Medication Paediatric Doses

Question 1

Adrenaline (Anaphlaxis) Paediatric Dose

Answer 1

Initial:
IM 10 mcg/kg (max 500mcg)

Repeat:
5 mins
IM 10 mcg/kg

ICP
IV 0.1mcg/kg/min infusion

Question 2

Adrenaline (Cardiac Arrest) Paediatric Dose

Answer 2

ICP
Initial:
IV 10mcg/kg

Repeat:
4 mins
10 mcg/kg

Question 3

Adrenaline (Croup) Paediatric Dose

Answer 3

Initial:
5 mg in 5 ml NEB

Repeat:
5 mins
5mg in 5 ml

Question 4

Adrenaline (Asthma) Paediatric Dose

Answer 4

Initial:
IM 10mcg/kg

Repeat:
20 mins
IM 10 mcg/kg (max 30mcg/kg)

ICP
IV 10mcg/kg
repeat 5 mins

Question 5

Ceftriaxone Paediatric Dose

Answer 5

Initial:
IM/IV 50mg/kg

Repeat:
nil

Question 6

Dexamethasone Paediatric Dose

Answer 6

Initial:
IM/IV 600mcg/kg

Repeat:
nil

Question 7

Fentanyl IN Paediatric Dose

Answer 7

Small Child 10-24kg
Initial:
25mcg (1 spray)

Repeat:
5 mins
25 mcg (1 spray)

Large Child >25kg
Initial:
50mcg (2 sprays)

Repeat:
5 mins
50 mcg (2 sprays)

Max 3 doses.

Question 8

Fentanyl IV Paediatric Dose ICP ONLY

Answer 8

Initial:
IV 0.5mcg/kg

Repeat:
5 min
IV 0.5mcg/kg
max 2mcg/kg

Question 9

Glucagon Paediatric Dose

Answer 9

<25kg (<8 years)
Initial:
IM 0.5 IU glucagon

> 25kgs (~8yrs)
Initial:
IM 1 IU glucagon

Repeat:
nil

Question 10

Glucose 10% Paediatric Dose

Answer 10

Initial:
5ml/kg IV

Repeat:
5 mins
5ml/kg IV

Question 11

Glucose Paste Paediatric Dose

Answer 11

Initial:
PO: 15g tube

Rpt:
nil

Question 12

Ipratropium Bromide Paediatric Dose

Answer 12

<6yrs
Inital:
MDI: 
<6yrs: 4 puffs (80mcg)
>6yrs: 8 puffs (160mcg)

NEB: 500mcg with 5mg Salbutamol

Rpt:
nil

Question 13

Methoxyflurane Paediatric Dose

first line IN Fent for paeds

Answer 13

Initial:
IH: 3ml via Penthrox inhaler

Rpt:
once after 25min. (max 6ml)

Question 14

Midazolam (Seizures) Paediatric Dose

Answer 14

Initial:
IM: 0.15mg/kg
IV: ICP

Rpt:
After 10min, single repeat IM dose

Question 15

Morphine Paediatric Dose

Answer 15

LAST LINE AGENT
Consider IN Fent or MXF FIRST

Initial:
IM: 0.1mg/kg
Rpt:
nil

IV: ICP

Question 16

Naloxone Paediatric Dose

Answer 16

Initial:
IM: 10mcg/kg (max 400mcg)
Rpt:
10 mins

IV: ICP

Question 17

Ondansetron Paediatric Dose

Answer 17

ICP ONLY

Question 18

Paracetamol Paediatric Dose

Answer 18

Initial:
<11yrs
PO: 15mg/kg 
If not already given by parents
>11yrs PO: 500mg tablet

Rpt: 4 hours

Question 19

Salbutamol Paediatric Dose

Answer 19

Initial:
MDI: 6 puffs MDI (600mcg)
NEB: 5mg in 2.5ml

Rpt:
every 5 min as required