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The choice of drugs to incorporate in the GP's handbag depends on the healthcare conditions probably met, the shelf life of the products and their costs, the supply of ambulance paramedic cover and the proximity of the nearest hospital. Here, you update earlier advice and suggest a list of medicines which Gps Navigation might want to take along about home visits for use in an emergency or other extreme treatment. We include paediatric doses in which appropriate and also, whenever a medication is first mentioned, the recommended formulation is given italicised and in brackets. We also enclose with this issue a card summarising parenteral doses of drugs for medical disasters, which include a table of imply fat for age.

PAIN For many adults in severe pain, a great effective treatment is diamorphine (5 mg or 10 mg powder in ampoules for reconstitution with water for injection) one.25 5mg by slow i.v. shot, especially if the patient is astonished or perhaps has peripheral vasoconstriction, or 5 10 mg intramuscularly or subcutaneously. For children in serious pain, i.v. diamorphine in the following doses is given: 1 to 3 months, 20 microgram / kg; 3 to 6 months. 50 microgram / kg, 6 to 12 months, 75 microgram / kg, more than 12 months, 75 100 microgram / kg. A few GPs won't like to establish i.v. access in a young child and, in such cases, a great alternative is morphine (5 mg / 5 mL solution) by mouth: under 1 year, 80microgram / kg; 1 to 12 years, 200 400microgram / kg. Opioids will cause sickness and vomiting, as well as respiratory depression. Management of these are covered in the sections about ?Vomiting? and also ?Opioid o.d. (this page). The controlled drug status of diamorphine as well as morphine means, of course, that they must remain in a locked container, or maybe a bag that is locked, and also in a lock in (locked) area i.e. car start or perhaps cupboard), and their use must be documented in a controlled drugs register.