Medications - Pediatric

Question 1

Acetaminophen- Dose - Fever greater than 38’ and Pain

Answer 1

15 mg/ kg PO to a max of 975 mg

Question 2

Acetaminophen Contraindications

Answer 2

Hypersensitivity
Liver or Renal insufficiency
Currently undergoing Chemotherapy

Question 3

Benadryl Dose

Answer 3

Elixir 1 mg/kg to a max of 50mg

Or 1mg/kg to a max of 50 mg IM/SIVP

Do Not repeat dose

Question 4

Benadryl Contraindications

Answer 4

Hypersensitivity to Benadryl and Gravol

Question 5

Epi Doses - anaphylaxis and bronchospasm with impending respiratory failure

Answer 5

Less than 30 kg : 0.15 mg IM repeat every 5 mins to a max of 0.45 mg

Above 30 kg: 0.3 mg IM repeat every 5 mins to a max of 0.9 mg

Question 6

Epi nebulized for Ped stridor with significant respiratory distress

Answer 6

5mg nebulized 6-8 lpm to ensure nebulization

Question 7

D10W - Patient less than 10 kg

Answer 7

0.5 g/kg or (5ml/kg) every 5 min titrated to BGL greater than 4 mmol or pt improvement

To create, remove 40 ml from D50W and draw back 40 ml of saline for a new concentration of 5g / 50ml

Question 8

D25W Paediatric with Head injury

Answer 8

0.5g/kg to a Max single dose of 12.5 g

Do not repeat dose

To create remove half - 25 ml and draw back 25 ml of saline

Question 9

D25W - Ped hypoglycaemia

Answer 9

0.5g/kg (or 2ml/kg) to a max of 12.5g repeat in 5 min to pt improvement or BGL at 4.0 mmol

Question 10

Ibuprofen- Dose for Pain and Fever above 38

Answer 10

10 mg/ kg PO to a max of 400 mg

Do not administer more than the max within 6 hours

Question 11

Glucagon- Beta Blocker/ Calcium channel blocker OD

Answer 11

0.1 mg/kg SIVP to max 1 mg
Or 0.1 mg/kg IM to max 1 mg

Repeat every 5 mins to max 4 mg

Question 12

Glucagon Hypoglycaemia

Answer 12

Less than or equal to 20 kg: 0.5 mg IM every 15 min to a max of 1 mg
Greater than 20 kg: 1 mg IM every 15 min to a max of 2 mg

Question 13

Ipratropium Bromide Dose

Answer 13

If less than 20 kg: 1 puff every 30-60 secs to a max of 12 puffs or 250 mcg nebulized to a max of 750 mcg

If 20 kg or greater: 1 puff every 30-60 secs to a max of 15 puffs or 500 mcg to a max of 1500 mcg

20 mcg/per puff

Question 14

Ipratropium bromide contraindications

Answer 14

Hypersensitivity

Question 15

Narcan Dose

Answer 15

0.1 mg/kg IV to a a max dose of 2mg, repeat every 2 mins to a max of 10 mg

Or

0.1mg/kg IM to a max single dose of 2mg in 2 separate doses/ sites, every 2 mins to a max of 10 mg

Or

0.1mg/kg to a max single dose of 4 mg repeat in 5 mins to a max of 4 mg

Question 16

Oxygen targets for Peds

Answer 16

General hypoxemia- titrate to 90-95%

Pre oxygenations for advanced airway placement- 100%

Acute coronary syndrome- do not delivery unless less than 85% , titrate to 90-95%

Carbon Monoxide poisoning- High flow

Near drowning- High flow

Post delivery targets

1 min 60-65%
2 min 65-70%
3 min 70-75%
4 min 74-80%
5 min 80-85%
10 min 85-95%

Question 17

Salbutamol Dose

Answer 17

Less than 20 kg- 1 puff every 30-60 secs to a max of 15 puffs

Equal or greater than 20 kg- 1 puff every 30–60 secs to a max of 30 puffs

Or Nebulized

Less than 20 kg- 2.5 mg prn to a max of 7.5 mg

Equal or greater than 20 kg- 5 mg to a max of 15 mg

Question 18

Salbutamol contraindications

Answer 18

Hypersensitivity
Tachydysrhythmias