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Medsur drug list
| Question | Answer |
|---|---|
| Humulin N®[vial] Onset:1-2h Peak:6-12h Duration:18-24h | DM, dosage acc to pt's requirements |
| Humulin R®[vial] Onset:30min Peak 2-4h Duration:6-8h | DM,dosage acc to pt's requirements |
| Mixtard 30 HM® [vial] Onset:0.5h Peak: 2-8h Duration: approx 24h | DM, once-BD(ie twice daily) by SC inj, taken on empty stomach (30min b4 meals) |
| Protaphane HMI®[vial] Onset:1.5h Peak:4-12h Duration:~24h | DM, once-BD by SC inj |
| Humalog®[vial] Onset:0-15min Peak:1h Duration:3.5-4.5h | DM, individualized dosage, taken w/ food (admin w/in 15min b4 or immediately after meals) |
| Humulin 70/30®[vial] | DM,Human insulin isophane 70%, human insulin 30%, dosage acc to pt's requirements, SC or IM inj |
| Amoxicillin | Amoxil, Abt, 1.Penicillins |
| Amoxicillin + Clavulanic acid | Augmentin, Abt,1.Penicillins, 1.2g,(irritative to skin) Reconstitution fluid:20ml WFI, 0.9%NS Hartmann's sol, IV bolus over 3-4 min, admin w/in 20 min of reconstitution |
| Ampicillin | Penbritin/Pentrexyl, Abt,1.Penicillins |
| Ampicillin + Sulbactam | Unasyn,Abt, 1.Penicillins |
| Benzathine Penicillin | Penadur LA/Bicillin L-A,Abt,1.Penicillins |
| Benzylpenicillin | Crystapen/Penicillin G, Abt, 1.Penicillins |
| Cloxacillin | Orbenin/Prostaphlin-A,Abt, 1.Penicillins |
| Flucloxacillin | Floxapen,Abt, 1.Penicillins |
| Phenoxymethylpenocillin | Penicillin V,Abt, 1.Penicillins |
| Piperacillin | Pan-piperacillin,Abt, 1.Penicillins |
| Piperacillin+Tazobactam | Tazocin, Abt, 1.Penicillins |
| Actrapid HM®[vial] Onset:0.5h Peak:1-3h Duration:8h | DM, TDS or more times daily(when used alone) by SC, IM or IV inj, taken on an empty stomach (0 min b4 meals) |
| Ticarcillin+Clavulanic acid | Timentin, Abt, 1.Penicillins |
| Cefazolin | Cefamezin, Abt, 2.Cephalosporins,1st gen |
| Cephalexin | Keflex/Ospexin,Abt, 2.Cephalosporins,1st gen |
| Cephradine | Velosef, Abt, 2.Cephalosporins,1st gen |
| Cefaclor | Ceclor,Abt, 2.Cephalosporins,2nd gen |
| Cefuroxime | Zinacef/Zinnat,Abt, 2.Cephalosporins,2nd gen |
| Cefoperazone | Cefobid,Abt, 2.Cephalosporins,3rd gen |
| Cefoperazone+Sulbactam | Sulperazone,Abt, 2.Cephalosporins,3rd gen; IM 3.5mL 0.5%Lignocaineâ¥IV 4mL, NSD5,IV bolus over a min of 3min |
| Cefotaxime | Claforan,Abt, 2.Cephalosporins,3rd gen;1g, IM:4mL H2O x injâ¥IV:4mL H2O x inj, bolus over 3-4 min |
| Ceftazidime | Fortum,Abt, 2.Cephalosporins,3rd gen, 500mg/ 2g |
| Ceftibuten | Cedax,Abt, 2.Cephalosporins,3rd gen |
| Ceftriaxone | Rocephin,Abt, 2.Cephalosporins,3rd gen |
| Cefepime | Maxipime,Abt, 2.Cephalosporins, 4th gen |
| Aztreonam | Azactam,Abt,3.Other beta-lactams,monobactam |
| Imipenem+Cilastatin | Tienam,Abt,3.Other beta-lactams,Carbapenems |
| Meropenem | Meronem,Abt,3.Other beta-lactams,Carbapenems |
| Doxycycline | Vibramycin/Doxy-100,Abt,4.Tetracyclines |
| Minocycline | Minocin,Abt,4.Tetracyclines |
| Tetracycline | Achromycin,Abt,4.Tetracyclines |
| Amikacin | Amikin,Abt,5.Aminoglycosides |
| Gentamicin | Garamycin/Septopal,Abt,5.Aminoglycosides |
| Kanamycin | Kannasyn,Abt,5.Aminoglycosides |
| Neomycin | Neoate,Abt,5.Aminoglycosides |
| Tobramycin | Nebcin,Abt,5.Aminoglycosides |
| Azithromycin | Zithromax,Abt,6.Macrolides |
| Clarithromycin | Klacid,Abt,6.Macrolides |
| Erythromycin | Erythrocin/Stiemycin,Abt,6.Macrolides |
| Roxithromycin | Rulid,Abt,6.Macrolides |
| Ciprofloxacin | Ciproxin/Ciloxan,Abt,7.Fluoroquinolones |
| Levofloxacin | Cravit,Abt,7.Fluoroquinolones |
| Moxifloxacin | Avelox,Abt,7.Fluoroquinolones |
| Nalidixic acid | Wintomylon,Abt,7.Fluoroquinolones |
| Norfloxacin | Lexinor,Abt,7.Fluoroquinolones |
| Ofloxacin | Tarivid,Abt,7.Fluoroquinolones |
| Teicoplanin | Targocid,Abt,8.Glycopeptides |
| Vancomycin | Vancocin,Abt,8.Glycopeptides |
| Clindamycin | Dalacin C,Abt,9.Others |
| Cotrimoxazole | Septrin,Abt,9.Others |
| Fusidic acid | Fucidin |
| Lincomycin | Lincocin,Abt,9.Others |
| Linezolid | Zyvax,Abt,9.Others |
| Metronidazole | Flagyl,Abt,9.Others |
| Nitrogluramtoin | Furandantin,Abt,9.Others |
| Trimethoprim | Manatrim,Abt,9.Others |
| Atropine sulphate inj | IV,inf fluid:D5 NS, admin undiluted by rapid inh. Slow iv inj may âparadoxical bradycardia |
| Aminophylline inj | IV,inf fluid:D5 NS, direct iv push mayâcardiac arrhythmias & hypotension; slow iv over ⥠20min; should NOT >25mg/min; too irritant for IM admin |
| Amphoterin B inj (Fungizone) | IV,inf fluid:D5 only, reconstitute w/ H2O & further dilute w/ D5to a [100mcg/mL], infuse w/in 6h; incompatible w/NS; use of dilutent w/ bacteriostatic agent (e.g. benzyl alcohol) may cause precipitation |
| Calcium Gluconate inj | IV,inf fluid:D5 NS, do NOT give SC or IM âµmay cause tissue irritation & necrosis. Rapid IV inj at max rate 50mg/min. For IV infusion, dilute to [50mg/ml] & infuse over 1h. Incompatible w/ bicarbonates, phosphates or sulphates. |
| Calcium Chloride inj | |
| IV,inf fluid:D5 NS, Slow IV inj or IV infusion at a rate not >0.7-1.4mEq/min. Too rapid admin may cause perivascular leakage and serious cardiac effects. IM or SC inj may cause serious necrosis or sloughing. | |
| Cyclosporin inj(Sandimmun) | IV,inf fluid:D5 NS, Dilute w/D5 or NS to a[50mg]in 20-100mL & give over 2-6h; not to be used w/PVC equip. Contains polyxyethylated castor oil; may cause anaphylactoid reactions. |
| Diazepam inj(Valium) | IV,inf fluid:D5 NS, IV may be a high risk of venous thrombophlebitis which is min by using Diazemuls. |
| Diclofenac inj(Volteren) | IV,inf fluid:D5 NS, Max IM inj of 2 days only. Do NOT give IV bolus. IV infu must be dilated w/NS or D5 buffered w/ sodium bicarbonate prepimmediately prior to use. Infusion sol should NOT be stored. |
| Digoxin inj(Lanoxin) | IV,inf fluid:D5 NS,avoid rapid IV as it may cause vasoconstriction & subsequent hypotensions/orâed coronary flow.IM is NOT recommendedâµlocal irritation, pain & tissue damaged |
| Dobutamine inj | IV,inf fluid:D5 NS,potent drug, must be diluted to â¥50mL sol,ie 5mg/mL,prior to use. Incompatible w/ bicarbonate. |
| Dopamine inj | IV,inf fluid:D5 NS,potent drug, must be diluted b4 us. Renal shutdown may occur at doses>50mcg/kg/min, âinf rate. Incompatible w/ bicarbonate. Contains sodium metabisulfate, may cause anaphylactic symptoms. |
| Frusemide inj | |
| IV,inf fluid:D5 NS,slow IV over 1-2 min, NOT to exceed 4mg/min. If IM is admin,2nd dose should NOT be admin sooner than 2h after the previous dose. | |
| Insulin soluble inj(Actrapid HM) | IV,inf fluid:D5 NS,Adsorbed to some extent by plastic of infusion set;ensure insulin is NOT inj into "dead space" of inj port of the infusion bag |
| Isoprenaline inj | IV,inf fluid:D5only,IV bolus:dilute 1mL(0.2mg)to 10mL NS or D5;IV infusion:dilute 5 to 10mL(1-2mg)in 500mL D5 |
| Isosorbide dinitrate inj (Isoket) | IV,inf fluid:D5 NS,Conc sol,NEVER be inj directly as a bolus. Adsorbed to some extent by PVC infusion containers;use glass or polyethylene containers or give via a syringe pump. |
| Ketamine inj (Ketalar) | IV,inf fluid:D5 NS,IV admin over 60s;>rapid admin may result in transient resp depression or apnoea |
| Soluvit inj | IV,inf fluid:D5only,Dilute b4 IV infusion as component of parenteral nutrition or parenteral sol. When given in glucose sol, protect fm light. |
| Nitroglycerin inj (Nitrocine) | IV,inf fluid:D5 NS,Dilute b4 IV infusion. Incompatible w/PVC & severe losses may occur. Can be infused undiluted slowly using syringe pump w/ a glass or rigid plastic syringe. |
| Noradrenaline inj (Levophed) | IV,inf fluid:D5only, Potent drug, dilute w/D5 or NaCl & glucose b4 use. Admin in NS alone is not recommended. Give through a central line. Avoid extravasation âµ tissue necrosis & sloughing may occur. Incompatible w/ bicarbonate. |
| Nutriflex 48/150 | IV,no inf fluid,Cetral line only |
| Paraldehyde inj | By deep IM, no more than 5mL per inj site. Use promptly after openingâµ it decomposes on storage.âµParaldehyde dissolves plastic, plastic syringe can only be used for immediate admin. Do NOT admin SC âµ irritation. IV NOT recommended also. |
| Phenytoin inj (Dilantin) | IV, NO inf fluid, IV not to >50 mg/min. Highly incompatible to many drugs & sol Addition to IV infusion is NOT recommended âµlack of solubility & resultant precipitation. Avoid IM use âµerratic absorption, pain on admin. |
| Phytomenadione Vit K1 inj (Konakion) | IV,inf fluid:D5 NS,Reports of anaphylactoid reactions. Admin by slow IV (at least 30s), iff necessary, inj into lower chamber of IV set during infusion of D5 or NS. Not for IM inj. |
| Phytomenadione Vit K1 inj (Konakion Paediatric MM) | IV,NO IV inf fluid,Parenteral use in premature infants weighed <2.5kg âes risk of kernicterus. May be admin by mouth, IM or IV inj. |
| Potassium Chloride inj | IV,inf fluid:D5 NS,Must be diluted prior to use; conc must NOT >40mmol/L & inf slowly over 2-3h. Mix thoroughly to avoid "layering". Use ready-preped sol when possible. |
| Potassium Phosphate inj | IV,inf fluid:D5 NS,Must be diluted b4 use & inf slowly to avoid phosphate intoxication. Do NOT inf w/ Ca or Mg containing IV fluid. |
| Thiamine inj | IV, NO inf fluid, IM or slow IV. Anaphylactic reaction can occur esp after repeated admin. |
| Trace elements sol (Addamel) | IV,inf fluid:D5 NS,Must be diluted b4 use & inf as component of parenteral nutrition or sol. Addition to other drugs should be avoided âµrisk of incompatibilities. |
| Vancomycin inj | IV,inf fluid:D5 NS,Must be diluted to con â¤5mg/mL, inf over at least 60min & at a rate NOT >10mg/min. Risk of anaphyactoid reaction. |
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