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Refresh ACP 2 drug therapy protocols

1
Q

Adrenaline - Indications

A
  • Anaphylaxis/severe allergic reaction
  • Severe life-threatening bronchospasm/silent chest (with haemodynamic compromise and/or ALOC and/or single words only)
  • Cardiac arrest
  • Croup (with stridor at rest)
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2
Q

Adrenaline - Contraindications

A

Nil

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3
Q

Adrenaline - Side effects

A 
Hypertenstion
Anxiety
Pupil dilation
Palpitations
Tremor
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4
Q

Adrenaline - Precautions

A

Hypertension
Hypovolaemic shock
Concurrent MAOI therapy
Quetiapine toxicity

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5
Q

Adrenaline - Adult

IM dose for anaphylaxis

A

500 microg, repeated at 5 minute intervals, no max dose.

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6
Q

Adrenaline - Adult

IM dose for severe life-threatening bronchospasm

A

500 microg, repeated at 5 minute intervals, no max dose.

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7
Q

Adrenaline - Adult

IV dose for cardiac arrest

A

1mg, repeated at 3 - 5 minutes, no max dose.

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8
Q

Adrenaline - Adult

NEB dose for anaphylaxis

A

5mg, single dose only. 3 x IM adrenaline must also be administered.

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9
Q

Adrenaline - Paed

IV dose for cardiac arrest

A

> 10kg (> 1 year) - 10microg/kg, repeated at 3 - 5 minute intervals, no max dose.
< 10kg (< 1 year) - 100microg, repeated at 3 - 5 minute intervals, no max dose.
Newly born - 50microg, repeated at 3 - 5 minute intervals, no max

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10
Q

Adrenaline - Paed

IM dose for severe life-threatening bronchospasm

A

≥ 6 yr - 300 microg, repeated at 5 minute intervals, no max dose.
1 yr - <6 yr - 150 microg, repeated at 5 minute intervals, no max dose.
6 mths - <1 year - 100 microg, repeated at 5 minute intervals, no max dose.
< 6 mths - 50 microg, repeated at 5 minute intervals, no max dose.

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11
Q

Adrenaline - Paed

IM dose for anaphylaxis

A

≥ 6 yr - 300 microg, repeated at 5 minute intervals, no max dose.
1 yr - <6 yr - 150 microg, repeated at 5 minute intervals, no max dose.
6 mths - <1 year - 100 microg, repeated at 5 minute intervals, no max dose.
< 6 mths - 50 microg, repeated at 5 minute intervals, no max dose.

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12
Q

Adrenaline - Paed

NEB dose for anaphylaxis

A

5mg, single dose only. 3 x IM adrenaline must also be administered.

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13
Q

Adrenaline - Paed

NEB dose for croup

A

5mg, single dose only.

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14
Q

Aspirin- Indications

A

Suspected ACS

Acute cardiogenic pulmonary oedema

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15
Q

Aspirin - Contraindications

A
  • KSAR
  • Chest pain associated with psychostimulant overdose
  • Bleeding or clotting disorders
  • Current GI bleeding OR peptic ulcers
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16
Q

Aspirin - Precautions

A 
Pts <18 Yrs
Possible aortic aneurysm or conditions requiring surgery
Pregnancy
History of GI bleed or peptic ulcers
concurrent anticoagulant therapy
17
Q

Aspirin - Side effects

A 
Epigastric pain/discomfort
Nausea/vomiting
Gastritis 
GI bleeding
NSAID induced bronchospasm
18
Q

Aspirin - Adult dose

A

300mg tablet, chewed and swallowed with water.

19
Q

Ceftriaxone - Indications

A

Suspected meningococcal septicaemia (with a non-blanching petechial AND/OR purpuric rash)

20
Q

Ceftriaxone - Contraindications

A
  • KSAR
  • Known anaphylaxis/severe allergic reaction to penicillin or carbapenem based drugs
  • Patiens <1 month
21
Q

Ceftriaxone - Precautions

A

any allergy to penicillin or carbapenem based drugs - minor isolated rash does not contraindicate the use of ceftriaxone.

22
Q

Ceftriaxone - Side effects

A

Pain or inflammation at the injection site

23
Q

Ceftriaxone - Adult dose

IM

A

2g (2x 1g IM injections). SDO.
Reconstitute two separate vials each containing 1g of ceftriaxone with 2.4mls of water for injectionin a 3ml vanish point for a final concentration of 1g/3ml

24
Q

Ceftriaxone - Paediatric

IV INF

A

> 20kgs (approx >4yrs)
50mg/kg, rounded up to the nearest 5kg. Total max dose 2g
Reconstitute 2g of ceftriaxone with 8.8mls of water for injection in a 30ml springfusor syringe for a final concentration of 200mg/ml (2g/10ml). Leave the excess in the vial.

> 20-25kg 1.25g, 6.25ml
25-30kg 1.5g, 7.5ml
30-35kg 1.75g, 8.75ml
35kg 2g, 10ml

25
Q

Ceftriaxone - Adult dose

IV INF

A

2g over 20min. SDO.
Reconstitute 2g of ceftriaxone with 18.8mls of water for injection in a 30ml springfusor syringe for a final concentration of 2g/20mls

26
Q

Ceftriaxone - Paediatric

IM

A

50mg/kg, rounded up to the nearest 5kg. Total max dose 1g.
Reconstitute 1g of ceftriaxone with 2.4mls of water for injection in a withdraw required dose using 3ml vanish point. Leave the excess in the vial.

≤5kg 250mg, 0.75ml
>5-10kg 500mg, 1.5ml
>10-15kg 750mg, 2.25ml
>15kg 1g, 3ml

QAS (1 decks)

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