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Advance placement medications flashcards

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  1. Card 1

    What is the initial volume of a 1:1000 concentration of Adrenaline for Severe/Life Threatening Asthma?

    The initial volume of dose for Adrenaline in Severe/Life Threatening Asthma is 0.5ml of 1:1000 concentration.

  2. Card 2

    When is a repeat dose of Adrenaline indicated for Anaphylaxis with Airway Obstruction/Stridor/Angioedema?

    A single repeat dose of Adrenaline is indicated for Anaphylaxis with Airway Obstruction/Stridor/Angioedema, but CSPSOC consultation is required for any further repeats.

  3. Card 3

    What is the dose and initial volume of Adrenaline for Cardiac Arrest?

    For Cardiac Arrest, the dose of Adrenaline is 1mg, with an initial volume of 1ml of 1:1000 concentration. It is administered via the Intravascular/Intraosseous route.

  4. Card 4

    Define the dilution process for Adrenaline when used for Anaphylaxis/Peri Arrest refractory to x2 doses intramuscular adrenaline and fluid.

    For Anaphylaxis/Peri Arrest refractory to x2 doses intramuscular adrenaline and fluid, 0.1ml of 1:10000 concentration is diluted by adding 9mls of NaCl to make a 1mg/10ml solution.

  5. Card 5

    What is the repeat dosing schedule for Adrenaline when treating Severe Croup?

    For Severe Croup, a repeat dose of 5mg Adrenaline can be administered after 15 minutes if required.

  6. Card 6

    Distinguish the contraindications for Amiodorone 150mg/3ml from those of Aspirin 300mg Tablet.

    Amiodorone 150mg/3ml has no contraindications in Cardiac Arrest. Aspirin 300mg Tablet is contraindicated in patients with known hypersensitivity to aspirin/salicylates/NSAIDs and in those less than 16 years old.

  7. Card 7

    What is the dose and route for Amiodorone when treating Cardiac Arrest with persistent/shock resistant VF/pulseless VT post 3rd shock?

    For Cardiac Arrest with persistent/shock resistant VF/pulseless VT post 3rd shock, the dose of Amiodorone is 300mg via the Intravascular/Intraosseous route.

  8. Card 8

    What are the indications for Aspirin 300mg Tablet?

    Aspirin 300mg Tablet is indicated for patients with suspected Acute Coronary Syndromes.

  9. Card 9

    What is the maximum repeat dose for Atropine in Symptomatic Bradycardia?

    For Symptomatic Bradycardia, Atropine can be repeated every 3-5 minutes titrated to effect, with a maximum total dose of 3mg.

  10. Card 10

    Describe the dilution process for Atropine when treating Organophosphate poisoning.

    When treating Organophosphate poisoning, 1.2mg/1ml of Atropine is diluted with 11mls of NaCl to make 1.2mg/12ml, which is a 100mcg/ml concentration.

  11. Card 11

    What are the contraindications for Cefazolin 2G?

    Cefazolin 2G is contraindicated in cases of immediate/severe hypersensitivity to Penicillin, closed fractures that do not meet other indications, and isolated open fractures of the distal phalanx.

  12. Card 12

    How is Cefazolin 2G prepared for intravenous administration?

    Cefazolin 2G is prepared by reconstituting 2g of powder with 19mls of NaCl 0.9%, resulting in a final product of 100mg/ml. It should be pushed slowly over 3-5 minutes.

  13. Card 13

    What are the contraindications for Cophenylcaine lignocaine 5mg & Phenylephrine 0.5mg/spray?

    Cophenylcaine lignocaine 5mg & Phenylephrine 0.5mg/spray is contraindicated in cases of hypersensitivity to Phenylephrine, Lidocaine or other anaesthetics, and during pregnancy.

  14. Card 14

    What is the maximum number of sprays for Cophenylcaine when administered intra-nasally?

    When administered intra-nasally, the maximum dose for Cophenylcaine lignocaine 5mg & Phenylephrine 0.5mg/spray is 10 sprays (5 per nostril).

  15. Card 15

    What is the initial volume of dose for Fentanyl 450mcg/1.5ml IN for a patient who is NOT small/elderly/frail?

    For a patient who is NOT small/elderly/frail, the initial volume of dose for Fentanyl 450mcg/1.5ml IN is 3 x 0.2ml (180mcg).

  16. Card 16

    What is the repeat dose for Fentanyl 450mcg/1.5ml IN for small/elderly/frail patients?

    For small/elderly/frail patients, the repeat dose for Fentanyl 450mcg/1.5ml IN is 45mcg (1x 0.15ml) after 5-10 minutes.

  17. Card 17

    What is the dilution process for Fentanyl Citrate 100mcg/2ml IV?

    Fentanyl Citrate 100mcg/2ml IV is diluted by adding 8mls of NaCl to 100mcg/2mls, making a solution of 100mcg in 10mls. This should be pushed slowly over 3-5 minutes.

  18. Card 18

    What are the contraindications for Glucagon 1mg/1ml?

    Glucagon 1mg/1ml is contraindicated in cases of hypersensitivity and in patients with known pheochromocytoma, insulinoma, or glucagonoma.

  19. Card 19

    What is the repeat dosing schedule for Glucagon in hypoglycaemia if IV access cannot be obtained?

    For hypoglycaemia, if IV access cannot be obtained, Glucagon 1mg can be repeated once after 10 minutes.

  20. Card 20

    What is the primary indication for Glucose 10% 50g in 500ml?

    The primary indication for Glucose 10% 50g in 500ml is hypoglycaemia where oral glucose administration is inappropriate in patients with an altered conscious state.

  21. Card 21

    What is the dose of Adrenaline for Anaphylaxis?

    The dose of Adrenaline for Anaphylaxis is 0.5mg, administered intramuscularly.

  22. Card 22

    What is the route of administration for Adrenaline in Post Return of Spontaneous Circulation (ROSC)?

    For Post Return of Spontaneous Circulation (ROSC), Adrenaline is administered via the Intravascular/Intraosseous route.

  23. Card 23

    What are the contraindications for Atropine 1.2mg/1ml?

    Atropine 1.2mg/1ml is contraindicated in patients with known hypersensitivity and in those with a cardiac transplant.

  24. Card 24

    What is the dose of Fentanyl Citrate 100mcg/2ml IV for an adult under 70 years old?

    The dose of Fentanyl Citrate 100mcg/2ml IV for an adult under 70 years old is 1mcg/kg.

  25. Card 25

    What is the initial volume of dose for Atropine when treating Symptomatic Bradycardia?

    The initial volume of dose for Atropine when treating Symptomatic Bradycardia is 0.5mls, given neat.

  26. Card 26

    What is a contraindication for administering Fentanyl 450mcg/1.5ml IN?

    Hypersensitivity to Fentanyl is a contraindication. Additionally, occluded nasal passages or epistaxis would prevent the administration of intranasal Fentanyl.

  27. Card 27

    For a small/elderly/frail patient, what is the initial dose and volume of Fentanyl 450mcg/1.5ml IN?

    The initial dose for a small/elderly/frail patient is 90mcg. This corresponds to an initial volume of 2 x 0.15ml.

  28. Card 28

    Define the dilution process for Fentanyl Citrate 100mcg/2ml IV.

    To dilute Fentanyl Citrate 100mcg/2ml IV, you should dilute 100mcg/2mls with 8mls of NaCl to create a solution of 100mcg in 10mls.

  29. Card 29

    What is the repeat dose for Fentanyl 450mcg/1.5ml IN for a patient who is NOT small/elderly/frail?

    The repeat dose for a patient who is NOT small/elderly/frail is 60mcg, administered as 1 x 0.2ml after 5-10 minutes.

  30. Card 30

    What are the indications for Glucagon 1mg/1ml?

    Glucagon is indicated for hypoglycemia where oral glucose cannot be given and IV access is unobtainable. It is also used for altered conscious states in known diabetics or of unknown cause where blood glucose is below 4millimoles/L.

  31. Card 31

    Distinguish the contraindications for Glucose 10% 50g in 500ml from Glucose Gel 15g.

    Glucose 10% 50g in 500ml is contraindicated if there is no patient IV access. Glucose Gel 15g is contraindicated if the patient is unable to safely ingest the gel orally/buccally.

  32. Card 32

    What is the initial volume of dose for Glucose 10% 50g in 500ml?

    The initial volume of dose for Glucose 10% 50g in 500ml is 150ml, which delivers a dose of 15g.

  33. Card 33

    What is the maximum number of repeats for Glyceryl Trinitrate 400mcg spray for cardiac chest pain?

    For cardiac chest pain, if it persists after 5 minutes and blood pressure is maintained, further sprays of GTN can be considered at 5-minute intervals. The maximum number of repeats is not explicitly stated as a fixed number, but rather as 'further sprays'.

  34. Card 34

    Explain the dilution process for Hydrocortisone 100mg.

    To dilute Hydrocortisone 100mg, firmly press down on the activator to force the diluent into the powder. Then, gently mix the solution; do not shake it.

  35. Card 35

    What is the dose and initial volume of dose for Ipratropium Bromide 250mcg/1ml when nebulised?

    The dose for nebulised Ipratropium Bromide is 500mcg. The initial volume of dose is 2ml, and it should be administered with 5mg Salbutamol (2.5mls) and 2-3ml sodium chloride 0.9% for dilution.

  36. Card 36

    Which of the following is a contraindication for Ketamine 200mg/2ml? A) Moderate pain B) Severe hypertension C) Sedation in pregnancy D) CPR Induced Consciousness

    Severe hypertension is a contraindication for Ketamine 200mg/2ml. Acute cardiovascular disease, including poorly controlled hypertension, is listed as a contraindication.

  37. Card 37

    For 'RASS 4' severely disturbed abnormal behavior with nil/mild alcohol intoxication, what is the intramuscular dose and maximum cumulative dose for Ketamine 200mg/2ml?

    The intramuscular dose is 4mg/kg for nil/mild alcohol intoxication. The repeat dose can be given if necessary, up to a maximum cumulative dose of 400mg.

  38. Card 38

    When administering Ketamine 200mg/2ml intravenously for 'RASS 4' severely disturbed abnormal behavior, what is the dilution process?

    For intravenous administration, dilute 200mg/2ml of Ketamine with 18ml of NaCl 0.9% to produce a concentration of 10mg/1ml.

  39. Card 39

    What is the repeat dose for Ketamine 200mg/2ml when used intravenously for 'RASS 4' severely disturbed abnormal behavior?

    The repeat dose is 0.5mg/kg, which can be given every 5-10 minutes if required.

  40. Card 40

    What is the intramuscular dose for Ketamine 200mg/2ml when used for Sedation in Pregnancy as a first-line agent?

    The intramuscular dose for Sedation in Pregnancy is 4mg/kg, with a maximum dose of 400mg.

  41. Card 41

    What is the route of administration for Heparin 5000 IU/5ml?

    The route of administration for Heparin 5000 IU/5ml is Intravascular.

  42. Card 42

    When is Heparin 5000 IU/5ml indicated?

    Heparin 5000 IU/5ml is indicated for confirmed STEMI (ST-elevation myocardial infarction) in patients who are being transported to a CATH lab.

  43. Card 43

    Can Heparin 5000 IU/5ml be repeated?

    No, Heparin 5000 IU/5ml is a single dose only.

  44. Card 44

    What are the indications for Hydrocortisone 100mg?

    Hydrocortisone 100mg is indicated for adrenal crisis in patients with known adrenal insufficiency. It is also used for severe and life-threatening asthma exacerbations in adults, and life-threatening asthma exacerbations in paediatrics.

  45. Card 45

    What is the initial volume of dose for Hydrocortisone 100mg?

    The initial volume of dose for Hydrocortisone 100mg is 100mg/2ml.

  46. Card 46

    What is a contraindication for Ipratropium Bromide 250mcg/1ml?

    Hypersensitivity to Ipratropium Bromide is a contraindication.

  47. Card 47

    What is the repeat interval and maximum number of doses for Ipratropium Bromide 250mcg/1ml?

    Ipratropium Bromide can be repeated every 20 minutes, with a maximum of 3 doses.

  48. Card 48

    For CPR Induced Consciousness (CPRIC), what is the intravenous/intraosseous dose and dilution for Ketamine 200mg/2ml?

    The dose is 0.3-0.5mg/kg. For dilution, 200mg in 2ml should be diluted with 18ml NaCl 0.9% to produce 10mg/1ml.

  49. Card 49

    What is the repeat instruction for Ketamine 200mg/2ml when used for CPRIC?

    It can be repeated once only at 5-10 minutes, but ONLY IF REQUIRED.

  50. Card 50

    What is the intramuscular dose for Ketamine 200mg/2ml for Combative Traumatic Brain Injury?

    The intramuscular dose for Combative Traumatic Brain Injury is 2mg/kg, with a maximum dose of 200mg.

  51. Card 51

    What is a contraindication for administering Ketamine for Rapid Tranquilization?

    Ketamine for Rapid Tranquilization is contraindicated in patients under 16 years old. It is also contraindicated in patients under 1 year old and those with delayed transfer of care.

  52. Card 52

    Define the indication 'CPR Induced Consciousness (CPRIC)' for Ketamine.

    CPR Induced Consciousness (CPRIC) is an indication for Ketamine. It refers to patients who regain some level of consciousness during CPR, requiring sedation to manage their agitation or discomfort.

  53. Card 53

    For Ketamine used in Sedation in Pregnancy (first line if olanzapine not suitable), what is the intramuscular dose and maximum?

    For Sedation in Pregnancy, if olanzapine is not suitable, the intramuscular dose of Ketamine is 4mg/kg. The maximum dose for this indication is 400mg.

  54. Card 54

    When administering Ketamine intravenously for Combative Traumatic Brain Injury, what is the dilution process?

    For Combative Traumatic Brain Injury, when administering Ketamine intravenously, dilute 200mg/2ml with 18ml NaCl 0.9%. This dilution produces a concentration of 10mg/1ml.

  55. Card 55

    What is the initial volume of dose for Lignocaine 1% when used for local anaesthesia via the intradermal route?

    The initial volume of dose for Lignocaine 1% when used for local anaesthesia via the intradermal route is 0.1ml. This is a neat dose without further dilution.

  56. Card 56

    Distinguish the dose of Lignocaine 1% for local anaesthesia via the intraosseous route for a small adult versus an adult.

    For local anaesthesia via the intraosseous route, a small adult receives 20mg/2ml of Lignocaine 1%. An adult receives 40mg/4mls, which is double the dose of a small adult.

  57. Card 57

    What is a key contraindication for Loratadine 10mg?

    A key contraindication for Loratadine 10mg is hypersensitivity to loratadine. Additionally, it should not be administered to children under 30 kg.

  58. Card 58

    What is the repeat dose instruction for Methoxyflurane 3ml?

    Methoxyflurane 3ml can be repeated at 30 minutes if required. The maximum cumulative dose is 6mls per day and 15mls per week.

  59. Card 59

    Which patients are unable to cooperate, making Methoxyflurane 3ml contraindicated?

    Methoxyflurane 3ml is contraindicated in patients unable to co-operate. This includes individuals affected by alcohol or illicit drugs, as well as those with a severe head injury and altered state of consciousness.

  60. Card 60

    When Midazolam is used for seizures in an adult under 70 years of age via the intramuscular route, what is the initial dose?

    For seizures in an adult under 70 years of age, the initial intramuscular dose of Midazolam is 5mg. The initial volume of dose is typically 1ml.

  61. Card 61

    What is the dilution procedure for Midazolam 15mg/3ml when administered via the intravascular/intraosseous route for seizures?

    For Midazolam 15mg/3ml administered via the intravascular/intraosseous route for seizures, dilute 15mg/3mls with 12mls NaCl in a 20 ml syringe. This produces a concentration of 1mg/ml.

  62. Card 62

    What is the maximum cumulative dose for Midazolam when used as a second-line IV maintenance of sedation for an adult under 70 years of age?

    For an adult under 70 years of age, when Midazolam is used as a second-line IV maintenance of sedation, the maximum cumulative dose is 5mg. The dose is titrated to effect every 5-10 minutes as required.

  63. Card 63

    What is the dilution for Naloxone 400mcg/1ml when administered intravenously or intraosseously?

    When Naloxone 400mcg/1ml is administered intravenously or intraosseously, dilute 400mcg/1ml with 9ml NaCl 0.9%. This produces a concentration of 40mcg/1ml.

  64. Card 64

    What is the maximum cumulative dose for Naloxone, regardless of the route of administration?

    The maximum cumulative dose for Naloxone is 10mg, regardless of whether it is administered intramuscularly, intravenously, or intraosseously. Doses are repeated every 2 minutes as required, titrated to effect.

  65. Card 65

    What is an indication for Olanzapine 5mg related to patient behavior and de-escalation?

    Olanzapine 5mg is indicated for disturbed and abnormal behavior (RASS 1-3) where a risk to safety is evident and de-escalation has not been effective. The patient must also be able to tolerate or self-administer the oral wafer.

  66. Card 66

    What is the oral dose of Olanzapine 5mg for an adult over 70 years or frail?

    For an adult over 70 years or frail, the oral dose of Olanzapine 5mg is 5mg. This typically corresponds to one dispersible tablet.

  67. Card 67

    What is a contraindication for Ondansetron 4mg related to other medications?

    Ondansetron 4mg is contraindicated in patients receiving treatment with apomorphine. There is a risk of severe hypotension and loss of consciousness if Ondansetron is given to a patient taking apomorphine.

  68. Card 68

    What is the repeat instruction for oral Ondansetron 4mg?

    For oral Ondansetron 4mg, a repeat dose can be given after 15 minutes. However, no further doses should be administered for 8 hours post the second dose.

  69. Card 69

    Which patients are contraindicated from receiving Ketamine for Rapid Tranquilization?

    Ketamine for Rapid Tranquilization is contraindicated in patients under 16 years old and under 1 year old. It is also contraindicated in patients with delayed transfer of care.

  70. Card 70

    What is the dilution for Ketamine 200mg/2ml when used intravenously for CPR Induced Consciousness (CPRIC)?

    For CPR Induced Consciousness (CPRIC), when Ketamine 200mg/2ml is used intravenously, it should be diluted with 18ml NaCl 0.9%. This produces a solution of 10mg/1ml.

  71. Card 71

    What is the repeat dose for Lignocaine 1% when used for Cardiac Arrest with persistent VF/pVT refractory to defibrillation?

    For Cardiac Arrest with persistent or recurrent Ventricular Fibrillation/pulseless Ventricular Tachycardia, refractory to defibrillation, Lignocaine 1% may be repeated once. This is only if sufficient supply is available.

  72. Card 72

    What is the initial volume of dose for Midazolam 15mg/3ml when used intramuscularly for seizures in an adult under 70 years of age?

    For Midazolam 15mg/3ml used intramuscularly for seizures in an adult under 70 years of age, the initial volume of dose is typically 1ml. This corresponds to a 5mg dose.

  73. Card 73

    What are the contraindications for Olanzapine 5mg?

    Contraindications for Olanzapine 5mg include known allergy, known Parkinson's Disease, and patients less than 6 years old. It is important to check for these before administration.

  74. Card 74

    What is the initial volume of dose for Naloxone 400mcg/1ml when administered intramuscularly?

    When Naloxone 400mcg/1ml is administered intramuscularly, the initial volume of dose is 1-2mls. This corresponds to a dose of 400-800mcg.

  75. Card 75

    What is the maximum cumulative dose of Olanzapine 5mg for an adult over 70 years or frail, within a 24-hour period?

    For an adult over 70 years or frail, the maximum cumulative dose of Olanzapine 5mg within a 24-hour period is 10mg. Repeats can be given as necessary after 15 minutes.

  76. Card 76

    Define the contraindications for administering Olanzapine 5mg.

    Contraindications for Olanzapine 5mg include a known allergy to the drug, known Parkinson's Disease, and patients less than 6 years old.

  77. Card 77

    Describe the dilution process for Ondansetron 4mg when administered intravenously.

    For intravenous administration of Ondansetron 4mg, you should add 8mls of NaCl to make a total of 4mg in 10mls. The initial volume of dose should be pushed over at least 30 seconds, preferably 3-5 minutes.

  78. Card 78

    What is the maximum cumulative dose of Olanzapine for adults over 70 years or frail patients within a 24-hour period?

    For adults over 70 years or frail patients, the maximum cumulative dose of Olanzapine is 10mg within a 24-hour period. Repeat doses can be given as necessary after 15 minutes.

  79. Card 79

    What are the contraindications for administering Oxytocin 10IU/1ml?

    Contraindications for Oxytocin 10IU/1ml include a foetus remaining in the uterus, and multiple pregnancy must be excluded. It should also not be given within 6 hours of vaginal prostaglandins or if there is an allergy to oxytocin.

  80. Card 80

    What is the recommended dilution for Salbutamol 5mg/2.5ml when nebulised for asthma?

    When Salbutamol 5mg/2.5ml is nebulised for asthma, the recommended dilution is with 6-8L/minute oxygen. The initial volume of dose is 1-2 nebulas, dependent on the indication.

  81. Card 81

    What is the repeat dose protocol for Ondansetron 4mg, regardless of the route of administration?

    For Ondansetron 4mg, regardless of the route (oral, intramuscular, intravenous), a repeat dose can be given after 15 minutes. However, no further doses should be given for 8 hours post the second dose.

  82. Card 82

    What is the initial volume of dose for Paracetamol 500mg tablets?

    The initial volume of dose for Paracetamol 500mg tablets is 1-2 tablets. This corresponds to a dose of 500-1000mg.

  83. Card 83

    What are the indications for administering Tranexamic Acid 1g/10ml?

    Indications for Tranexamic Acid include significant trauma (<3 hours) with signs of hypovolaemia, significant active haemorrhaging requiring tourniquet or haemostatic dressings, suspected head injury (<3 hours ago) with a GCS motor score of 4 or below, and severe primary or secondary PPH (over 500ml) or PPH with signs of hypovolaemia (birth/bleed less than 3 hours), and significant post-tonsillectomy haemorrhage.

  84. Card 84

    Distinguish the repeat dosing for Sodium Chloride 0.9% for adults versus small adults/elderly in fluid therapy for shock.

    For fluid therapy for shock, adults can receive 250ml boluses of Sodium Chloride 0.9% up to a maximum of 2000mls. Small adults/elderly, however, are limited to 250ml boluses up to a maximum of 1000mls.

  85. Card 85

    What is the dose and route for Olanzapine for an adult under 70 years?

    For an adult under 70 years, the dose of Olanzapine is 10mg, administered via the oral route. The initial volume of dose is typically 1-2 dispersible tablets, depending on the age.

  86. Card 86

    When is Naloxone 400mcg/1ml indicated?

    Naloxone 400mcg/1ml is indicated for the reversal of respiratory depression in suspected narcotic overdose. It is used to counteract the effects of opioids.

  87. Card 87

    What is a key contraindication for Salbutamol 5mg/2.5ml in relation to cardiac conditions?

    A key contraindication for Salbutamol 5mg/2.5ml in relation to cardiac conditions is cardiogenic pulmonary oedema. It is also contraindicated for known hypersensitivity to salbutamol and in patients less than 12 months old.

  88. Card 88

    What is the dose and route for Oxytocin 10IU/1ml for PPH management?

    For PPH management, the dose of Oxytocin 10IU is administered via the intramuscular route. This is a single dose, and the initial volume of dose is 1ml.

  89. Card 89

    Explain the dilution process for Naloxone 400mcg/1ml when administered intravenously or intraosseously.

    When administering Naloxone 400mcg/1ml intravenously or intraosseously, it should be diluted by adding 9ml of NaCl 0.9% to produce a concentration of 40mcg/1ml. The initial volume of dose is 10-20mls.

  90. Card 90

    What is the maximum repeat dose for Naloxone, regardless of the route of administration?

    The maximum repeat dose for Naloxone is 10mg, regardless of whether it is administered intramuscularly, intravenously, or intraosseously. Doses can be repeated every 2 minutes as required, titrated to effect.

  91. Card 91

    What is the repeat dose instruction for Paracetamol 500mg tablets?

    Paracetamol 500mg tablets can be repeated 4-6 hourly as required. The maximum dose is 4g (8 tablets) per day.

  92. Card 92

    What is the dose of Salbutamol for life-threatening asthma when nebulised?

    For life-threatening asthma, the nebulised dose of Salbutamol is 10mg. For moderate/severe asthma, the dose is 5mg.

  93. Card 93

    What is the dose and route for Ondansetron 4mg for moderate to severe nausea?

    For moderate to severe nausea, Ondansetron 4mg can be administered orally as 1 wafer, intramuscularly as 2mls, or intravenously as 4mg pushed over at least 30 seconds but preferably 3-5 minutes. The dose is consistently 4mg across these routes.

  94. Card 94

    What is the dose of Sodium Chloride 0.9% for cardiac arrest, and how is the initial volume determined?

    For cardiac arrest, the dose of Sodium Chloride 0.9% is 20ml/kg, administered intravenously or intraosseously. The initial volume of dose is weight-based, and it is given as a bolus dose for reversible causes.

  95. Card 95

    What are the indications for Olanzapine 5mg?

    Olanzapine 5mg is indicated for disturbed and abnormal behaviour (RASS 1-3) where a risk to safety is evident and de-escalation is not effective. It is preferred first-line sedation in frail patients and those with Dementia, provided the patient can tolerate or self-administer the oral wafer.

  96. Card 96

    What is the repeat dose for Salbutamol via metered dose inhaler?

    When using a Salbutamol metered dose inhaler, the dose of 4-12 puffs can be repeated every 20 minutes or sooner if needed for the first hour. It is recommended to use a spacer with this method.

  97. Card 97

    What is the dose of Tranexamic Acid 1g/10ml, and what is a caution regarding its administration?

    The dose of Tranexamic Acid 1g/10ml is 1g, administered slowly over 10 minutes via the intravenous route. Rapid administration may cause hypotension, so caution is advised.

  98. Card 98

    What is a specific contraindication for Ondansetron 4mg related to other medications?

    A specific contraindication for Ondansetron 4mg is concomitant treatment with apomorphine. There is a risk of severe hypotension and loss of consciousness if Ondansetron is given to a patient taking apomorphine.

  99. Card 99

    What is the repeat dose for Sodium Chloride 0.9% for ROSC (Return of Spontaneous Circulation)?

    For ROSC, Sodium Chloride 0.9% is given in 250ml boluses. These boluses can be repeated to a maximum of 500ml, with reassessment between each infusion.

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