Paediatric Life Support + common drugs Flashcards
Estimated weight term infant
3.5kg
Estimated weight 6 month old
8kg
Estimated weight of child > 1 year
Age + 4 x 2
Arrest dose adrenaline
10mcg/kg
Amiodarone dose
5mg/kg
Cardiac arrest shock in joules
4J/kg
ETT size neonate < 3kg
2.5 - 3.5mm
ETT estimated size
Age/4 + 4 (0.5mm smaller if cuffed
Push dose adrenaline
1mcg/kg
Fluid bolus
10-20ml/kg
Ketamine intubation dose
1-2mg/kg
Rocuronium dose
1mg/kg
Atropine dose
20mcg/kg
Post intubation sedation morphine dose
50mcg/kg/hr (5 - 80mcg/kg/hr)
Post intubation sedation midazolam dose
50mcg/kg/hr ( 5- 240mcg/kg/hr)
Shock in joules for VT without arrest
2J/kg SYNCHRONISED then 4J/kg. Take off sync if not shocking
Adenosine dose for SVT
100mcg/kg then 200mcg/kg then 400mcg/kg
Max 12g
Shock in joules for SVT
1J/kg SYNCHRONIZED
Name 3 options for bradycardia from compromise
1) Atropine 20mcg/kg
2) Adrenaline 10mcg/kg push then infusion
3) Pacing
Midazolam dose for seizure for each route
IV/IO = 0.15mg/kg (max 10mg) Buccal/intranasal = 0.3mg/kg (max 10mg)
Levetiracetam dose
40mg/kg max 3 g over 5 minutes
Phenytoin dose
20mg/kg over 20 minutes
Anaphylaxis adrenaline dose
10mcg/kg (min 100mcg, max 500mcg)
Anaphylaxis IV hydrocortisone dose (4 age groups)
Age < 6 months = 25mg
Age 6 months to 6 years = 50mg
Age 6 years - 12 years = 100mg
Age > 12 = 200mg
Loratdine anaphylaxis PO dose
Age 1-2 years = 2.5mg
Age >2 years but < 30kg = 5mg
>30kg = 10mg daily
Hyperkalaemia IV calcium dose
Calcium 0.1 mmol/kg
Hyperkalaemia PO/PR reseonium dose
1 g/kg
Hyperkalaemia if pH < 7.34 treatment (in addition to calcium)
Sodium bicarbonate 1-2 mmol/kg
Hyperkalaemia treatment if pH > 7.34 (in addition to calcium)
Glucose 10% 5ml/kg + insulin 0.05 units/kg/hr
Hypoglycaemia glucose dose
10% glucose 2ml/kg
Hypoglcyaemia glucagon dose
0.2mg/kg IV/IM
Hypertension hydralazine dose
IV slow push over 5 min 0.1 - 0.5mg/kg
High flow oxygen therapy dose
< 12kg = 2L/kg/minute
> 12kg = 2L/kg/minute for first 12kg + 0.5L/kg/minute for each kg after (max 50L/kg)
Pain management age < 18 months
Sucrose PO 0.1 = 0.5 ml
Oxycodone
PO 0.1 mg/kg max 5-10mg
Fentanyl intranasal dose
1.5 mcg/kg repeat 0.75 - 1.5 mcg/kg after 10 min. Max 75 mcg
Morphine dose
0.1 mg/kg IV/sub cut Max 5 - 10mg
Ondansetron dose
Age > 6 months 0.15 mg/kg PO/IV/IM
Oral rehydration solution calculation
10ml/kg/hr with hydralite or 1:1 water: apple juice in short term
If breast feeding continue often and or give ORS on top of feeds
