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7 Cards in this Set

  • Front
  • Back

Indications

Significant pain


Sedation


Autonomic dysreflexia w/systolic bp >160mmHg

Contraindications

KSAR

Precautions

Elderly patients


Hypotension


Respiratory depression/failure


Respiratory tract burns


Known addiction to narcotics


Current MAOI (antidepressants) therapy

Side Effects

Bradycardia


Drowsiness


Hypotension


Nausea/vomiting


Pin point pupils


Resp. Depression


Muscular rigidity

Presentation, onset, duration

Ampoule, 100microg/2mL


Onset <3mins


Duration 30-60 mins

Dosages

ADULT


SUBCUT (advice line)


IM: >70 years - 25-50 microg. Repeated at up to 50microg every 10 minutes. Total max dose 100microg


<70 years - 25-100 microg. Repeated at up to 50microg every 10 mins. Total max dose 200microg


IV: >70 years - 25microg. Repeated at up to 25microg every 5mins. Total max dose 100microg


<70years - 25-50microg. Repeated at 50microg every 5mins. Total max dose 200microg


Dosages

PAEDIATRIC


For all routes, <1 yr advice line


NAS: >1 year - 1.5microg/kg. Repeated once at 1microg/kg at 10 mins. Total max dose 100microg.


IM: >1 year - 1-2 microg/kg. Single max dose 50microg. Total max dose 2microg/kg.


IV: >1 year - 1 microg/kg. Single max dose 25microg. Repeated at 0.5microg/kg at 5 min intervals (max 25microg). Total max dose 2microg/kg