Precis MX - Medical

Question 1

Nausea & Vomiting

Options?

Answer 1

• PO Ondansetron
• IV Ondansetron
• IM Prochlorperazine (Stemetil)

> Adequate Perfusion but +++ Dehydration:
- IV NaCl

> Less than Adeq. Perf.:
- IV NaCl TTR

Question 2

N & V

Dosages?

Answer 2

• PO Ondans. 4mg
  Rpt 4mg @ 5/60 PRN
  Max: 8mg
• IV Ondans. 8mg/4mL, slow push
  Max: 8mg
• IM Stemetil 12.5mg
  Single dose
• Adequate Perfusion:
  IV NaCl @ 20mL/kg over 30/60
• Less than Adeq. Perf.:
  IV NaCl @ 40mL/kg TTR
  Rpt 20mL/kg (consult first, if available)
  Max: 60mL/kg

Question 3

Hypoglycaemia

Options?

Answer 3

• PO Glucose
• IV Dextrose 10%
• IM Glucagon

Question 4

Hypoglycaemia

Dosages?

Answer 4

• PO Glucose 15g
  Rpt 15g @ 15/60 PRN
  Max: 30g
• IV Dextrose 10% 15g/150mL
• NaCl 10mL flush after
  Rpt 10g/100mL @ 5-10/60
  Max: 25g/250mL
• IM Glucagon 1 IU / 1mL
  No repeat
• < 25 kg, 0.5 IU / 0.5mL