| Question | Answer |
| Tinzaparin
1. Therapeutic
2. Prophylactic | 1. 175U/kg SC OD
2. 4500U SC OD |
| Enoxaparin (Clexane)
1. Therapeutic
2. Prophylactic
3. Renal dose (Cr >150) | 1. 150U/kg
2. 40mg SC OD
3. 20mg SC OD |
| Cyclizine | 50mg PO/IM/IV/SC TDS |
| Metoclopramide | 10mg PO/IM/IV TDS |
| Domperidone | 10mg PO TDS (up to max 80mg/d) |
| Ondansetron | 8mg PO/IM/IV BD |
| Lansoprazole | 30mg PO/IV OD |
| Omeprazole | 20mg PO/IV OD (40mg if severe) |
| Ranitidine | 150mg PO BD |
| Lactulose | 10-15ml PO OD/BD |
| Movicol | 1 sachet PO OD/BD |
| Sodium docusate | 50-100mg PO up to TDS |
| Senna | TT PO ON |
| Phosphate enema | T PR ON |
| Sodium picosulphate | 1 sachet (10mg) PO ON |
| Paracetamol
1. Normal dose
2. Renal dose
3. Low body weight | 1. 1g QDS PO/IV
2. 1g TDS PO/IV
3. 500mg QDS PO/IV |
| Codeine phosphate | 30-60mg QDS PO |
| Tramadol | 50-100mg QDS PO |
| Ibuprofen | 200-400mg TDS PO |
| Morphine sulphate | 5-10mg PO IV |
| Oramorph | 5-10mg 2-4hrly PO |
| Naloxone | 0.4mg IV/SC/IM (repeat every 2-3min if necessary) |
| Trimethoprim
1. Therapeutic
2. Prophylactic | 1. 200mg PO BD
2. 100mg PO ON |
| Nitrofurantoin | 50mg PO QDS |
| Clarithromycin | 500mg PO/IV BD |
| Ciprofloxacin | 500mg PO BD
or 400mg IVI BD |
| Benzyl penicillin | 1.2g IV/IVI/IM QDS |
| Flucloxacillin | 250-500mg PO/IM QDS
or 0.25-2g IV QDS |
| Amoxicillin | 250-500mg PO TDS
or 0.5-1g IV TDS/QDS |
| Co-amoxiclav | 625mg PO TDS
or 1.2g IV TDS |
| Meropenem | 500mg IV/IVI TDS |
| Metronidazole | 400mg PO TDS
or 500mg IV TDS |
| Cefuroxime | 250mg PO BD |
| Cefotaxime | 1g IM/IV/IVI BD |
| Ceftriaxone | 1g IM/IV/IVI OD |
| Gentamicin | 5-7mg/kg (levels 6-14h after first dose, twice weekly once stable, use Hartford Nomogram) |
| Vancomycin | 125mg PO QDS
or 1-1.5g IVI over 100min BD |
| Hyperkalaemia drugs | Ca gluconate- 10ml 10% over 3min IV
Actrapid 10U in 50ml 50% dextrose over 30min IV
Salbutamol 5mg neb |
| Anaphylaxis drugs | Adrenaline 0.5mg (0.5ml 1:1000) IM, repeat after 5min if no better
Chlorphenamine 10mg IM/slow IV
Hydrocortisone 200mg IM/slow IV
IV fluid challenge |
| ACS acute drugs | GTN spray TT SL PRN
Aspirin 300mg PO
Clopidogrel 300mg PO
Bisoprolol 5-10mg PO OD
Morphine 5-10mg PO/IV
Metoclopromide 10mg IV/IM/SC/PO |
| ASC treatment/secondary prevention drugs | GTN spray TT SL PRN
Aspirin 75mg PO OD
Clopidogrel 75mg PO OD
Bisoprolol 1.25mg PO OD
Ramipril 2.5-5mg PO OD
Atorvastatin 40mg PO ON |
| Simvastatin | 40mg ON PO |
| Amlodipine | 5mg PO OD |
| Ramipril
1. HTN
2. HF | 1. 1.25-2.5mg PO OD (max 10mg)
2. 1.25mg PO OD |
| Atenolol | 25-50mg PO OD |
| Bisprolol
1. HTN
2. HF | 1. 5-10mg PO OD
2. 1.25mg PO OD (initially, can titrate up) |
| Frusemide
1. Normal dose
2. Adding to blood transfusion | 1. 40mg PO/IM/IV OD (can increase)
2. Add 20mg to each unit if existing LVF, or every 2nd unit if risk |
| Vit B supplements | Thiamine 100mg BD/TDS PO
Pabrinex |
| Chlordiazepoxide reducing dose regime | 30mg QDS PO
30mg TDS PO
20mg TDS PO
20mg BD PO
10mg BD PO
10mg OD PO
10mg PRN PO |
| Maintenance fluids | x2 5% dextrose, x1 0.9% NS +20mmol KCl each day |
