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105 Cards in this Set

  • Front
  • Back
Aspirin
Analgesic
300-900mg q4-6h prn

Antiplatelet
150-300mg od

(range 150-900mg)
Clopidogrel
Px VID
75mg od

ACS
300mg loading, 75mg od with aspirin
Digoxin
Loading
250-500mcg q4-6h (max 1.5mg)

Maintenance
125-250mcg od (rarely to 500mcg daily)
- Elderly: 62.5-125mcg od
Warfarin
Initially
5mg od for 2D (adj to INR)

Maintenance
1-10mg od
Heparin
Px VTE
SC 5000 units 2hrs before procedure, then 5000 units 2 or 3 times daily for 7-10days or until mobilised
Enoxaparin
Px VTE (surgical pts)
Moderate risk: 20mg od (7-10d)
High risk: 40mg od (7-10d) can be <30d

Tx VTE
1mg/kg bd or 1.5mg/kg od (5-10d)
Hydrochlorothiazide
Hypertension
12.5-25mg od

Oedema
25-100mg od

(range 12.5-100mg od)
Perindopril
P.Arg
2.5-10mg od

P.Erb
2-8mg od
Candesartan
4-32mg od
Amlodipine
2.5-10mg od
Verapamil
80mg bd/tid to max 240mg od/bd
Metoprolol
25mg od/bd to max 100mg od-tid
Rosuvastatin
5-40mg od
Dabigatran
110mg within 1-4hr of surgery then 220mg

Knee: 10D
Hip: 28-35D
Diazepam
Anxiety
1-10mg up to tid

Withdrawals
Give est8 dose in 3-4 d/d at fixed time, then taper
Temazepam
5-20mg n

(5-10mg n for elderly)
Zolpidem
5-12.5mg n
Risperidone
Schizo
1mg bd (range = 4-6mg D)

Bipolar
2mg od (range = 2-6mgD)
Quetiapine
Schizo
25mg bd (range = 400-800mg D)

Bipolar
50mg bd max 800mg D
Amitriptyline
Depression
25-150mg d (max 300mg)

Migraine/pain
10-25mg n, max 75mg(migraine) 150mg(pain)
Dothiepin
25-150mg d (max 300mg)
Mirtazepine
15-45mg (max 60mg)
Imipramine
25-150mg d (max 300mg)
25-150mg d (max 300mg)
Depression
25-150mg od

Urinary
10-25mg od-tid
Sertraline
Depression
50mg od (↑200mg od if req)

Panic disorder
25-50mg
Lithium
Px
250-1000mg d/d then adj

Acute mania
750-1000mg d/d (max 2500mg D)
Carbamazepine
Epilepsy
100mg bd (range = 400mg-1.2g D) max 2g D

Mania & bipolar
400mg d/d (max 1.6g D)
Sodium Valproate
Initial
600mg in 2 d/d

Maintenance
1-2g in 2 d/d (max 2.5g D)
Phenobarbitone
60-240mg od bedtime
Phenytoin
Initial
4-5mg/kg in 1 or 2 doses (range = 200-500mg D)

Maintenance
4-8mg/kg in 2 or 3 doses

Max 600mg/d
Gabapentin
900-3600mg D in 3 doses
Pregabalin
75-300mg bd
Naratriptan
2.5mg at onset (repeat after 4hrs) Max 5mg/d
Sumatriptan
Oral
50-100mg (repeat after 2hrs) max 300mg/d

Intranasal
10-20mg (repeat after 2hrs) max 40mg/d

SC
6mg (repeats after 1hr) max 12mg/d
Zolmitriptan
2.5mg at onset (repeat after 2hrs) max 10mg/d
Salbutamol
MDI
100-200mcg
DPI
200-400mcg
> 3-4 times D, PRN
Terbutaline
DPI
500mcg 3-4 times D, PRN
Budesonide
DPI
100-400mcg bd (max 2000mcg D)
Beclomethasone
MDI
50-200mcg bd (up to 1000mcg D)
Fluticasone
MDI/DPI
100-200mcg bd (max 1000mcg D)
Ciclesonide
MDI
80-320mcg od
Salmeterol
50mcg bd (max 100mcg bd)
Eformoterol
6-24mcg bd (max 48mcg D)

Can have 72mcg if severe
Indacaterol
150-300mcg od
150-300mcg od
MDI
40-80mcg 3-4 D prn

NebZ
250-500mcg 3-4 D
Tiotropium
DPI
18mcg od
Theophylline
10-16mg/kg D max 900mg D
Montelukast
10mg n
Sodium cromoglycate
MDI
5-10mg 2-4 times D (bd for maintenance up to 20mg/dose)

DPI
20mg 3-4 D

6-8 D if severe
Acetylcysteine
NebZ
3-5ml q2-6h

Intratracheal
1-2ml q1-4h
Domperidone
10-20mg tds-qds (max 80mg D)
Metoclopramide
5-10mg tds (max 0.5mg/kg D)
Prochlorperazine
20mg initial, 10mg 2 hrs after, 5-10mg prn (max tds)
Promethazine
10-25mg bd-qid (max 100mg D)
Lactulose
15-30mL in d/d (max 45mL D)
Maintenance: 10-25mL D

Range = 10-45mL
Loperamide
4mg initially, 2mg after ea. Loose bowel (max 16mg D)
Ranitidine
150-300mg D (in 1 or 2 d/d)
Famotidine
20-40mg D (in 1 or 2 d/d)
Esomeprazole
20-40mg D
Lansoprazole
15-60mg D
Omeprazole
10-40mg D
Pantoprazole
20-80mg D
Vancomycin
IV
500mg q6h or 1g q12h
Gentamicin
IM/IV
4-7mg/kg D
Metronidazole
200-400mg bd max 4g D
Trimethoprim
Adult
- Tx: 300mg od
- Px: 150mg od
Terbinafine
250mg od
Mebendazole
Threadworm
100mg single dose

Hook, round & whip
100mg q12h for 3D
Maldison
0.5% or 1% topically, leave for 8 hours
Permethrin
(Lice) – 1% topically, leave for a minimum of 20 minutes

(Scabies) – permethrin 5% cream leave on for minimum of 8 hrs
Oseltamvir
Prophylaxis for influenza)
75 mg orally, daily for 10 days

(Treatment of influenza – within 48hrs of Sx onset)
75 mg orally, bd
Valaciclovir
- Genital herpes: 500mg bd
- Shingles: 1g tds
Codeine
15mg tid-qid, max 240mg D
Tramadol
50-100mg q4-6h

(Oral) Max 400mg/d
(IM/IV) Max 600mg/d
Morphine
5-20mg q4-6h > titrate

(Oral) 5-60mg q12h > titrate

(IM/IV) 0.2-0.8mg/kg q12h
Oxycodone
IR: 5-15mg q4-6h

CR: 10mg q12h

Titrate
Hydromorphone
Oral
IR: 2-4mg q4h
MR: 4-8mg od

SC/IM
1-2mg q4-6h

IV
0.5-1mg over 2-3mins q3h

Titrate
Buprenorphine
Sublingual
0.2-0.4mg q6-8h

Patch
5mcg/kg; max 2x20mcg/hr
Fentanyl
Patch
Depend on individual’s needs: 12mcg/kg (approx. = 45mg/day morphine)

Lozenge
200mcg, repeat after 30min if req
Methadone
Analgesic
5-10mg q6-8h (q12h for chronic use)

Opioid dependence
10-20mg od & titrate
(range = 30-50mg od, max 80mg D)
Dextropropoxyphene
100mg q4h prn max 600mg D
Paracetamol
500-1000mg q4-6h (max 4000mg/d)
Ibuprofen
200-400mg tid-qid (max 2400mg/d)
Celecoxib
100-200mg in 1 or 2 d/d
Diclofenac
75mg-150mg in 2 or 3 d/d (max 200mg D)
Meloxicam
7.5-15mg od prn
Naproxen
250mg-1250mg D in 2-4 d/d
Indomethacin
Oral
25-50mg bd-qid

Rectal
100mg od/bd
Alendronate
Osteoporosis
10mg od or 70mg weekly

Paget’s disz
40mg od for up to 6 mo
Risedronate
Osteoporosis
35mg weekly or 150mg monthly

Paget’s disz
30mg od for 2 mo
Calcitriol
Osteoporosis
0.25mcg bd

Hypoparathyroidism
0.5-1mcg od
Calcium
600-1200mg D
Strontium ranelate
2g od at bedtime
Raloxifene
60mg od
Infliximab
RA
3mg/kg, repeat at 2 then 6 week
Then every 8 weeks

Ankylosing
5mg/kg, repeat at 2 then 6 week
Then every 6 weeks
Spironolactone
10 hyperaldosteronism
50-200mg in 1 or 2 doses

Oedema
25-100mg in 1 or 2 doses

Range = 25-200mg
Neomycin
1g every hour in 1st hour for 4 hour, then q4h for 4 doses

Max 12g
Sulfasalazine
UC
2-4g in 3-4 doses

RA
Initial: 500mg D increasing to 2-3g D in d/d

Range = 2-4 g in d/d
Mesalazine
Tx
Oral = 500mg tds (sup 1g od)

Maintenance
Initial: 15-20mg/kg 3xD redC to 10mg/kg 2-3xD

Range = 10-20mg/kg 2-3xD
Methotrexate
Rheumatology/ dermatology
5-25mg once a week (may be taken at 0, 12 and 24 hours)
Antineoplastic chemo.
Specialist protocol
Carbimazole
Hyperthyroidism
Initial: 20-40mg D (max 60mg d/d) for 3-4wks
Maintenance: 5-15mg (can be 2.5-40mg d/d)

Thyroid storm
60-80mg D in d/d gradually taper

Range = 2.5-80mg d/d
Thyroxine
Initially
50-100mcg D

Maintenance
100-200mcg D

Range = 50-200mcg D
Resonium® (polystyrene sulfonate resins)
15g as a suspension or paste 3-4 daily
Calcium carbonate (as a phosphate binder)
600-1200mg Daily
1500mg Calcium carbonate equivalent to 600mg elemental calcium
Calcitriol
Osteoporosis: initial dose 0.25microgram twice daily

Hypoparathyroidism: 0.5-1 microgram daily