Adult Dosages Flashcards
(22 cards)
Adrenaline
Adult Dosages
Adrenaline
✓ Cardiac arrest
Adult) IV 1 mg. 3-5min. NMD.
✓ Anaphylaxis OR severe allergic reaction
Adult) IM 500 microg (300 preg). 5min. NMD.
Adult) NEB 5 mg. SD (refract. to 3x IM).
✓ Severe life-threatening bronchospasm OR silent chest
Adult) IM 500 microg (300 preg). 5min. NMD.
✓ Croup
Aspirin
Adult Dosages
Aspirin
✓ Suspected ACS
✓ Acute cardiogenic pulmonary oedema
Adult) PO > 18 300 mg.
Ceftriaxone
Adult Dosages
Ceftriaxone
✓ Suspected meningococcal septicaemia
IV > IM
Adult) IM 2g (2x inj). SD. Reconstitute 2x 1g vials with 2.4mL water or lidocaine 1% in 3mL syringe. 1g/3mL.
Adult) IV 2g over 5min. SD. Reconstitute 2g with 18.8mL water in 20mL syringe. 2g/20mL
Droperidol
Adult Dosages
Droperidol
✓ Acute behavioural disturbances (SAT > 2)
QAS Consult >65 OR 13-15yrs
Adult) IM/IV > 65 5 mg. 15mins. TMD 10mg.
Adult) IM/IV 16-<65 10 mg. 15mins. TMD 20mg.
Fentanyl
Adult Dosages
Fentanyl
✓ Significant pain
✓ Autonomic dysreflexia (SBP > 160mmHg)
NAS > 70 – 25-50 microg. 10mins. TMD 100mcg.
NAS < 70 – 50-100 microg. 10mins. TMD 200mcg.
IM > 70 – 25-50 microg. 10mins. TMD 100mcg.
IM < 70 – 25-100 microg. 10mins (50mcg). TMD 200mcg.
IV > 70 – 25 microg. 5mins. TMD 100mcg.
IV < 70 – 25-50 microg. 5mins. TMD 200mcg.
Glucagon
Adult Dosages
Glucagon
✓ Symptomatic hypoglycaemia (inability to self-administer oral glucose)
Adult) IM 1 mg. Reconstitute with 1mL water in 3mL syringe.
✓ Refractory anaphylaxis (unresponsive to 3x IM adrenaline and adequate fluid resuscitation)
IV > IM
Adult) IM/IV 1 mg. Reconstitute with 1mL water in 3mL syringe.
Glucose gel
Adult Dosages
Glucose gel
✓ Symptomatic hypoglycaemia (with ability to self-administer oral glucose)
Adult) PO 15 g. 15mins (if BGL < 4.0). TMD 30g.
Glucose 10%
Adult Dosages
Glucose 10%
✓ Symptomatic hypoglycaemia (with the inability to self-administer oral glucose)
Adult) IV INF 15 g (150 mL). Repeated at 100 mL (10 g) boluses every 5mins until BGL > 4.0 mmol/L.
Glyceryl trinitrate
Adult Dosages
Glyceryl trinitrate
✓ Suspected ACS (with pain)
✓ Acute cardiogenic pulmonary oedema
✓ Autonomic dysreflexia (with a systolic BP > 160 mmHg)
✓ Irukandji syndrome (with a systolic BP > 160 mmHg)
Adult) SUBLING 400 microg. 5mins. NMD.
Hydrocortisone
Adult Dosages
Hydrocortisone
✓ Asthma (excluding mild)
✓ Acute exacerbation of COPD (with evidence of respiratory distress)
✓ Suspected, or at risk of, an acute adrenal insufficiency (adrenal crisis)
Adult) IM 100 mg. SD.
Adult) IV 100 mg. SD. Slow push over 1 minute.
✓ Refractory anaphylaxis with persistent wheeze (and unresponsive to 3 x IM adrenaline (epinephrine))
Adult) IM 200 mg. SD.
Adult) IV 200 mg. SD. Slow push over 1 minute.
Ibuprofen
Adult Dosages
Ibuprofen
✓ Moderate pain due to acute inflammation and tissue injury
Adult) PO 200-400 mg.
Must not be administered within 6 hours of previous ibuprofen administration.
Ipratropium bromide
Adult Dosages
Ipratropium bromide
✓ Moderate bronchospasm (unresponsive to initial QAS salbutamol NEB)
✓ Severe bronchospasm
Adult) NEB 500 microg. 20mins. TMD 1.5mg.
Loratadine
Adult Dosages
Loratadine
✓ Symptomatic urticaria (without evidence of anaphylaxis)
Adult) PO 10 mg. SD.
Not to be administered within 24 hours of previous antihistamine administration unless approval gained from QAS Clinical Consultation and Advice Line.
Methoxyflurane
Adult Dosages
Methoxyflurane
✓ Pain
Adult) INH 3 mL. 20mins. TMD 6mL.
Midazolam
Adult Dosages
Midazolam
✓ Generalised seizures/focal seizure (GCS < 12)
Adult) NAS/IM 5 mg. 10mins. TMD 20mg.
Adult) IV 5mg. 5mins. TMD 20mg.
✓ Acute behavioural disturbance (with a SAT score > 2) unresponsive to droperidol (max dose) administration
Adult) IM/IV *** call QAS Consultation
Morphine
Adult Dosages
Morphine
✓ Significant pain
✓ Autonomic dysreflexia (with a systolic BP > 160 mmHg)
Adult) IM > 70 – 2.5-5mg. 10mins. TMD 10mg.
IM < 70 – 2.5-10mg. 10mins (5mg). TMD 20mg.
Adult) IV > 70 – 2.5mg. 5mins. TMD 10mg.
Adult) IV < 70 – 2.5-5mg. 5mins. TMD 20mg.
Naloxone
Adult Dosages
Naloxone
✓ Respiratory depression (secondary to the administration of narcotic drugs)
Adult) IM 1.6mg. SD.
Ondansetron
Adult Dosages
Ondansetron
✓ Significant nausea AND/OR vomiting
Adult) PO/IM 4-8mg. TMD 8mg.
Adult) IV 4-8mg. Slow push 2-3mins. TMD 8mg.
Oxytocin
Adult Dosages
Oxytocin
✓ Active management of the third stage of labour (following confirmed of delivery of all fetuses) AND the prevention of primary post-partum haemorrhage
Adult) IM 10 International Units. SD
✓ Management of uncontrolled primary or secondary post-partum haemorrhage
Adult) IV Loading dose – 10 International Units. Slow push over 2-5 minutes.
May be given in addition to a dose that may have been administered for: Active management of the third stage of labour/the prevention of primary PPH.
Paracetamol
Adult Dosages
Paracetamol
✓ Mild to moderate pain
✓ Fever (causing distress)
Adult) PO 0.5-1g. 4hrs. TMD 4g in 24hrs.
Must not be administered within 4 hours of previous paracetamol administration.
Salbutamol
Adult Dosages
Salbutamol
✓ Bronchospasm
Adult) MDI 12 (1.2mg) inhalations. 10mins. NMD.
Adult) NEB 5mg. PRN. NMD.
Tranexamic acid
Adult Dosages
Tranexamic acid
✓ Recent traumatic injuries (3 hours or less) with a COAST score of 3 or greater
✓ Management of uncontrolled primary post-partum haemorrhage (3 hours or less)
Adult) IV 1g. Slow push over 10 minutes. SD
Adult) IV INF 1 g over 10 minutes. SD
Infusion preparation: Mix 1 g of tranexamic acid in a 100 mL bag of sodium chloride 0.9%. Ensure bag is appropriately labelled. Administer over 10 minutes (approx. 3 dops/second).
