DOSE + ADMINISTRATION (PARA)

• What is the dose for CEFAZOLIN?

  • 1g IV
  • add 4ml of 0.9% NaCl to 1g ampoule and shake
  • draw up contents and dilute to 10ml
  • administer IV over 1-2min in running line
• What is the dose + administration for CEFTRIAXONE?

  • 2g IV
  • 2g IM if IV cannot be gained (meningococcal septicemia only)

  IV:

  • add 4ml of 0.9% NaCl to 2g ampoule and shake
  • dilute to 10ml
  • over 2min through a running line

  IM:

  • add 4ml of 0.9% of NaCl to 2g ampoule
  • draw up using 2 syringes with half in each (total volume 5ml)
  • administer one syringe into each thigh
• What is the dose + administration of LEVETIRACETAM?

  ampoule containing 500mg in 5ml

  dose:

  • 2g IV, may be repeated if the seizure continues or recurs after 10min

  administration:

  • draw up required dose and make up to 20-40ml using 0.9% NaCl
  • administer IV over 5min into running line
  • do not administer IM
• What is the dosage + administration for NALOXONE?

  ampoule with 0.4mg in 1ml

  dose:

  • 0.1-0.4mg IV every 5min as required for adult
  • 0.8mg IM as required for adult, repeat every 10min

  administration:

  • IV: dilute 0.4mg to a total of 4ml. The final solution contains 0.1mg/ml
  • administer the minium dose to required to produce improvement. Rapid reversal is associated with seizures, HTN, pulmonary oedema, severe agitation
  • IM: undiluted
• What is the dose + administration for OXYTOCIN?

  ampoule with 10 units in 1ml

  dose:

  • 10 units

  administration:

  • IM undiluted
  • multiple babies = give after the last baby
  • repeat if PPH occurs.
• What is the dose + administration for TXA?

  usual prep:

  • 10ml ampoule with 1g
  • 5ml ampoule with 500mg

  dose:

  • 1g IV for adult

  administration:

  • IV over 1-2min
• What is the dose + administration for MIDAZOLAM?

  dose:

  • seizure = IV 5mg adult, 3mg if cautioned. IM 10mg adult, 5mg if cautioned
  • acute behavioural disturbance = 2-3mg IV every 5min as required, 1-2mg if cautioned. 10mg IM, 5mg if cautioned (repeat after 20 min).

  administration:

  IV = dilute 2ml from a 15mg/3ml ampoule to a total of 10ml using 0.9% NaCl (1 mg/ml). IV BOLUS.

  IM = draw up from 15mg/3ml ampoule undiluted
• What is the dose for LIGNOCAINE?

  Prep:

  • ampoule with 50mg in 5ml

  Subcutaneous:

  • max is 200mg (20ml of 1%)
  • may be repeated once after 30min

  IO:

  • 50mg (5ml of 1%)
  • may be repeated once after 15min
• What is the administration of LIGNOCAINE?

  Subcutaneous for IV insertion:

  • administer into the subcutaneous tissue at the site of cannulation, raise a bleb and wait approx 1 min before insertion

  Digital ring block:

  • administer approx 1-2ml of 1% into the tissue on either side of the web space of the digit

  IO:

  • administer slowly over 1-2min and wait 1 min before infusing fluid
• Dose for ONDANSETRON IV?

  8mg IV once for adults.

  Only ONE IV dose in addition to ONE IM dose. Meaning a maximum total dose of 12mg can be given.
• What is the dose + administration for KETAMINE?

  DOSE

  ANALGESIA:

  • IV = 0.25mg/kg, over 15min. Repeat as required (max of 25mg)
  • IM/PO = 0.5mg/kg, repeat once after 20min (max of 50mg)

  ADMINISTRATION

  ANALGESIA:

  • dilute 100mg (1ml) in a 100ml bag of 5% glucose.
  • draw up the dose and administer 2mg (2ml) every 1-2min
  • IM = undiluted
• What is the dose + administration for FENTANYL?


  DOSE

  IV for analgesia:

  • 10-50mcg every 5min as required

  IM for analgesia:

  • 50-100mcg
  • every 20min for a total of 3 doses

  ADMINISTRATION:

  IV for analgesia:

  • dilute 100mcg (2ml) to a total of 10ml using 0.9% NaCl for adults or child with weight rounded to 30kg or more
  • final solution contains 10mcg/ml

  IM for analgesia:

  • undiluted