Dubai Health Authority (DHA)
Health Regulation Sector
Drug Control Section
عـيـادة الـفـهـيـم - AL FAHIM CLINIC
NON-REGISTERED EMERGENCY MEDICATIONS REQUEST
Doc Ref: MP_0.0.0_F00
Classification: Shared - Confidential
1. Facility & Request Information
Section A
2. Supervising Medical Professional
Section B
3. Mandatory Emergency Medications (20 Items)
All 20 official DHA medications pre-loaded. Enter required Quantity and Supplier.
SN DRUG NAME STRENGTH QUANTITY * SUPPLIER *
1 Adenosine Injection 6mg/2ml
2 Amiodarone Injection 50mg/ml
3 Atropine 0.2mg/ml 5ml Pre-filled Syringe OR Atropine 1mg/ml Ampoule if prefilled syringe not available 0.2mg/ml
or
1mg/ml
4 Calcium Chloride 10% Injection 1gm/10ml
5 Diazepam Rectal solution** 5 mg
6 Dextrose 50% Vial 50gm/100ml
7 Dopamine Injection 200mg/5ml
8 Epinephrine (Adrenaline) 1:10,000 (0.1mg/ml) 10ml Prefilled Syringe OR 1:1000 (1mg/ml) 1ml Ampoule if prefilled syringe not available 0.1mg/ml
or
1mg/ml
9 Epinephrine (Autoinjector/prefilled Pen) Pediatric 0.15mg
(150mcg)
10 Epinephrine (Autoinjector/prefilled Pen) Adult 0.3mg
(300mcg)
11 Flumazenil 0.5mg/5ml
12 Glyceryl Trinitrate sublingual Spray 400mcg/Dose
13 Hydrocortisone Injection 100mg/2ml
14 Magnesium Sulphate 50% Injection (0.5g/ml)
15 Midazolam Injection** 15mg/3ml
16 Naloxone Injection 0.4mg /ml
17 Ringer Lactate 500ml
18 Dextrose 5% (D5W) 250ml
19 Sodium Chloride 0.9% (NS) 500ml
20 Sodium Chloride 0.9% (NS) Ampoules 10ml
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