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Anaesthetics Drug guide:

Induction agents:
Drug:

Dose

Thiopentone

3-6 mg/kg

Propofol

1-2.5mg/kg

Etomidate
Ketamine

0.3mg/kg
1-2mg/kg

Midazalam

0.010.1mg/kg

Dose/
70kg
140490mg
100200mg
20mg
70140mg
0.5-2mg
incr

Prep
500mg/20 mls
Titrateclinical
effect

200mg/20mls

Muscle Relaxants:
Drug:
Suxs

0.5-2mg/kg

Dose/ 70kg
M
100mg

Atracurium
Rocuronium
Vecuronium
Mivacurioum

0.4-06mg/kg
0.61.2mg/kg
0.08-0.1mg/kg
0.2mg/kg

35mg
40mg
7mg
15-20mg

Reversal:

Dose

Notes
Nb subsq=phase
2 blk
Top-up eff 10mg
Top-up eff 10mg
Top-up eff 1-2mg

Glyco/Neostigmine 0.5mg02.5mg 10mcg/kg


50mcg/kg adults

Analgesia:
Drug:
OPIATES
Fentanyl
Alfentanil
Obtnd intb
resp
Morphine

Dose

Dose/ 70kg M

Prep

1-2mcg/kg
4-15mcg/kg
10-20mcg/kg

100mcg
500-1000mcg
700-1400mcg

100mcg/2mls
1000mcg/2mls

0.02-0.1mg/kg

2-10mg

10mg/10mls
[NaCL}

Pethidine
Remifentanil
Codiene
Oral morph.
OTHERS
Ibuprofen

0.3-0.6mg/kg
1-2mg/kg
1mg/kg
0.2-0.4mg/kg

25-50mg

5mg/kg 6hrly

Diclo

1mg/kg

Paracetamol
Naloxone

15mg/kg IV
15mcg/kg

Max 400mg
8hrly
75mg IV; 100mg
PR
1g IV
100-300mc

30-60mg

Not IV

20mg/kg orl

LA:
rec safe upper doses depends on site + speed inj
Drug:
Plain Lidocaine
Lidocaine +
adren
Plain
Bupivacaine
Ropivacine
Prilocaine
Levobupivacai
ne

Dose
3mg/kg
7mg/kg

Dose/ 70kg M
10mls 2%
24mls 2%

Prep
20mls 1%
48mls 20%

2mg/kg

50mls 0.25%

25mls 0.5%

3.5mg/kg
6 mg/kg

Max 200mg

Vol MAC (adult):


Drug:
Isoflurane
Sevoflurane
Desflurane

Mac
Approx 1.15
Approx 2
Approx 6.25

Anti-Emetics(IV):
Drug:

Dose

Ondansetron

0.1mg/kg

Dexamethason
e
Cylizine

0.10.25mg/kg
1mg/kg

Maxalon

Dose/
70kg
4-8mg/kg
4-8mg
50mg
(max)
10mg

Prep
4mg/2m
ls
4mg/ml

Notes

Nb perianal
burning
Tachy C/I IHD
Pro-kinetic

Prochlorperazi
ne

12.5mg

Miscellaneous
Bradycardia:
Glyco:
Atropine:

200-600mcg incr - 600mcg in 3mls/ 200mcg/ml


10-20mcg/kg/min -dose 300-600mcg incr

Hypotension:
Ephidrine:
Metaraminol:
bolus 0.5mg
Phenylephrine:
bolus 50mcg

3-6mg incr. / 30mg in 10mls NaCl


10-20mcg/kg (10mg in 20mls NaCl
1mcg/kg - 10mg in 100ml NaCl

initial
initial

Pre-med:
Midazalam:
Temazepam:

0.5mg/kg - max 15mg; PO children


10-20mg PO

Infusions:
Norad:
[80mcg/ml]
Adrenaline:
[80mcg/ml]

Propofol 1%: TCI


adj TCI wt/age
Remifentanil:

0.05-0.5mcg/kg/min (4mg in 50ml 5% dex


0.05-0.5mcg/kg/min (4mg in 50ml 5% dex

3.5-10mcg/kg/min dial-up or BET/Bristol method

0.05-1mcg/kg/min

2mg in 40ml NaCl

Other
KCL:
2/hrs
Mg SO4:
30mins
Ca glucon:

20-40mmol (in 50mls NaCl) via central line over 120mmol (in 50mls NaCl) via periph over
10ml 10% via periph over 5mins

Abxs:
Cefuroxine: 1.5g IV in 20mls H2O - nb 10-15% cross sensitivity pencillin
Augmentin: 1.2g IV in 20mls H2O
Teicoplanin: 400mg IV in 10mls H2O dnt shake foam
Metronidazole:
Prepared bag