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Paracetamol / Ibuprofen / Codeine Instructions
Paracetamol / Ibuprofen / Codeine Instructions
Take 2 tablets (1g) every 4-6 hours for pain/fever as needed. Maximum four times a day.
You would likely benefit from taking this regularly for the first few days (i.e. breakfast, lunch, dinner, before bed)
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Take 2 tablets (400mg) every 6-8 hours for pain/fever as needed. Maximum three-to-four times a day.
Take with food
May worsen airway spasm in some asthmatics (but not all), cause bleeding in the stomach, and worsen the effects of dehydration on the kidneys
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Take 1-2 tablets (15-30mg) every 4-6 hours for SEVERE pain as needed. Maximum four times a day.
This medicine may make you sleepy. If this happens, do not drive or use tools or machines. Do not drink alcohol.
Codeine is highly constipating.
Celecoxib / Mefenamic Acid Instructions
Celecoxib / Mefenamic Acid Instructions
Take one tablet, twice a day, for pain as needed.
You would likely benefit from taking this regularly (with breakfast/dinner) for the first few days. Take with food.
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Take 2 capsules, three times a day, for up to 7 days.
Take with food. Is aware part-subsidy only.
Buscopan / Gaviscon / Prochlorperazine Instructions
Buscopan / Gaviscon / Prochlorperazine Instructions
Take 2 tablets (20mg) every 4-6 hours for colicky/*squeezing* abdominal pain as needed. Maximum four times a day.
This reduces muscle spasms in the gut.
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Gaviscon Extra Strength peppermint - alginate sodium 500 mg + calcium carbonate 160 mg + sodium bicarbonate 267 mg tablet: chewable
Quantity: 60
1–2 tablets chewed thoroughly before swallowing, after meals and half an hour before bedtime, up to 4 times daily.
Aware that part-subsidy only.
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prochlorperazine tablet: maleate 5mg Nausafix (3-5 days)
Take 1 tablet up to three times a day for nausea/vomiting
This medicine may make you sleepy. If this happens, do not drive or use tools or machines. Do not drink alcohol. Frequent use may increase your skin's sensitivity to sunburn.
Palliative Medication EoL JIC Anticipatory Meds - Example
Palliative Medication EoL JIC Anticipatory Meds - Example
Subcut PRN oxynorm 2.5-5mg Q1H for pain/SOB.
Midazolam 2.5-5mg subcut Q1H for distress/agitation.
Haloperidol 0.5mg subcut Q4H for nausea.
Hyoscine Butylbromide 20mg subcut Q2H for respiratory secretions,
PRN laxatives.
Example Neuro Advice for FND
Example Neuro Advice for FND
FND management is unique and the values/key strategies you can find on neurosymptoms.org.
The central tenets of management are distraction and reassurance. Reassurance that there is no structural concern and that they can overcome these symptoms and distraction away from these symptoms i.e. whenever there is a sense that a 'jerk' is coming then to focus on distraction.
Sexual Assault
Sexual Assault
Based on RCEMLearning (UK)
If evidence must be gathered in hospital, the examination should be performed by a physician with forensic training
Police should be informed regardless in cases of lack of consent including children, concern for welfare.
Offer HIV PEP as appropriate from ED
Timescales for obtaining DNA following sexual assault are as follows, irrespective of washing or bathing (although this should be avoided where possible - patients should also be encouraged to avoid washing/showering or brushing teeth, in order to preserve evidence):
– Vaginal penetration: up to 7 days;
– Anal/penile penetration: up to 3 days;
– Oral penetration: up to 2 days.
In drug-facilitated sexual assault (DFSA), blood samples should be collected within three days and urine samples within four days
Chain of evidence must be demonstrated
Vaginal rape carries approximately a 5% risk of pregnancy: depending on the time of presentation, appropriate prevention/testing should be offered
Ceftriaxone (500mg IM),
Azithromycin (1g PO)
Metronidazole (2g PO)
is the recommend regime for prophylaxis of sexually transmitted diseases in a patient following rape
Common Drug Doses and Electrolyte Replacement - Guide
Common Drug Doses and Electrolyte Replacement - Guide
electrolyte-prescribe-gline-adult.pdfElectrolyte Replacement - Queenstown Guide
Electrolyte Replacement - Queenstown Guide
ED Calculations.pdfPage updated
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