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Drug Dosages in Medical Emergencies


Anaphylaxis or acute angio-oedema

Adrenaline(Epinephrine) (1mg/ml) 1 in 1000
Dosages: Given intramuscularly or subcutaneously in an ADULT 0.5-1.5ml


Severe chest infection in patient with chronic lung disease

Amoxycillin (250mg vial)

Dosages: Given intramuscularly or intravenously in an ADULT 500mg


Bradycardia

Atropine (600 micrograms/ml)

Dosages: Given intravenously in an ADULT 300 micrograms


Bacterial meningitis

Benzylpenicillin

Dosages: Given intramuscularly or intravenously in an ADULT 1200mg


Adjunctive treatment in anaphylaxis

Chlorpheniramine

Dosages: Given intravenously over 120 seconds in an ADULT 10-20mg diluted with isotonic saline


Severe pain or acute left ventricular failure

Diamorphine

Dosages: After the powder is reconstituted, 5-10mg intravenously


Status epilepticus

Diazepam

Dosages: Given intravenously or rectally in an ADULT 10mg


Anaphylaxis or acute angio-oedema

Epinephrine (Adrenaline) (1mg/ml) 1 in 1000

Dosages: Given intramuscularly or subcutaneously in an ADULT 0.5-1.5ml


Reversal of benzodiazepine induced respiratory depression

Flumazenil
Dosages: 200 micrograms intravenously over a quarter minute, then 100 micrograms every minute thereafter until a maximum if 1mg.


Relief of pulmonary oedema associated with LVF

Frusemide

Dosages: Given intravenously in an ADULT 20-50mg


Hypoglycaemia

  • Glucagon (1mg/ml)
    Dosages: Given subcutaneously, intramuscularly or intravenously in an ADULT 0.5 - 1mg - if no response give glucose

  • Glucose solution (50ml of 50%)
    Dosages: Given intravenously in an ADULT up to 50 mg


Post anaphylaxis and acute asthma attack

Hydrocortisone

Dosages: Given intravenously in an ADULT 100-300mg


Nausea and vomiting

Metoclopramide

Dosages: Given intramuscularly or intravenously in an ADULT 10mg


Opioid overdose

Naloxone

Dosages: Given intravenously in an ADULT 100 micrograms to 2mg.


Angina

Nitrolingual Spray
Dosages: Aerosol spray 0.4 mg/dose - ADULT
1-2 sprays sublingually at onset; no more than 3 sprays in 15 minutes.


Nausea and vomiting

Prochlorperazine

Dosages: Given intramuscularly to an ADULT 12.

 PHYSICIAN IS THE BEST JUDGE AND THE ONLY PERSON WHO CAN HANDLE EMERGENCIES AND SELF MEDICATION WITHOUT QUALIFIED SUPERVISION IS DANGEROUS THAN THE EMERGENCY

PREVENTION IS BETTER THAN CURE     --      HEALTH IS WEALTH

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