Use of Emergency Meds in the Doctor’s Bag
Diagnosis
Medication
a) Adrenaline 1mg/ml
( 1:1000)
Anaphylaxis
b) Hydrocortisone Injection
100mg/ml
“
c) Chlorpheniramine 10mg/ml
Meningococcal
Meningitis
Benzyl Penicillin 600 mg
Status Epilepticus
Rectal Diazepam
10 mg rectube)
Hypoglycaemia
Glucagon 1 mg
(
Age
Dose
Route
>12 years
6-12 years
Under 6 years
> 12 years
6-12 years
6 months - 6 years
Under 6 months
>12 years
6-12 years
6 months - 6 years
Under 6 months
> 10 years
1-9 years
< 1 year
> 12 years and adults
2-12 years
1-2 years
Adults & Children >
20 kg weight
Children < 20 kg
weight
500 micrograms ( 0.5mls)
300 micrograms (0.3mls)
150 micrograms ( 0.15mls)
200 mg
100 mg
50 mg
25 mg
10 mg
5 mg
2.5 mg
250 microgram / kg
1.2 grams
600 mg
300 mg
10mg - 20 mg
5mg - 10 mg
5mg
IM
IM
IM
IM or slow IV
IM or slow IV
IM or slow IV
IM or slow IV
IM or slow IV
IM or slow IV
IM or slow IV
IM or slow IV
IM
IM
IM
Rectal
Rectal
Rectal
1mg
IM
0.5mg
IM
ADDITIONAL NOTES FOR MENINGITIS
 Withhold Benzylpenicillin in children and young people who have a clear history of anaphylaxis after a previous dose; a history of a rash following penicillin is not a
contraindication”
 Management of suspected bacterial meningitis WITH non-blanching rash: GIVE a single dose of parenteral benzylpenicillin at the earliest opportunity
 Management of suspected bacterial meningitis WITHOUT non-blanching rash:: DO NOT GIVE any parenteral antibiotic treatment unless urgent transfer to hospital is
not possible.
DR Sudhir Krishnan, November 2015