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Anaesthetic Adjunct and Adjuvant, Nitrous oxide
Dosage form:
Inhalent
Strength:
n/a
Indications/Special comments:
Maintenance of anaesthesia and, in sub-anaesthetic concentrations, for analgesia.
Dosage Administration:
Adult: Inhalation: Anaesthetic (general): Induction: 70% with 30% of oxygen. Maintenance: 30 to 70% with oxygen. For obstetrics or procedures not requiring loss of consciousness: 25 to 50% with oxygen. Child: Dosage must be individualized.
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Anaesthetic Adjunct and Adjuvant, Midazolam Hydrochloride
Dosage form:
Syrup
Strength:
2mg/ml
Indications/Special comments:
Preoperative sedation and provides conscious sedation prior to diagnostic or radiographic procedures; intravenous anaesthesia (induction and maintenance).
Dosage Administration:
Conscious sedation for procedures or preoperative sedation: Oral: 0.25 - 0.5mg/kg as a single dose procedure, up to a maximum of 20 mg; administer 30 - 45 minutes prior to procedure. Child < 6 years or less: Cooperative patients may require as much as 1mg/kg as a single dose; 0.25mg/kg may suffice for child 6 - 16 years of age.
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Anaesthetic Adjunct and Adjuvant, Midazolam Hydrochloride
Dosage form:
Injection
Strength:
5mg/5ml. 15mg/3ml
Indications/Special comments:
Preoperative sedation and provides conscious sedation prior to diagnostic or radiographic procedures; intravenous anaesthesia (induction and maintenance).
Dosage Administration:
Preoperative sedation: Adult: IM: 0.07 - 0.08mg/kg 30 - 60 minutes prior to surgery/procedure; usual dose: 5mg. IV: 0.02 - 0.04mg/kg; repeat every 5 minutes as needed to desired effect or up to 0.1 - 0.2mg/kg. Conscious sedation: IV: Initial; 0.5 - 2mg slow IV over at least 2 minutes; slowly titrate to effect by repeating doses every 2 - 3 minutes if needed; usual total dose: 2.5 - 5mg; use decreased doses in elderly. Anesthaesia: IV: Induction: Unpremedicated patients: 0.3 - 0.35mg/kg (up to 0.6mg/kg in resistant cases); Premedicated patients: 0.15 - 0.3mg/kg. Maintenance: 0.05 - 0.3mg/kg as needed or continuous infusion 0.25 - 1.5mcg/kg/minute.
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Anaesthetic Adjunct and Adjuvant, Hyoscine Hydrobromide
Dosage form:
Injection
Strength:
20mg/ml
Indications/Special comments:
As antisialogogue pre-anaesthetic medication to prevent or reduce salivation and respiratory tract secretion. Parentral administration of scopolamine in combination with morphine or meperidine is indicated in pre-anaesthesia to reduce excitement and produce amnesia.
Dosage Administration:
Prophylaxis of excessive salivation and respiratory tract secretion in anaesthesia: IM: Adult: 0.2 - 0.6mg, 30 minutes to 1 hour before induction of anaesthesia. Child: administered 45 minutes - 1 hour before induction of anaesthesia. Child (4 - 7 months) - 0.1mg. Child (7 months - 3 years) - 0.15mg, Child (3 - 8 years) - 0.2mg, Child (8 - 12 years) - 0.3mg. Anaesthetic Adjunct - sedation - hypnosis: IM, IV or SC: Adult: 0.6mg three or four times a day. Amnesia: IM, IV, SC: Adult: 0.32 to 0.05mg.
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Anaesthetic Adjunct and Adjuvant, Dexmedetomidine Hydrochloride
Dosage form:
Injection
Strength:
100mcg/ml
Indications/Special comments:
Sedation of initially intubated and mechanically ventilated patients during treatment in an intensive care setting; should not be used for >24 hr. Sedation of non-intubated patients before and/or during surgical and other procedures.
Dosage Administration:
ICU Sedation: IV: Adults: Loading infusion– 1mcg/kg over 10 min. followed by maintenance infusion of 0.2 – 0.7mcg/kg/hr for maximum of 24 hr; rate is adjusted to achieve desired level of sedation. Children: Loading infusion– 0.5 – 1mcg/kg followed by maintenance infusion of 0.2 – 1mcg/kg/hr. Children <1 yr may require higher end of infusion rate. Procedural Sedation: IV: Adults: Loading infusion– 1mcg/kg (0.5mcg/kg for ophthalmic surgery or patients >65 yr) over 10 min. followed by maintenance infusion of 0.6mcg/kg/hr; rate is adjusted to achieve desired level of sedation (usual range 0.2 – 1mcg/kg/hr) (maintenance infusion of 0.7mcg/kg/hr recommended for fiberoptic intubation until endotracheal tube secured).
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Anaesthetic Adjunct and Adjuvant, Atropine Sulphate
Dosage form:
Injection
Strength:
0.4mg/ml (Multidose), 1mg/ml
Indications/Special comments:
As antisialagogue pre-anaesthetic medication to prevent or reduce salivation and respiratory tract secretions.
Dosage Administration:
Adult: IV: 0.3 - 0.6mg immediately before induction of anaesthesia. IM: 0.3 - 0.6mg, 30 - 60 minutes before induction. Child: IM: 20 micrograms per kg of body weight.
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Important notices
Tender for Provision of Cleaning Services at GBHS (Grand Bahama)
Tender for the Provision of Security Guard Services at the Sandilands Rehab Centre
PHA Announces the Appointment of Dr Francis Williams as MCOS PMH