1534103
| Question | Answer |
| Conversion % to mg/mL | 1% = 10mg/mL |
| Paeds antibiotics Meningitis | <2/12 old: cefotaxime 50mg/kg qid and benpen 60mg/kg bd (E.coli, GB s, listeria) >2/12: ceftriaxone 50mg/kg bd (S.pneumo, N.mening, HiB) |
| Paeds antibiotics Pneumonia | Mild: amoxil 15mg/kg TDS or roxi 4mg/kg bd Mod: benpen 60mg/kg qid or roxi Severe: fluclox 50mg/kg 4/24 and gent 7.5mg/kg and azithro 15mg/kg daily |
| Paeds antibiotics Septicaemia | Normal CSF: fluclox and genta If MRSA, vanc and genta If meningitis: fluclox and cefotaxime |
| Paeds drug doses General | Antibiotics: 50mg/kg Anticonvulsants: 20mg/kg |
| Drug doses in obesity TOTAL weight used | FATMENSUX: Fentanyl, Atracurium, Thiopentone, Midazolam, Etomidate, Narcan, Suxamethonium |
| Drug doses in obesity lean weight used | Ketamine Propofol Vec/rocuronium Tidal volume |
| 8.4% sodium bicarb Uses | 1. Cardioprotection (TCA, propranolol, Na blockers) 2. Decr CNS distribution (salicylates) 3. Incr urine elim (salicylate, phenobarb), incr urine solubility (MTX) 4. Life threatening pH<7.2: cyanide, isoniazid, toxic alcohols 5. Severe hyponatraemia |
| Antiarrhythmics Which to use Atrial vs ventricular rhythms | Atrial: amiodarone, fleicanide Ventricular: amiodarone, sotalol |
| Antiarrhythmics Sotalol | 1mg/kg IV over 15 mins Can repeat once Then 80 to 160mg over 2/24 PO 40 to 1600mg BD |
| Antiarrhythmics Fleicanide | 2mg/kg infusion (max 150mg) If no CAD and normal LVEF 50-to 100mg PO BD |
| Antiarrhythmics Vaughn Williams classification | I Na blockers (a: quinidine, procainmide; b lignocaine, phenytoin; c: fleicanide) II B blockers III K: amiodarone, sotalol IV CCB: verapamil, diltiazem Others: digoxin, adenosine |
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