1 x 20 ml syringe = 1mg fentanyl
1 x 5 ml syringe = 5mg midazolam
1 x 10 ml syringe = 100mg propofol. Some prefer not to use
NDMR of choice: Either 100mg roc / 20mg vec / 8mg panc usually. You can guarantee you’ll get this wrong – ask the ODPs! Rocuronium is probably the most frequently used
1.5g cefuroxime (unless allergic) x 2 (diluted in to 20 mls w water)
1 x 20 ml syringe = 2g TxA, then a second 10 ml syringe = 1g TxA; if the patient weighs less than 65kg then the dose is 30mg/kg
‘Strong’ phenylephrine: 1 x 10ml syringe. Draw up 1 ml of 10mg/ml phenyl and dilute it with 9 mls N/saline to make 1mg/ml phenyl. Label with a red NDMR label and then overlay the pink phenyl label over the top. Take 1 ml of this strong mix and add to a second 10 ml syringe. Hide the strong stuff in the cupboard, this is for the perfusionist
‘Normal’ phenylephrine: Take the 1 mg of strong 1mg/ml phenyl and dilute with 9 mls N/saline to make the usual 100 mcg/ml. This is for the anaesthetist
Heparin. In the operating rooms a dose of 300 IU/kg heparin must be prepared & labelled; this is a resus drug. This is usually between 20-30 mls of 1000IU/ml heparin. If patients have been on heparin infusions or are at extremes of age (and therefore AT3 deficient) they might have slightly raised baseline ACTs and tend to require more heparin. 350-400 IU/kg is usually sufficient
Southampton Cardiac Anaesthesia 