Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

QAS DTPS > Paediatric Dosages > Flashcards

Paediatric Dosages Flashcards

1
Q

Adrenaline Indications

A

Cardiac Arrest
Anaphylaxis or severe allergic reaction
Seere life-threatening bronchospasm OR silent chest (only able to speak in single works AND/OR silent chest AND/OR haemodynamic compromise AND/OR an ALOC)
Bradycardia with poor perfusion (unresponsive to atropine AND/OR TCP)
Croup (with stridor at rest)
Shock unresponsive to adequate fluid resuscitation (excluding haemorhagic cause)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Adrenaline Dosages

Anaphylaxis OR severe allergic reaction

A

IM - ACP1, ACP2, CCP
≥ 6 years - 300 microg
repeat at 5 minute intervals. No max dose
< 6 years - 150 microg
Repeat at 5 minute intervals. No max dose.

IV/IO - CCP
2 microg/kg (Single dose not to excede 50 microg)
Repeat at 2 minute intervals. No max dose.

NEB - ACP2, CCP
5mg Single dose only

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Adrenaline Dosages

Severe life-threatening bronchospasm OR silent chest

A

IM - ACP1, ACP2, CCP
≥ 6 years - 300 microg
repeat at 5 minute intervals. No max dose
< 6 years - 150 microg
Repeat at 5 minute intervals. No max dose.

IV/IO - CCP
2 microg/kg (Single dose not to excede 50 microg)
Repeat at 2 minute intervals. No max dose.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Adrenaline Dosages

Cardiac Arrest

A

IV - ACP2, CCP
≥ 10kg (≥ 1 year) - 10microg/kg
Repeat at 3-5 minute intervals. No max dose.
<10kg (<1 year) - 100 microg
Repeat at 3-5 minute intervals. No max dose.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Adrenaline Dosages

Croup

A

NEB - ACP2, CCP

5mg. Single Dose only.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Adrenaline Dosages

Shock Unresponsive to adequate fluid resus

A

IV/IO - CCP
2 microg/kg (Single dose not to excede 50 microg)
Repeat at 2 min intervals. No max dose.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Adrenaline Dosages

Bradycardia with poor perfusion

A

CONSULT!

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Amiodarone Paediatric Indications

A

Cardiac arrest (refractory VF or pulse-less VT)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Amiodarone Dosages

Cardiac Arrest

A

IV/IO
5mg/kg
Slow push over 2 minutes
Single dose only

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Atropine Indications

A

Bradycardia (with poor perfusion)
Envenomation (with increased parasympathetic activity)
Hypersalivation (secondary to ketamine administration)
Organophosphate toxicity (with cardiac AND/OR respiratory compromise)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Atropine Dosages

Bradycardia

A

IV/IO - CCP
20 microg/kg (Single dose not to exceed 600 microg)
Repeat ONCE at 2 minutes.
Total max dose 40 microg/kg

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Atropine Dosages

Envenomation and Organophosphate toxicity

A

IM/IV/IO - ECP, CCP (IO CCP only)
20 microg/kg (Single dose not to exceed 600 microg)
Repeat at 5 minute intervals. No Max dose.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Atropine Dosages

Hypersalivation

A

IV - CCP
20 microg/kg (single dose not to exceed 600 microg)
Single dose only

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Calcium Gluconate Paediatric Indications

A

Suspected Hyperkalaemic cardiac arrest
Severe Hyperkalaemia
Calcium Gluconate Blocker toxicity
Hypotension associated with Magnesium infusion (that fails to respond to IV fluid therapy)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Calcium Gluconate Dosages

All indications

A

IV/IO - CCP
0.5 mL/kg (or 50 mg/kg)
Slow push over 2-5 minutes.
Repeated once at 10 minutes.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Ceftriaxone Indications

A

Suspected meningococal septicaemia (with a non-blanching petechial and/or purpuric rash)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Ceftriaxone Dosages

A

IM - ACP1, ACP2, CCP
50 mg/kg (rounded up to the nearest 5kg)
Reconstitute in 3.6mL water for ingection.
IV/IO - ACP2, CCP (IO CCP ONLY)
50 mg/kg (rounded up to the nearest 5kg)
Reconstitute in 9.6mL water for ingection.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Fentanyl Indications

A

Significant Pain

Sedation (for maintenance of established ETT)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Fentanyl Dosages

Significant Pain

A

NAS - ACP2, CCP
≥ 1 year (CCP 6 months) - 1.5 microg/kg
Repeat at 1 microg/kg at 10 minutes.
< 1 year (CCP 6 months) - CONSULT

IM - ACP2, CCP
≥ 1 year - 1-2 microg/kg (CCP 2 microg)
Single max dose 50 microg
Total max dose 2 microg/kg
< 1 year - CONSULT

IV - ACP2, CCP
≥ 1 year - 1microg/kg
Single max dose 25 microg
Repeat at 0.5 microg/kg (max 25 microg) at 5 minutes.
Total max dose 2 microg/kg. (CCP - no max dose)
< 1 year - CONSULT

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Fentanyl Dosages

Sedation

A 
IV/IO - CCP
≥ 1 year - 1 microg/kg
Single max dose 25 microg
Consider administration with midazolam. No max dose.
<1 year - Consult
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Glucagon Indications

A

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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Glucagon Dosages

A

> 25 kg - 1 mg single dose only.

≤ 25 kg - 0.5 mg single dose only.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Glucose 10% Indications

A

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

24
Q

Glucose 10% Dosages

A

IV/IO - ACP2, CCP (IO CCP only)
0.25 g/kg (2.5mL/kg)
Repeat at 1mL/kg boluses every 5 minutes until BGL < 4.0 mmol/L

25
Q

Glucose gel Indications

A

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

26
Q

Glucose Gel Dosages

A

PO - ACP1, ACP2, CCP
≥ 2 years - 15g
Repeat once at 15 minutes if BGL <4 mmol/L
Total max dose 30g

27
Q

Glyceryl Trinitrate Paediatric Indications

A 
Autonomic Dysreflexia (SBP > 160 mmHg)
Irukandji Syndrome (SBP > 160 mmHg)
28
Q

GTN Dosages

All inidcations

A

Sublingual - ACP2, CCP

CONSULT

29
Q

Hydrocortisone Indications

A

Moderate or Severe Asthma
Severe allergic reaction OR anaphylaxis (requiring adrenaline (epinepherine) administration)
Symptomatic adrenal insufficiency

30
Q

Hydrocortisone Dosages
Moderate or Severe Asthma
Severe allergic reaction OR anaphylaxis

A

IM/IV - ECP (with consult), CCP
5mg/kg Single dose only. Not to exceed 100mg)
IV single dose only

31
Q

Ipratropium Bromide Indications

A

Moderate OR severe bronchospasm

32
Q

Ipratropium Bromide Dosages

A

NEB - ACP1, ACP2, CCP

≥ 2 years - 250 microg. Single dose

33
Q

Ketamine Paediatric Indications

A
  • Severe traumatic pain (following 0.2mg-0.2mg/kg morphne or 1-2 microg/kg fentanyl) associated with:
    • fracture reduction and splinting
    • multiple or significant fractures requiring facilitated extrication
    • Patients with splinted fractures requirign ongoing narcortic analgesia for transport requirements)
      Induction of anasethesia
  • Severe traumatic pain associated with burns
  • Ongoing traumatic pain unresponsive to narcotics (following 0.2-0.3 mg/kg morphine OR 2-3 microg/kg fentanyl)
34
Q

Ketamine Dosages

Severe traumatic pain associated with burns

A

IV - CCP

CONSULT

35
Q

Ketamine Dosages
Ongoing traumatic pain
Severe traumatic pain

A

IV - CCP
> 1 year - 100microg/kg (0.1mg/kg)
Repeate every 2-3 minutes
Total max dose 1mg/kg

36
Q

Ketamine Dosages

Induction of anaesthesia

A

IV/IO - ECCP
0.25-2mg/kg
Single dose only
Total max dose 100mg

37
Q

Magnesium Sulphate Indications

A

Irukandji Syndrome
Sever Life-threatening asthma
Torsades de Pointes
Box jellyfish envenomation

38
Q

Magnesium Sulphate Dosages

Irukandji syndrome and Box jellyfish envenomation

A

IV - E.ACP2, CCP
0.1 mmol/kg over 15 minutes (rounded p to nearest 0.5 mmol). Single max dose 5 mmol
Repeat once at 10 minutes
Total max 10 mmol.

39
Q

Magnesium Sulphate Dosages

Torsades de Pointes

A 
IV/IO - CCP
0.1 mmol/kg over 10 minutes (round up to nearest 0.5 mmol)
Single dose not to exceed 5 mmol
Repeat once at 10 minutes
Total max dose 10 mmol
40
Q

Magnesium Sulphate Dosages

Severe life-threatening asthma

A

IV/IO - CCP
0.1 mmol/kg over 10 minutes (round up to nearest 0.5 mmol)
Single dose not to exceed 5 mmol

41
Q

Midazolam Indications

A

Generalized seizures/focal seizures (GCS < 12)
Sedation
Acuute behavioural disturbance (with SAT score at 2 or >)

42
Q

Midazolam Dosages

Generalized Seizures/focal seizures

A 
NAS - ACP2, CCP
200 microg/kg
Single dose not to exceed 5mg.
Repeat at half the initial dose at 10 minutes (max 0.25mg)
Total Max 10mg
IM - ACP2, CCP
200 microg/kg
Single dose not to exceed 5mg.
Repeat at half the initial dose at 10 minutes (max 0.25mg)
Total Max 10mg
IV/IO - CCP
100mcg/kg
Single dose not to exceed 2.5mg
Repeat at 5 min intervals
Total max dose 10mg
43
Q

Midazolam Dosages

Sedation

A 
IV/IO - CCP
Up to 100 microg/kg
Single dose not to exceed 2.5mg
Repeat at 3-5 minute intervals
Total max dose 5mg
44
Q

Midazolam Dosages

Acute Behavioural disurbance

A

IM (only if IV access not acheiveable)
≥ 8 years - 200 microg/kg
Single dose only. Max 5mg

IV - CCP
≥ 8 years - 100 microg/kg
Single dose only. Max 2.5mg

45
Q

Naloxone Indications

A

Respiratory depression (secondary to administration of narcotic drugs)

46
Q

Naloxone Dosages

A

IM - ACP2, CCP
20 microg/kg
Single dose only. Not toe xceed 800 microg.

47
Q

Ondansetron Indications

A

Nausea AND/Or vomiting

48
Q

Ondansetron Dosages

A

IM - ACP1
≥ 5 years - 2mg
Single dose only

IM - ACP2, CCP
≥ 3 years - 100 microg/kg
single dose only, not to exceed 4mg

IV - ACP2, CCP
≥ 3 years - 100 microg/kg
single dose only, not to exceed 4mg
Slow push over 2-3 minutes

49
Q

Paracetamol Indications

A

Minor pain

Fever (causing distress)

50
Q

Paracetamol Dosages

A

PO - ACP1, ACP2, CCP
≥ 1 month - 15mg/kg
Single dose only

51
Q

Promethazine Paediatric Indications

A

Symptomatic rash/moderate allergic reactions

52
Q

Promethazine Dosages

A

IV - ECP (CONSULT), CCP
≥ 2 years - 250 microg/kg
Single dose only. Not to exceed 12.5mg
Slow push over 1 minutes

53
Q

Salbutamol Indications

A 
Bronchospams
Suspected hyperkalaemia (with QRS widening AND/OR dissociation)
54
Q

Salbutamol Dosages

Bronchospasm

A

NEB - ACP1, ACP2, CCP
≥ 2 years - 5mg
Repeated PRN
No max dose

IV - CCP
≥ 2 years - 5microg/kg
Single dose not to exceed 250 microg.
Repeat once at 10 mintues

55
Q

Salbutamol Dosages

Suspected hyperkalaemia

A

NEB - CCP

5mg - Single dose only

56
Q

Sodium Bicarbonate Paediatric Indications

A

Cardiac Arrest
Suspected hyperkalaemia
Significant injury with potential for crush injury

57
Q

Sodium Bicarbonate Dosages

All indicatiosn

A

IV/IO - ECP, CCP (IO CCP only)
1mL/kg - Single Dose only
ECP must Consult

QAS DTPS (3 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions