The range of drugs to include in the GP's handbag depends on the medical conditions apt to be met, the shelf existence of the items as well as their costs, the accessibility of ambulance paramedic cover as well as the proximity of the nearest hospital. At this site, we update previous information as well as recommend a list of medicines that GPs will wish to take of them on home visits for use in a great emergency or different extreme treatment. We include paediatric doses where appropriate and also, whenever a medicine is first said, our suggested formulation is given italicised and also in brackets. We also enclose with this issue a card summarising parenteral doses of drugs for medical issues, including a table of mean body weight for age.
PAIN For many adults in severe pain, a particular effective treatment is diamorphine (5 mg or 10 mg powdered in ampoules for reconstitution with water for injection) one.25 5mg by slow i.v. shot, very if the individual is astonished or has peripheral vasoconstriction, or perhaps 5 10 mg intramuscularly or subcutaneously. For children in serious pain, i.v. diamorphine in the following dosages is given: 1 to 3 months, 20 microgram / kg; 3 to 6 months. 50 microgram / kg, 6 to 12 months, 75 microgram / kg, over 12 months, 75 100 microgram / kg. A couple GPs won't want to establish i.v. access in a teenage child and, in such cases, an alternative is morphine (5 mg / 5 mL solution) by mouth: less than 1 year, 80microgram / kg; 1 to 12 years, 210 400microgram / kg. Opioids may result in nausea and vomiting, and respiratory depression. Management of these are covered in the sections about �Vomiting� and �Opioid o.d. (this page). The managed drug status of diamorphine as well as morphine means, needless to say, that they must be kept in a closed container, or a handbag which is secured, and in a lock in (locked) space i.e. vehicle shoe or perhaps cupboard), and their utilize must be recorded in a managed drugs register.