Makindo Medical Notes"One small step for man, one large step for Makindo" |
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MEDICAL DISCLAIMER: The contents are under continuing development and improvements and despite all efforts may contain errors of omission or fact. This is not to be used for the assessment, diagnosis, or management of patients. It should not be regarded as medical advice by healthcare workers or laypeople. It is for educational purposes only. Please adhere to your local protocols. Use the BNF for drug information. If you are unwell please seek urgent healthcare advice. If you do not accept this then please do not use the website. Makindo Ltd. |
Name | Dose | Frequency | Route |
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Oxygen | High flow 15 L/min via non rebreather target 94-98%.
If COPD then 24-28% Oxygen and target 88-92% | Continuous titrate to O₂ sats | High flow mask |
Diamorphine | 2.5-5 mg | 4-hrly PRN | IV or SC |
Morphine | 5-10 mg | 4-hrly PRN | IV or SC |
Furosemide (Lasix) | 50-100 mg | As needed | IV Repeat as needed |
GTN spray | 2 puffs S/L | as needed unless BP low | If SBP > 110 mmHg and oedema or angina |
Name | Dose | Frequency | Route |
Salbutamol (Albuterol) | 5mg | 4-hrly PRN | Nebulise with oxygen as needed if patient wheezy |
Salbutamol / Albuterol Inhaler | 100 mcg | One-Two puffs 6-hrly PRN | Inhaler |
Beclomethasone | 200 mcg | One puff 12-hourly | Rinse mouth after inhaled |
Name | Dose | Frequency | Route |
Amlodipine | 5-10 mg | OD | PO |
Verapamil | 40 mg | 8-hourly | PO |
Diltiazem | 120 mg | OD | PO |
Name | Dose | Frequency | Route |
Digoxin | 62.5-250 micrograms | OD | PO |
Clopidogrel | 300 mg | Stat and OD | PO |
Aspirin | 300 mg (UK) or 325 mg (US) | Stat | PO |
Aspirin | 75 mg (UK) or 81 mg (US) | OD | PO |
Metoclopramide | 10 mg | stat and 8-hrly PRN | IV/PO |
Name | Dose | Frequency | Route |
Enoxaparin (Clexane) | 40 mg (4000u) | OD at 6 PM | SC |
Enoxaparin (Clexane) | 1 mg/kg | 12-hourly | SC |
Dalteparin (Fragmin) | 5000 U | OD at 6 pm | SC |
Tinzaparin | X U | OD at 6 pm | SC |
Fondaparinux | 2.5 mg | OD at 6 pm | SC |
Name | Dose | Frequency | Route |
Name | Dose | Frequency | Route |
ACTRAPID | 5 Units | stat | SC |
NOVOMIX 30 | 15 Units | 12-Hourly | SC |
MIXTARD 30 | 15 Units | 12-Hourly | SC |
Metformin | 500 mg -1 g | 12-hourly | PO |
Name | Dose | Frequency | Route |
Paracetamol | 1 g | 6-hourly | PO/IV |
Ibuprofen | 400 mg | 8-hourly | PO |
Codeine | 30-60 mg | 6-hrly | PO |
Diamorphine | 2.5-5 mg | stat or 4-hrly PRN | IV/SC/IM |
Morphine | 5-10 mg | stat or 4-hrly PRN | IV/SC/IM |
Name | Dose | Frequency | Route |
Bendroflumethiazide | 2.5 mg | OD | PO |
Name | Dose | Frequency | Route |
Adrenaline/Epinephrine | 0.5 mls of 1 in 1000 | stat and may be repeated after 5-10 mins | IM into anterolateral thigh |
Hydrocortisone | 200 mg | stat and 8-hourly as needed | IV/IM |
Chlorphenamine | 10 mg | stat | IV |
Name | Dose | Frequency | Route |
Prednisolone | 40-60 mg | stat | PO |
Prednisolone | 40-60 mg | OD | PO |
Prednisolone | 1 mg/kg | OD | PO |
Ramipril 1.25-10 mg OD | 1 mg/kg | OD | PO Titrate to BP and Renal function |
Lisinopril | 2.5 mg | OD | PO Titrate to BP and Renal function |
Enalapril | 2.5 mg | OD | PO Titrate to BP and Renal function |
Perindopril | 2 mg | OD | PO Titrate to BP and Renal function |
Amitriptyline | 10-70 mg | ON | PO |
Amiodarone | 300 mg | over 20-60 minutes | Central line or large cannula |
Amiodarone | 900 mg | over 24 hours | Central line or large cannula |
Zopiclone | 3.75-6.5 mg | ON (lower dose in elderly) | PO |
Cyclizine | 50 mg | OD/IV | PRN 8-Hourly |
Metoclopramide | 10 mg | OD/IV | Stat and PRN 8-Hourly |
Domperidone | 10 mg | 6-hourly | PO |
Ondansetron | 4 mg | PO | |
Omeprazole | 20 mg | OD | PO |
Lansoprazole | 30 mg | OD | PO |
Haloperidol | 0.5 mg | 12-hourly | PO/IM |
Co-Careldopa 100/25 | X tabs | At 8 AM 12 PM, 4 PM, 8 PM etc as needed by patient | PO |
Co-Beneldopa 100/25 | X tabs | At 8 AM 12 PM, 4 PM, 8 PM etc as needed by patient | PO |
Memantine | 5 mg | ON | PO |
Donepezil | 5 mg | ON | PO |
Calcium Resonium | 15 g | 8-hourly | PO. Start Laxative |
Calcium Resonium | 30 g | 8-hourly | PR to hold for 9 hours |