Pharmacology

Question 0

Kefzol (kefazolin)

Answer 0

1g IVI stat

Question 1

Local anesthetics - maximum dosage

Answer 1

Bupivicaine, ropivicaine, tetracaine, cocaine - 3mg/kg
Lignocaine - 4.5/7 mg/kg
Procaine - 12mg/kg

1% - 1ml = 10mg

Question 2

Augmentin

Answer 2

625mg po tds 5/7

Question 3

Intercostal drain - premedications

Answer 3

Augmentin 1.2g IVI stat

Morphine

Question 4

Anticonvulsants

Answer 4

Prophylaxis: phenytoin 11mg/kg IVI loading dose; subsequent doses according to blood level. Continue for 7 days

Convulsion: diazepam 5-10mg or clonazepam 1mg IVI stat

Status: propofol 40mg stat

Question 5

Rib fracture - analgesia

Answer 5

Ibuprofen 400mg bd
Morphine 0.1-0.5mg/kg/hr IVI PRN
Intercostal block: 0.5ml 0.5% bupivicaine
Intrapleural block: 10ml 0.5% bupivicaine, 10ml 1% lignocaine, 30ml saline
Epidural

Question 6

Maintenance IV fluid

Answer 6

4ml/kg/hour for first 10kg
2ml/kg/hour for next 10kg
1ml/kg/hour for the rest
OR
100ml/kg/day - 10kg
50ml/kg/day - 10-20kg
20ml/kg/day - >20kg

Question 7

Fluids in burns

Answer 7

Parkland formula - 4ml/kg/%BSA
ATLS formula - 2-4ml/kg/%BSA

Half in first 8 hours, half in next 16 hours

Question 8

Mannitol

Answer 8

0.5-1.0g/kg/hour IVI over 15 minutes