QAS DRUG THERAPY PROTOCALS PDF

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Summary

Queensland Ambulance Service Drug therapy protocols...

Description

ADRENALINE -

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Indications o Cardiac Arrest o Croup (moderate to severe) o Severe allergic reaction or anaphylaxis o Severe bronchospasm or silent chest o Bradycardia with poor perfusion – CCP o Shock unresponsive to adequate fluid resuscitation (excl anaphylactic, obstructive or haemorrhagic) – CCP Contraindications o Nil Precautions o Hypertension o Hypovolemic shock o Concurrent MAOI therapy o Quetiapine toxicity Side Effects o Tremors o Anxiety o Tachyarrhythmia/ Palpitations o Pupil Dilation o Hypertension Adult Doses: o Cardiac Arrest  IV: 1mg, every 3-5 min, no max dose o Severe allergic reaction:  IM: 500microg, every 5 min, no max dose  NEB: 5mg single dose only (refractory to 3 x IM) o Severe bronchospasm/ Silent Chest:  IM: 500microg, every 5 min, no max dose Paediatric Doses: o Cardiac Arrest:  >10kg (=>1 year)  10microg/kg, repeat 305 min, no max dose  6 years  IM: 300microg, repeat 5 min, no max  NEB: 5mg, single dose only  1-5 years  IM: 150microg, repeat 5 min, no max  NEB: 5mg, single dose only  6months – 1 year  IM: 100microg, repeat 5min, no max  NEB: 5mg, single dose only  6 years  IM: 300microg, repeat 5 min, no max  1-5 years  IM: 150microg, repeat 5 min, no max  6months – 1 year  IM: 100microg, repeat 5min, no max  10-15kg o 1mL  >15kg o 1.5mL  May be repeated once for child resistant to medications  Total max = 0.6mg/kg (12mg)

DROPERIDOL -

Indications (1): o Acute behavioural Disturbance (with SAT score >2) Contraindications (6) (Absolute + Relative): o Absolute  Allergy/Adverse Reaction

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 Parkinson’s disease  Known Lewy Body Dementia  Prev Dystonic Reaction to Droperidol  Patients 65years or 65 years – consult o 5mg, repeat once at 5 min, Total max = 10mg  16-8 -160mmHg) Contraindications (1): o Allergy/Adverse Reaction Precautions (6): o Reduced doses in older, frail and/or lower weight patients o Respiratory Depression /Failure o Respiratory tract burns o Hypotension o Known addiction to narcotics o Current MAOI therapy Side Effects (7): o Respiratory Depression o Hypotension o Pin Point Pupils o Nausea/Vomiting o Bradycardia o Drowsiness o Muscular Rigidity Adult Doses : o IV:  >70 Years  25microg, repeat at 5 min, max dose 100microg ...