Professional Documents
Culture Documents
Preparation
Drug Name Clinical Indication Clinical Preparation Dose and Mode of Delivery
Available
Unstable VT following failure of Proximal IV access; running NS drip; IV Amiodarone 300 mg slowly over 10
AMIODARONE 150 mg ampule
synchronized cardioversion CM, resus-ready; - 20 min
Preparation
Drug Name Clinical Indication Clinical Preparation Dose and Mode of Delivery
Available
IV access with 3-way on Dext Saline 50 mls Dext 50% IV bolus given on 3-
DEXTROSE 50% 10 ml vial Hypoglycaemia
running drip; VSM; repeat Gluc 15 min way with running IV drip;
IV Furosemide 60 - 80 mg slow IV
over 2 mins; if no response, initiate
Proximal IV access;CM; IV Dext 5%
FUROSEMIDE 20 mg ampule Acute Heart Failure infusion Furosemide 1 mg / min.
KVO (keep vein open)
[Furosemide 40 mg in 40 mls D5W;
given at 60 ml/hour infusion]
Lignocaine for
IV use only - Proximal IV access;CM; IV Dext 5% IV Lignocaine 1 - 1.5 mg/kg slow IV
LIGNOCAINE Ventricular arrhythmias
100 mg/5 ml KVO (keep vein open) bolus
plastic amp
Preparation
Drug Name Clinical Indication Clinical Preparation Dose and Mode of Delivery
Available
IV Noradrenaline 4 mg diluted in 50 ml
Proximal IV access; running NS drip
NORADRENALINE 4 mg / 4 ml amp Shock states for inotropic support D5S; dose at 0.02 mcg/kg/min [start at
with 3-way attached to infusion line; CM
2 ml/hour, titrate upwards till response]
10 mg/ml 1% Induction agent for severe acute Proximal IV access; running NS drip; Dose 2 mg / kg IV bolus slow; watch
PROPOFOL
ampule asthma, status epilepticus CM, resus-ready; for unresponsiveness and apnoea.
SODIUM Proximal IV access; running NS drip Always given via running drip; 10 mls
8.4% 10 ml amp Severe Hyper-K+ (if acidotic)
BICARBONATE with 3-way attached to infusion line; CM slow bolus over 5 minutes
1. CM - Cardiac Monitoring - continuous cardiac ECG monitoring, automated BP monitoring at 2 minute interval, continuous SpO2
monitoring, defibrillator available
2. VSM - Vital Signs Monitoring - continuous vital signs monitoring, automated BP monitoring at 5 - 10 minute interval, continuous
SpO2 monitoring, charting 30 - 60 mins
3. Resus-ready - Resuscitation Trolley bed-side, airway management ready, team available bedside
4. KVO - Keep vein open - IV infusion of Dext 5% at rate of less than 10 drops / min; minimum amount just to keep vein open
5. Note: these are adult doses for the average sized adult. The doses are presented in a way that allows for rapid initiation and titration
based on initial response.
6. All infusion drugs must be given via a 3 way stop-cock with a carrier infusion running; which will ensure that the drug will reach the
systemic circulation in good time.
7. Infusions should always be placed in IV access that are located proximally and centrally; if this is not possible, it is even more
important to ensure that the carrier infusion is running.