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Paediatric Dosages Flashcards

1
Q

Adrenaline

Paediatric Dosages

A

Adrenaline

✓ Cardiac arrest

Paed) IV > 10 kg (> 1 year) 10 microg/kg 3-5mins. NMD.
Paed) IV < 10 kg (ex newborn) 100 microg/kg 3-5mins. NMD.
Paed) IV newly born 50 microg 3-5mins. NMD.

✓ Anaphylaxis OR severe allergic reaction

Paed) IM > 6yrs 300 microg. 5min. NMD.
Paed) IM 1-5yrs 150 microg. 5min. NMD.
Paed) IM 6mon-1yr 100 microg. 5min. NMD.
Paed) IM < 6mon 50 microg. 5min. NMD.
Paed) NEB 5 mg. SD (refract. to 3x IM).

✓ Severe life-threatening bronchospasm OR silent chest

Paed) IM > 6yrs 300 microg. 5min. NMD.
Paed) IM 1-5yrs 150 microg. 5min. NMD.
Paed) IM 6mon-1yr 100 microg. 5min. NMD.
Paed) IM < 6mon 50 microg. 5min. NMD.

✓ Croup

Paed) NEB 5 mg. SD

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2
Q

Ceftriaxone

Paediatric Dosages

A

Ceftriaxone

✓ Suspected meningococcal septicaemia

IV > IM

Paed) IM 50mg/kg (nearest 5kg). TMD 1g. SD.
Reconstitute 1g vials with 2.4mL water or lidocaine 1% in 3mL syringe.

Paed) IV >20kg 50mg/kg (nearest 5kg). TMD 2g. SD.
Reconstitute 2g with 18.8mL water in 20mL syringe. 2g/20mL.

Paed) IV <20kg 50mg/kg (nearest 5kg). TMD 1g. SD.
Reconstitute 1g with 9.4mL water in 10mL syringe. 1g/10mL.

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3
Q

Dexamethasone

Paediatric Dosages

A

Dexamethasone

✓ Croup

Paed) PO 6mon-6yrs 0.3mg/kg (to nearest 0.5mL). Repeat once. TMD 0.6mg/kg or 12mg.

Oral preparation: Mix required dose with small amount of juice/cordial/glucose paste.

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4
Q

Droperidol

Paediatric Dosages

A

Droperidol

✓ Acute behavioural disturbances (SAT > 2)

QAS Consult >65 OR 13-15yrs

Paed) IM/IV 13-15 0.1-0.2 mg/kg (max 10mg). 15mins. TMD 20mg.

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5
Q

Fentanyl

Paediatric Dosages

A

Fentanyl

✓ Significant pain
✓ Autonomic dysreflexia (SBP > 160mmHg)

Paed) NAS > 1 – 1.5mcg/kg (50). 10mins (1mcg/kg). TMD 100mcg.
Paed) IM > 1 – 2mcg/kg (50). 10mins. TMD 100mcg.
Paed) IV > 1 – 1mcg/kg (25). 5mins (0.5mcg/kg). TMD 100mcg.

Paed) NAS/IM/IV < 1 *** call QAS Consultation.

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6
Q

Glucagon

Paediatric Dosages

A

Glucagon

✓ Symptomatic hypoglycaemia (inability to self-administer oral glucose)

Paed) IM >25kg - 1mg. SD. Reconstitute with 1mL water in 3mL syringe. 1mg/1mL.
Paed) IM <25kg – 0.5mg. SD. Reconstitute with 1mL water in 3mL syringe. 1mg/1mL. Decant 0.5mL to achieve final concentration of 0.5mg/o.5mL.

✓ Refractory anaphylaxis (unresponsive to 3x IM adrenaline and adequate fluid resuscitation)

IV > IM

Paed) IM >25kg - 1mg. SD. Reconstitute with 1mL water in 3mL syringe. 1mg/1mL.
Paed) IM <25kg – 0.5mg. SD. Reconstitute with 1mL water in 3mL syringe. 1mg/1mL. Decant 0.5mL to achieve final concentration of 0.5mg/0.5mL.

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7
Q

Glucose gel

Paediatric Dosages

A

Glucose gel

✓ Symptomatic hypoglycaemia (with ability to self-administer oral glucose)

Paed) PO 15 g. 15mins (if BGL < 4.0). TMD 30g

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8
Q

Glucose 10%

Paediatric Dosages

A

Glucose 10%

✓ Symptomatic hypoglycaemia (with the inability to self-administer oral glucose)

Paed) IV INF 0.25g/kg (2.5mL/kg). Repeated at 0.1g/kg (1mL/kg) boluses every 5mins until BGL > 4.0 mmol/L.

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9
Q

Glyceryl trinitrate

Paediatric Dosages

A

Glyceryl trinitrate

✓ Suspected ACS (with pain)
✓ Acute cardiogenic pulmonary oedema
✓ Autonomic dysreflexia (with a systolic BP > 160 mmHg)
✓ Irukandji syndrome (with a systolic BP > 160 mmHg)

Paed) SUBLING *** call QAS Consultation

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10
Q

Hydrocortisone

Paediatric Dosages

A

Hydrocortisone

✓ Asthma (excluding mild)
✓ Refractory anaphylaxis with persistent wheeze (and unresponsive to 3 x IM adrenaline (epinephrine))

Paed) IM 4mg/kg (100mg). SD.
Paed) IV 4mg/kg (100mg). SD. Slow push over 1 minute.

✓ Suspected, or at risk of, an acute adrenal insufficiency (adrenal crisis

Paed) IM 0-4yrs – 25 mg. SD.
IM 5-10yrs – 50 mg. SD.
IM >10yrs – 100 mg. SD.
Paed) IV 0-4yrs – 25 mg. SD. Slow push over 1 minute.
IV 5-10yrs – 50 mg. SD. Slow push over 1 minute
IV >10yrs – 100 mg. SD. Slow push over 1 minute

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11
Q

Ipratropium bromide

Paediatric Dosages

A

Ipratropium bromide

✓ Moderate bronchospasm (unresponsive to initial QAS salbutamol NEB)
✓ Severe bronchospasm

Paed) NEB >6yrs - 500 microg. 20mins. TMD 1.5mg.
Paed) NEB 1-5yrs – 250 microg. 20mins. TMD 750 microg.

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12
Q

Loratadine

Paediatric Dosages

A

Loratadine

✓ Symptomatic urticaria (without evidence of anaphylaxis)

Paed) PO > 8 years – 10 mg. SD.

Not to be administered within 24 hours of previous antihistamine administration unless approval gained from QAS Clinical Consultation and Advice Line.

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13
Q

Methoxyflurane

Paediatric Dosages

A

Methoxyflurane

✓ Pain

Paed) INH > 1 year – 3 mL. SD.

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14
Q

Midazolam

Paediatric Dosages

A

Midazolam

✓ Generalised seizures/focal seizure (GCS < 12)

Paed) NAS/IM 200 microg/kg (5mg). Repeated at half the initial dose (2.5mg). 10mins. TMD 10mg.

✓ Acute behavioural disturbance (with a SAT score > 2) unresponsive to droperidol (max dose) administration

Paed) IM/IV *** call QAS Consultation

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15
Q

Morphine

Paediatric Dosages

A

Morphine

✓ Significant pain
✓ Autonomic dysreflexia (with a systolic BP > 160 mmHg)

Paed) IM > 1 year – 100-200 microg/kg (5mg). 10mins. TMD 200 microg/kg.
Paed) IV > 1 year – 100 microg/kg (2.5mg). 5mins. TMD 200 microg/kg.

Paed) IM/IV < 1 year *** call QAS Consultation.

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16
Q

Naloxone

Paediatric Dosages

A

Naloxone

✓ Respiratory depression (secondary to the administration of narcotic drugs)

Paed) IM 20 microg/kg (800 microg). SD.

17
Q

Ondansetron

Paediatric Dosages

A

Ondansetron

✓ Significant nausea AND/OR vomiting

Paed) PO > 5 years – 4 mg. SD.
PO 2-4 years – 2 mg. SD.
Paed) IM > 2 years – 100 microg/kg (rounded to nearest 5 kg[4 mg]).

Paed) IV > 2 years – 100 microg/kg (4 mg). Slow push 2-3mins. SD.

Must not be given within 8 hours of previous ondansetron administration.

18
Q

Paracetamol

Paediatric Dosages

A

Paracetamol

✓ Mild to moderate pain
✓ Fever (causing distress)

Paed) PO > 1 month – 15 mg/kg (1g).

Must not be administered within 4 hours of previous paracetamol administration.

19
Q

Salbutamol

Paediatric Dosages

A

Salbutamol

✓ Bronchospasm

Paed) MDI 1-5 years – 6 (600 microg) inhalations. 10mins. NMD.
MDI > 6 years – 12 (1.2 mg) inhalations. 10mins. NMD.
Paed) NEB 1-5 years – 2.5mg. PRN. NMD.
NEB > 6 years – 5mg. PRN. NMD.

20
Q

Tranexamic acid

Paediatric Dosages

A

Tranexamic acid

✓ Recent traumatic injuries (3 hours or less) with a COAST score of 3 or greater

Paed) QAS Clinical Consultation and Advice Line approval required in all situations.
Paed) 15 mg/kg. Slow push over 10 minutes. SD. TMD 1g.

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