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Guidelines > Paediatric Drug Calculations > Flashcards

Paediatric Drug Calculations Flashcards

1
Q

List the 6 drugs that are calculated based on paediatric weight and their ALS indication/s.

A 
Adrenaline - anaphylaxis, asthma
Ceftriaxone - meningococcal septicaemia
Morphine - pain relief
Naloxone - opioid overdose
Dexamethasone - croup
Paracetamol - analgesia
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2
Q

What is the calculation for IM Adrenaline?

A

10mcg/kg

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3
Q

What is the calculation for IM Ceftriaxone?

A

50mg/kg, max 1g.

1g diluted with 3.5% lignocaine, where 1mL = 250mg

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4
Q

What is the calculation for IM Morphine?

What is the caution note for this drug?

A

0.1mg/kg

Calculated dose should never exceed 0.5mL

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5
Q

What is the calculation for IM Naloxone?

A

10mcg/kg, max 400mcg IM per dose.

Rpt. once after 10mins if inadequate response.

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6
Q

What is the calculation for Oral Dexamethasone?

A

600mcg/kg, max 12mg.

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7
Q

What is the calculation for Oral Paracetamol?

A

15mg/kg

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8
Q

What is the dosing regime for IN Fentanyl in paediatrics?

A 
Small child (10-17kg) = 25mcg
Medium child (18-39kg) = 25 - 50mcg
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9
Q

What is the paediatric dose of Methoxyflurane?

A

3mL + 3mL - as per adult guidelines

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10
Q

What is the paediatric dosing regime for PMDI Salbutamol?

A

2 to 6 = 2 - 6 doses
≥6 = 4 to 12 doses

4 breaths per dose, 20min interval rpts as per adults

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11
Q

What is the paediatric dosing regime for Nebulised Salbutamol in Severe Asthma?

A 
Sml child (2-4) = 2.5mg nebulised
Med child (5-11) = 2.5 - 5mg nebulised
Rpt 20min intervals
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12
Q

What is the paediatric dosing regime for Nebulised Ipratropium Bromide in Severe/Critical Asthma?

A

250mcg all ages

No rpt

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13
Q

What is the paediatric dosing regime for Nebulised Salbutamol in Critical Asthma?

A

10mg all ages

Rpt 5mins

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14
Q

What is the paediatric dosing regime for Ondansetron?

A

Sml child = 2mg
Med child = 4mg
No rpt.

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15
Q

What is the paediatric dosing regime for Glucagon in hypoglycaemia?

A 
<25kg = 0.5 IU
≥25kg = 1 IU
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16
Q

What is the paediatric dosing regime for IM Midazolam?

A

Newborn = 0.5mg (0.1mL)
Small/large infant = 1mg (0.2mL)
Small child = 2.5mg (0.5mL)
Medium child = 2.5mg - 5mg (0.5mL - 1mL)

Rpt dose once after >10mins seizure activity

17
Q

What is the paediatric dosing regime for Adrenaline in anaphylaxis?

A

10mcg/kg - no max., to satisfactory results or SE’s occur.

18
Q

Can ALS give Glucagon IM to paediatrics unresponsive to Adrenaline in anaphylaxis?

A

No. MICA can give 20-30mcg/kg IV Glucagon (max. 1g) under consultation only.

Guidelines (78 decks)

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