Salbutamol
Repeat: Once
Max Total: 500mcg

39
Q

Ipratropium Bromide
Asthma/COPD
>=6months - <=2

A

Indication: Moderate - Severe/Life threatening asthma
and symptomatic patients with COPD
Preparation: 250mcg in 1ml nebule
Route: NEB
Initial Dose: 125mcg mixed with Salbutamol
Repeat: Once
Max Total: 250mcg

40
Q

Lignocaine
VF or Pulseless VT and Torsades de Pointes
<16
IV/IO

A

Indication: VF, pulseless VT unresponsive to
Amiodarone
Torsades de Pointes
Preparation: 2% - 100mg (5ml) polyampoule (IV use only)
Route: IV/IO
Initial Dose: 1mg/kg
Max bolus: 100mg
Repeat: Once
Max Total: 2mg/kg up to 200mg

41
Q

Lignocaine
Post Intraosseous Procedure Pain
<16

A

Indication: Localised pain post intraosseous insertion.
Allow 1 min for effect once Lignocaine
introduced into medullary space
Preparation: 2% - 100mg (5ml) polyampoule
(IV use only)
Route: IO
Initial Dose: 0.5mg/kg slow infusion
Max bolus: 40mg
Repeat: Nil
Max Total: 0.5mg/kg up to 40mg

42
Q

Midazolam
Seizures
<16
IN

A 
Preparation: 5mg (1ml) ampoule
Route:           IN via Mucosal Atomising Device (MAD)
Initial Dose:  0.3mg/kg undiluted bolus
                      Max bolus: 5mg
Repeat:         Nil
Max Total:     0.3mg/kg
43
Q

Midazolam
Seizures
<16
IM

A 
Preparation: 5mg (1ml) ampoule
Route:           IM
Initial Dose:  0.15mg/kg undiluted bolus
                      Max bolus: 5mg
Repeat:         5min
Max Total:     0.45mg/kg
44
Q

Midazolam
Seizures
<16
IV

A 
Preparation: 5mg (1ml) ampoule
                      Dilution: 5mg (1ml) diluted with 4ml NaCl to 
                      5ml (1mg:1ml)
Route:           IV
Initial Dose:  0.15mg/kg diluted bolus
                      Max bolus: 2.5mg
Repeat:         5min
Max Total:     0.45mg/kg
45
Q

Midazolam
Behavioural Disturbance
>=1 - <14
IM

A

Indication: 1. Non head injured: Droperidol ineffective
15min AFTER the maximum total dose or is
contraindicated.
2. Acute traumatic brain injured patients
where Ketamine is ineffective or
contraindicated.
3. Authorised to administer a single dose
between initial and repeat doses of
Droperidol (MH28, MH6) ONLY if the
patient is PHYSICALLY aggressive.
Preparation: 5mg (1ml) ampoule
Route: IM
Initial Dose: 0.15mg/kg undiluted bolus
Max bolus: 5mg
Repeat: 5min
Max Total: 0.45mg/kg

46
Q

Midazolam
Behavioural Disturbance
>=1 - <14
IV

A

Indication: 1. Non head injured: Droperidol ineffective
15min AFTER the maximum total dose or is
contraindicated.
2. Acute traumatic brain injured patients
where Ketamine is ineffective or
contraindicated.
3. Authorised to administer a single dose
between initial and repeat doses of
Droperidol (MH28, MH6) ONLY if the
patient is PHYSICALLY aggressive.
Preparation: 5mg (1ml) ampoule
Dilution: 5mg (1ml) diluted with 4ml NaCl to
5ml (1mg:1ml)
Route: IV
Initial Dose: 0.15mg/kg diluted slow bolus
Max bolus: 2.5mg
Repeat: 3min
Max Total: 0.45mg/kg

47
Q

Midazolam
ROSC or Post intubation/SGA sedation
>=6months - <16
IV/IO

A

Indication: ROSC or Post Intubation/SGA sedation
Preparation: 5mg (1ml) ampoule
10mg (2ml) Midazolam mixed with 10mg (1ml)
Morphine and diluted with 7ml NaCl 0.9% to
10ml total volume.
Morphine/Midazolam solution:
1ml = 1mg Midazolam + 1mg Morphine
Route: IV/IO
Initial Dose: 0.1ml/kg Morphine/Midazolam solution bolus
Max bolus: 2.5ml
Repeat: 3min
IV regimen for Post Intubation/SGA sedation
may be repeated 20min after the last
administration.
Max Total: 0.3ml/kg

48
Q

Midazolam
ROSC or Post intubation/SGA sedation
>=6months - <16
IM

A

Indication: ROSC or Post Intubation/SGA sedation
Preparation: 5mg (1ml) ampoule
10mg (2ml) Midazolam mixed with 10mg (1ml)
Morphine and diluted with 7ml NaCl 0.9% to
10ml total volume.
Morphine/Midazolam solution:
1ml = 1mg Midazolam + 1mg Morphine
Route: IM
Initial Dose: 0.1ml/kg Morphine/Midazolam solution bolus
IF IV not available
Repeat: 15min
Max Total: 0.3ml/kg

49
Q

Morphine
Pain Management
>=1 - <16
IV/IO

A

Indication: Pain Management
Preparation: 10mg (1ml) ampoule
10mg (1ml) diluted with 9ml NaCl 0.9% to a
total volume of 10ml (1mg:1ml)
Route: IV/IO
Initial Dose: 100mcg/kg diluted bolus
Max bolus: 5mg
Repeat: 5min
IV regimen may be repeated 30min post
last administration.
Max Total: 0.5mg/kg

50
Q

Morphine
Pain Management
>=1 - <16
IM/SC

A 
Indication:    Pain Management
Preparation: 10mg (1ml) ampoule
Route:           IV/IO
Initial Dose:  100mcg/kg undiluted bolus
                      Max bolus: 10mg
Repeat:         15min
Max Total:     2 doses
51
Q

Morphine
Pain Management
<1
IM/SC

A 
Indication:    Pain Management
Preparation: 10mg (1ml) ampoule
                      10mg (1ml) diluted with 9ml NaCl 0.9% to a 
                      total volume of 10ml (1mg:1ml)
Route:           IM/SC
Initial Dose:  100mcg/kg diluted bolus
                      Max bolus: 10mg
Repeat:         30min
Max Total:     2 doses
52
Q

Morphine
ROSC or Post Intubation/SGA sedation
>=6months - <16
IV/IO

A

Indication: ROSC or Post Intubation/SGA sedation
Preparation: 10mg (1ml) ampoule
10mg (2ml) Midazolam mixed with 10mg (1ml)
Morphine and diluted with 7ml NaCl 0.9% to
10ml total volume.
Morphine/Midazolam solution:
1ml = 1mg Midazolam + 1mg Morphine
Route: IV/IO
Initial Dose: 0.1ml/kg Morphine/Midazolam solution bolus
Max bolus: 2.5ml
Repeat: 3min
IV regimen may be repeated 20min post
last administration.
Max Total: 0.3ml/kg

53
Q

Morphine
ROSC or Post Intubation/SGA sedation
>=6months - <16
IM

A

Indication: ROSC or Post Intubation/SGA sedation
Preparation: 10mg (1ml) ampoule
10mg (2ml) Midazolam mixed with 10mg (1ml)
Morphine and diluted with 7ml NaCl 0.9% to
10ml total volume.
Morphine/Midazolam solution:
1ml = 1mg Midazolam + 1mg Morphine
Route: IM
Initial Dose: 0.1ml/kg Morphine/Midazolam solution bolus
IF IV not available.
Max bolus: 2.5ml
Repeat: 15min
Max Total: 0.3ml/kg

54
Q

Naloxone
Opioid Overdose
<16
IV/IO/IM

A 
Preparation: 400mcg (1ml) ampoule
                     400mcg (1ml) diluted to 4ml with 3ml of NaCl 
                     0.9% (100mcg:1ml)
Route:          IV/IO/IM
Initial Dose: 5mcg/kg diluted bolus
                     Max bolus: 100mcg
Repeat:        2min
Max Total:    2mg
55
Q

Naloxone
Etorphine or Buprenorphine Overdose
<16
IV/IO/IM

A 
Preparation: 400mcg (1ml) ampoule
                     400mcg (1ml) diluted to 4ml with 3ml of NaCl 
                     0.9% (100mcg:1ml)
Route:          IV/IO/IM
Initial Dose: 10mcg/kg diluted bolus
                     Max bolus: 2mg
Repeat:        5min
Max Total:    No max
56
Q

Ondansetron
Nausea & Vomiting/Eye Injuries
>=2 - <8

A 
Preparation: 4mg (2ml) ampoule
Route:           IM/IV
Initial Dose:  2mg bolus
Repeat:         Nil
Max Total:     2mg
57
Q

Paracetamol
Pain Management/Febrile patients
>=7 - <12

A

Indication: Mild pain.
Antipyretic in patients with temp>=38.5C.
Preparation: 500mg tablet
Route: PO
Initial Dose: 250 - 500mg (max 500mg per dose)
Repeat: 4hrs
Max Total: 2g in 24hrs

58
Q

Pralidoxime Chloride/Atropine
Moderate - Severe Nerve Agent Poisoning
>=10 - <16

A

Preparation: Auto-injector contains a sterile solution of
Atropine (2.1mg/0.7ml) and a sterile solution
of Pralidoxime Chloride (600mg/2ml) in two
separate internal chambers.
Route: IM
Initial Dose: One injection into mid-lateral thigh
Repeat: 15min
Max Total: 2 injections
NB max dose and pt still symptomatic admin Atropine

59
Q

Pralidoxime Chloride/Atropine
Moderate - Severe Nerve Agent Poisoning
>=6 - <10

A

Preparation: Auto-injector contains a sterile solution of
Atropine (2.1mg/0.7ml) and a sterile solution
of Pralidoxime Chloride (600mg/2ml) in two
separate internal chambers.
Route: IM
Initial Dose: One injection into mid-lateral thigh
Repeat: Nil
Max Total: 1 injection
NB max dose and pt still symptomatic admin Atropine

60
Q

Salbutamol
Asthma/Anaphylaxis/COPD/Palliative Care
<5
NEB

A

Indications: Asthma - moderate to severe/life
threatening.
Anaphylaxis - bronchospasm
COPD - symptomatic patients with COPD
Palliative Care - Dyspnoea/Tachypnoea
Preparation: 2.5mg (2.5ml) nebule
Route: NEB
Initial Dose: 2.5mg
Repeat: whilst indicated
Max Total: No Max

61
Q 
Salbutamol
Mild - Moderate: 
   Asthma/Anaphylaxis/COPD/Palliative Care
<5
CFC-Free Inhaler
A

Indication: In circumstances where O2 and
nebulised Salbutamol are not available.
Preparation: 100mcg per actuation
Route: CFC-Free Inhaler
Initial Dose: 2-6 puffs
Repeat: whilst indicated
Max Total: No Max

62
Q 
Salbutamol
Severe/Life Threatening: 
   Asthma/Anaphylaxis/COPD/Palliative Care
<5
CFC-Free Inhaler
A

Indication: In circumstances where O2 and
nebulised Salbutamol are not available.
Preparation: 100mcg per actuation
Route: CFC-Free Inhaler
Initial Dose: 6 puffs
Repeat: whilst indicated
Max Total: No Max

ASNSW Pharmacology (8 decks)

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