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Adrenaline presentation
1mg/1ml
Adrenaline indication
Anaphylaxis, severe asthma
Adrenaline contraindication
Nil
Adrenaline dose, initial volume
0.5mg, 0.5ml (1:1000)
Adrenaline repeat
5 mins no max
Adrenaline route
IM
Aspirin presentation
300mg tablet
Aspirin indication
Chest pain, discomfort of presumed cardiac origin
Cophenylcaine presentation
Lignocain 50mg/ml, Phenylephrine 5mg/ml
Fentanyl presentation
450mcg/1.5ml
Aspirin contraindication
Hypersensitivity to aspirin and salicylates
Glucagon presentation
1mg/1ml
Glucose gel presentation
15g
Glyceryl Trinitrate presentation
400mcg
Ipratropium Bromide presentation
250mcg/1ml
Ketamine wafer presentation
25mg wafer
Methoxyflurane presentation
3ml
Midazolam presentation
15mg/3ml
Midazolam indication
Prolonged seizure activity - generalised seizure lasting >5mins
Midazolam contraindication
Hypersensitivity
Midazolam dose, initial volume
5mg, 1ml
Midazolam repeat
10 mins
Midazolam route
IM
Ondansetron presentation
PO: 4mg wafer
IM: 4mg/2ml
Ondansetron indication
Nausea / Vomiting Prophylaxis for eye and spinal injuries
Ondansetron contraindications
Hypersensitivity
Ondansetron dose, initial volume
PO: 4mg, 1 wafer
IM: 4mg, 2mls
IM: 4mg, 2mls
Ondansetron repeat
30 mins if required
Ondansetron route
PO
IM
Paracetamol presentation
500mg tablet
Paracetamol indication
Mild to moderate pain
Paracetamol contraindication
Hypersensitivity
Paracetamol dose and initial volume
500-1000mg, 1-2 tablets
Paracetamol repeat
4 hours, max dose 4g in 24 hours
Paracetamol route
PO
Salbutamol presentation
5mg/2.5ml
Salbutamol indication
Bronchospasm and respiratory distress associated with wheeze (acute bronchial Asthma, bronchitis, smoke inhalation, severe allergic/anaphylactic reactions, APO (Non-Cardiac), Salt Water Aspiration Syndrome, COPD)
Salbutamol contraindication
Hypersensitivity, cardiogenic pulmonary oedema
Salbutamol dose and initial dose
5mg, 1 NEB
Salbutamol repeat
PRN no max
Salbutamol route
NEB
Aspirin dose, initial volume
300mg, 1 tablet
Aspirin repeat
Single dose
Aspirin route
PO
Cophenylcaine indication
Local pain/abrasions; mild-moderate epistaxis; post tonsillectomy haemorrhage; intra-oral haemorrhage
Cophenylcaine contraindications
hypersensitivity, pregnancy
Cophenylcaine dose, initial dose
IN: 10 sprays, 1 spray
PO/Topical: 5 sprays, 1 spray
Cophenylcaine repeat
Max 10 sprays (5/nostril)
Max 5 sprays
Cophenylcaine route
IN
PO/Topical
PO/Topical
Fentanyl indication
Moderate to severe pain
Fentanyl contraindication
Hypersensitivy to Fentanyl; occluded nasal passages
Fentanyl dose, initial volume
Small, elderly, frail: 120mcg, 2* 0.2ml
Adult: 180mcg, 3 * 0.2ml
Fentanyl repeat
60mcg after 5 mins
Fentanyl route
IN
Glucagon indication
hypoglycaemia (2nd line agent)
Glucagon contraindication
hypersensitivy, known pheochromocytoma
Glucagon dose, initial volume
1mg, 1ml
Glucagon repeat
10 minutes repeat once
Glucagon route
IM
Glucose gel indication
Hypoglycaemia (1st line agent if patient is able to swallow)
Glucose gel contraindication
Nil
Glucose gel dose, initial volume
15g, single tube
Glucose gel repeat
10 mins repeat once if still indicated
Glucose gel route
PO
Glyceryl Trinitrate indication
Chest pain/discomfort of presumed cardiac origin not relieved by rest and reassurance with systolic BP > 90 mmHg where the heart rate is within 50-150 beats per minute
Glyceryl Trinitrate contraindication
Hypersensitivity; hypotension < 90mmHg; recent use of medications used for erectile dysfunction or specific regular medication used in the treatment of pulmonary arterial hypertension
Sildenafil (Viagra) or Avanafil (Spedra) use in the previous 24 hours
Tadalafil (Cialis) and Riociguat (Adempas) use in the previous 3 days
Glyceryl Trinitrate dose, IDV
400mcg, 1 spray
Glyceryl Trinitrate Repeat
5 mins no max
Glyceryl Trinitrate Route
SL
Ipratropium Bromide Indication
Severe to life-threatening asthma or COPD
Ipratropium Bromide contraindication
Hypersensitivity
Ipratropium Bromide dose, IVD
NEB: 500mcg, 2mls diluted with 2-3mls NaCl 0.9%
MDI: 8 puffs, one breath per puff via spacer
Ipratropium Bromide repeat
20 mins, max 3 doses
Ipratropium Bromide route
NEB
MDI
Ketamine wafer indication
2nd line agent for moderate-severe pain
Ketamine wafer contraindication
hypersensitivity; active cardiovascular disease (e.g. cardiac chest pain, heart failure, severe or pooly controlled hypotension)
Ketamine wafer dose, initial volume
50mg, 2 * 25 wafer
Ketamine wafer repeat
5 mins max 125mg
Ketamine wafer route
PO
Methoxyflurane indication
Pain
Methoxyflurane contraindication
Patient unable to understand; severe renal impairment; head injury and altered consciousness preventing cooperation; hypersensitivity
Methoxyflurane dose, initial volume
3ml, 3ml
Methoxyflurane repeat
15 mins single repeat
Methoxyflurane route
IH
Nasal prongs dose, initial volume
2-4L
Therapy mask dose, initial volume
5-10L
Non-rebreather mask dose, initial volume
12-15L
Nebuliser mask
5-8L
