Bolus Administration & Infusion Prep

Question 1

Adrenaline (NON - ALS)

Dose Availability
Infusion (injection) dose and preparation
Administration

Answer 1

Dose Availability:
1:1000 - 1mg in 1ml
1:10000 - 1mg in 10mls

Infusion (injection) dose and preparation:
4mg in 500mls Glucose 5%
= 8mcg/ ml

Administration:
Titrate to acheive MAP >65
** Max peripheral Infusion 6 hrs then needs decreasing to 2mg/500ml or Central access

Question 2

Amioderone

Dose Availability
Infusion (injection) dose and preparation
Administration

Answer 2

Dose Availability:
150mg/ 3mls

Infusion preparation and Dose

Loading:
300mg/250mls glucose 5%
=1.2mg/ ml
Q1hr = 250mls/hr

Secondary infusion:
900mg/ 1000mls Glucose 5%
=0.9mg/ml
Q23hrs = 44mls/hr

Question 3

Adenosine

Dose Availability
Infusion (injection) dose and preparation
Administration

Answer 3

Dose availablity:
3mg/1ml

Infusion (injection) dose and preparation:
- 6mg neat
*Give as rapid bolus immediately followed with 20ml rapid saline flush

• if unsuccessful then follow with 12mg
• if unsuccessful then follow with 12mg

Question 4

Atropine

Dose Availability
Infusion (injection) dose and preparation
Administration

Answer 4

Dose available:
600mcg/ 1ml

Infusion (injection) dose and preparation:
- 300 - 600mcg up to 1.2mg (dose @ MO digression)
- Given as rapid bolus

Question 5

Metaraminol

Dose Availability
Infusion (injection) dose and preparation
Administration

Answer 5

Dose availablity:
10mg/2mls

Infusion (injection) dose and preparation:
Dilute 10mg in 20mls saline
= 0.5mg/ml
doses = 0.5mg - 1mg (titrated to MAP)

Question 6

Naloxone

Dose Availability
Infusion (injection) dose and preparation
Administration

Answer 6

Dose Availability:
400mcg/ml

Infusion (injection) dose and preparation:
Administer neat or Dilute in 8ml of saline
Diluted: 400mcg/8ml
= 50mcg/ml

• The aim is to Titrate to patient ventilation & breathing.
  NOT to wake the patient up

Question 7

Sodium bicarbonate

Dose Availability
Infusion (injection) dose and preparation
Administration

Answer 7

Dose Availability:
8.4mmol/100mls

Infusion (injection) dose and preparation:
Neat 1ml is equivalent to:
23mg = 1 mmol of sodium
65mg = 1 mmol of bicarbonate
Dose up to 100ml as per mo

Administration:
Draw 100ml into 2x 50ml syringes and bolus neat in ALS

Question 8

Calcium Gluconate

Dose Availability
Infusion (injection) dose and preparation
Administration

Answer 8

Dose Availability:
2.2mmol in 10mls

Infusion (injection) dose and preparation:
Neat

Administration:
Bolus in ALS

Question 9

Furosemide

Dose Availability
Infusion (injection) dose and preparation
Administration

Answer 9

Dose Availability:
20mg/ml

Infusion (injection) dose and preparation:
- Draw dose neat

Administration:
Give as slow push over >3mins

Question 10

Magnesium sulphate

Dose Availability
Infusion (injection) dose and preparation:
Administration:

Answer 10

Dose Availability:
10mmol/5ml

Infusion (injection) dose and preparation:
10-20mmol/100ml Na0.9%
=0.1-0.2mmol/hr

Administration:
Infuse over 20 - 60mins
Rate: 100 - 300ml/hr

Question 11

Glucose 50%

Dose Availability
Infusion (injection) dose and preparation
Administration

Answer 11

Dose Availability:
Glucose 50% in 50mls

Infusion (injection) dose and preparation:
Neat

Administration:
Draw into 50ml syringe

Question 12

NORADrenaline

Dose Availability
Infusion (injection) dose and preparation
Administration

Answer 12

Dose Availability:
4mg/4mls

Infusion (injection) dose and preparation:
Dilute 4mg in 500ml glucose 5%
=8mcg/ml

Administration:
Titrate to achieve MAP >65

Question 13

Adrenaline (ALS)

Dose Availability
Infusion (injection) dose and preparation
Administration

Answer 13

Dose Availability:
1mg:
1:1000 - 1mg/ml
1:10000 - 0.1mg/1ml

Infusion (injection) dose and preparation:
Shockable: 1mg bolus
Nonshock: 1mg bolus

Administration:
Shockable: 1mg bolus at the start of 3rd shock
Nonshock: 1mg bolus as soon as possible

Question 14

Adrenaline (Anaphylaxis)

Dose Availability
Infusion (injection) dose and preparation
Administration

Answer 14

Dose Availability:
1mg: 1:1000 - 1mg/ml

Infusion (injection) dose and preparation:
IM injection: 1mg/ml
Nebuliser: 5mg/5ml

Administration:
IM: injection neat in large muscle
Nebuliser: Draw 5x 1mg/ml vials and add to nebuliser

*follow adrenaline Infusion guideline for anaphylactic shock