Drugs 4 Parameds - CPG

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Alejandraso
ID:
280931
Filename:
Drugs 4 Parameds - CPG
Updated:
2014-08-29 06:33:41
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Drugs Parameds
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Drugs 4 Parameds - CPG
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  1. NORMAL SALINE

    Contraindication
    Nil of significance

    Precautions
    Consider modifying factors when administering for hypovolaemia
    • Primary Emergency Indications
    • - As a replacement fluid in vol-depleted pts
    • - Vehicle for diluting and intravenous admin. Of emergency drugs
    • - Fluid to keep vein open for IV admin of emergency drugs

    Presentation: 1000ml pack 500ml pack

    Adult Dosage: PEA: 20ml/kg IV Identify and Rx causes – Hypoxia, Anaphylaxis, Asthma, Exsanguination, Upper airway obstruction, Tension pneumothorax Cardiac Arrest: TKVO – unconscious, pulseless VF, VT or asystole

    • Hypothermia: 10ml/kg IV warmed to 37-42 degrees if pt<28-32 degrees, repeat 10ml/kg (Max: 40ml/kg) to maintain perfusion. Hyperthermia: 20ml/kg IV initial, then reassess VSS and temp. If pt>40 degrees use cool fluids if avail.
    • Hypovolaemia: 20ml/kg IV, repeat if HR>100 or BP<100. If after 40ml/kg and BP remains <100, consult with MTS.
    • Burn: % of burn x wt(kg) IV given over 2/24

    • Special Notes:
    • IV Half Life:
    • Approx. 30-60min
  2. GLUCAGON

    Contraindication
    Nil of significance

    Precautions 
    Nil of significance
    • Primary Emergency Indications
    • Diabetic hypoglycaemia (BGL<4mmol/l) in pts with an altered conscious state who are unable to self-administer oral glucose

    Presentation: 1mg (IU) in 1ml Hypokit

    Adult Dosage: Hypoglycaemia: 1ml unit IM (once) if BGL < 4 and pt does not respond to commands

    (Note: use glucagon if unable to insert IV for dex10%)

    Paediatric Dosage: Hypoglycaemia: pt < 25kg 0.5ml unit IM (once) Pt > 25kg 1ml unit IM (once) if BGL < 4 and pt does not respond to commands

    Side Effects: Nausea & Vomiting (rare)

    Special notes: not all pts will respond to Glucagon, for example those with inadequate glycogen storage in the liver – alcoholics, malnourishment

    • IM Effects:
    • Onset:5 Min
    • Peak: n/a
    • Duration:25min
  3. DEXTROSE 10%

    Contraindication
    Nil of significance

    Precautions
    Nil of significance
    • Primary Emergency Indications
    • Diabetic hypoglycaemia(BGL<4mmol/l) in pts with an altered conscious state who are unable to self-administer oral glucose.

    Presentation: 25g in 250ml Infusion soft pack

    Adult Dosage:Hypoglycaemia: 15g (150ml) IV – then normal saline 10ml flush. Repeat 10g (100ml) at 3/60 if inadequate response i.e. GCS<15 then flush with normal saline 10ml

    • if BGL < 4 and pt does not respond to commands

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