Paediatric Drug Doses Flashcards
Cardiac Arrest
Adrenaline 10mcg/kg IV (MICA) every second cycle or 4 minutes
Pain Relief
Paracetamol 15mcg/kg
Fentanyl:
- small child (10-17kg) - 25mcg IN
- medium child (18-39kg) 25-50mcg IN
5-10 minute intervals, consult after 3 doses
Methoxyflurane 3ml, 2 doses
Dexamethasone
600mcg/kg (max 12 mg) once only
Adrenaline
5mg nebulised every 5 minutes for croup, once only and then consult for anaphylaxis
IM: 10mcg/kg (min. dose 100mcgs / 0.1mls)
(5-10mins for asthma, max 3 doses)
(5 minutely for anaphylaxis, no max)
Salbutamol pMDI
pMDI:
2-5yrs - 2-6 doses
6 and over - 4-12 doses
repeat @ 20 mins, no max
Salbutamol Nebs
Nebulised:
small child - 2.5mg
Medium child - 2.5mg-5mg
Repeat @ 20 mins, no max
Critical asthma - 10mg in 5ml
Repeat @ 5 minutes, no max
Ipratropium Bromide
250mcgs (1ml) nebulised once only
Ondansetron
Small child - 2mg
Medium child - 4mg
Once only
Glucose
15g orally, repeat once after 15 minutes
Glucagon
<25kg - 0.5 IU (0.5ml)
25kg and above - 1 IU (1ml)
Once only
Midazolam
Newborn - 0.5mg (0.1ml)
Small & large infant - 1mg (0.2ml)
Small child - 2.5mg (0.5ml)
Medium child - 2.5 - 5mg (0.5 - 1ml)
Repeat @ 10 mins once only
For agitation - as per adult after consult (2.5-5mg if under 60kgs)
Ceftriaxone
50mg/kg (max 1000mg) once only
Naloxone
not for newborns
10mcg/kg IM (max 400mcg per dose)
repeat @ 10 mins once only