Analgesia

Question 1

Why should codeine not be given to under 12s

Answer 1

Risk of respiratory side effects

Also not recommended for children 12-18 with breathing problems

Question 2

Which analgesic is contraindicated in children who have had their tonsils removed

Answer 2

Codeine (And DHC)

Question 3

Signs of Reye’s syndrome ?

7 points

Answer 3

Aggression/irritability 
Seizures 
Lethargy 
Anxiety, confusion, hallucinations 
Hyperventilation 
Vomiting 
Coma

Question 4

Paracetamol and Ibuprofen should not be given to babies under _____ old

Answer 4

PARACETAMOL ONLY: 2 months (8 weeks) - it is used here for prevention of febrile convulsions after vaccines

BOTH: Usually not sold for babies under 3 months

Question 5

What strength is paracetamol infant syrup ?

What age group is it for?

Answer 5

120 mg/ 5 mL

For children under 6 (but over 2 months)

Question 6

Paracetamol dose for a 3-6 month old

Answer 6

60 mg up to qds (2.5 mL infant syrup)

Question 7

Paracetamol dose for a child aged 6 months - 2 years

Answer 7

120 mg up to qds (5mL of infant syrup)

Question 8

Paracetamol dose for a child aged 2-3 years

Answer 8

180 mg qds (7.5 ml of infant syrup)

Question 9

Paracetamol dose for a child aged 4-6 years

Answer 9

240 mg up to qds (10 mL infant syrup)

Question 10

Paracetamol dose for a child aged 6-7 years

Answer 10

250 mg up to qds (5 ml of 6+ syrup)

Question 11

Paracetamol dose for a child aged 8-10 years

Answer 11

375 mg up to qds (7.5 ml of 6+ syrup)

Question 12

Paracetamol dose for children aged 10-11

Answer 12

500 mg up to qds

10ml of 6+ syrup or 1 x 500mg tablet

Question 13

Paracetamol dose for children aged 12 - 15 years

Answer 13

750 mg up to qds

15 mL of 6+ syrup or 1.5 x 500 mg tablet

Question 14

How many times a day can ibuprofen be taken/given ?

Answer 14

3-4 times a day

Question 15

Ibuprofen dose for a child aged 3 -11 months

Answer 15

2.5 ml TDS

Question 16

Ibuprofen dose for a child aged 1-3 years

Answer 16

5 ml up to TDS

Question 17

Ibuprofen dose for a child aged 4-6 years

Answer 17

7.5 mL up to TDS

Question 18

Ibuprofen dose for a child aged 7-9 years

Answer 18

10 ml up to tds

200 mg of 100mg/5mL

Question 19

Ibuprofen dose for a child aged 10-11 years

Answer 19

15 ml up to tds

Question 20

Ibuprofen dose for a child aged 12-17 years

Answer 20

15-20 ml three or four times a day

Question 21

Under which circumstance may aspirin be given to children under the age of 16

Answer 21

Kawasaki’s disease