Common doses Flashcards
Nausea (non-cardiac)
Cyclizine 50mg 8-hourly (but causes fluid retention)
Nausea (cardiac)
Metoclopramide 10mg 8-hourly IM/IV (as cyclizine can cause fluid retention)
Blood clot prophylaxis
Low molecular weight heparin in hospital (not if bleeding risk, including recent ischaemic stroke). E.g. dalteparin 5000 units daily s/c)
Pain relief - no pain PRN
Paracetamol 1g up to 6 hourly oral
Regular pain relief - mild pain
Paracetamol 1g 6 hourly oral
PRN pain relief - mild pain
Codeine 30mg up to 6 hourly oral
Regular pain relief - severe pain
Co-codamol 30/500, 2 tablets, 6-hourly oral
PRN pain relief - severe
Morphine sulphate 10mg up to 6 hourly oral.
Oramorph normally used, usually 10mg/5ml
Ibuprofen
400mg 8 hourly
Amitriptyline (neuropathic pain)
10mg oral nightly
Pregabalin
75mg oral 12-hourly
Duloxetine (indication and dose?)
Painful diabetic neuropathy. 60mg oral nightly
Insulin is always s/c except…
sliding scales using short acting insulin (e.g. Actrapid or Novorapid) given by IV infusion
Gentamicin for severe infection
5-7mg OD IV
May be divided daily dosing in renal failure or endocarditis - 1mg/kg 12-hourly or 8 hourly
How does gentamicin monitoring work?
A nomogram is used and the treatment interval time is adjusted based on plasma concentration
