Paediatric Medication Flashcards
What is the paediatric dose for Naloxone per kg
Intramuscular - 0.01mg/kg. IM/SC
Intranasal - 0.02mg/kg. IN
Reapeat dose PRN to maintain opioid reversal to max 0.1mg/kg OR 2mg
Weight calculation for patient aged
1 year - 5 years
(age X 2) +8kg
Weight calculation for patient aged
From 6 years old
(age X 3) +7 kg
Weight calculation for patient aged
Less than one month
3.5kg
Weight calculation for patient aged
6 months to one year
6 kg
Chlorphenamine dose for mild allergic reaction
Mild reaction :
6 years to 11 years 2mg PO
12 years or Greater 4mg PO
Chlorphenamine dose for Moderate allergic reaction in patient less than 1 year
0.25mg/kg IM
Weight - 6 month old child = 6kg
OR if < 4 weeks = 3.5kg
6kg X 0.25mg/kg = 1.5mg
1.5mg
———- X 1ml = 0.15ml - Rounded up to = 0.2ml
10mg
Administer = 0.2ml IM
Formula for calculating volume of medication to administer Paediatric
Want
——– X Volume = mg
Have
Round up to closest 0.1mg
Chlorphenamine dose for Moderate and Severe allergic reaction in patient 1 year to 5 years
2.5mg IM
Chlorphenamine dose for Moderate allergic reaction in patient 6 years to 11 years
2mg PO
Chlorphenamine dose for Severe allergic reaction in patient 6 years to 11 years
5mg IM
Chlorphenamine dose for Moderate allergic reaction in patient 12 years or over
4mg PO
Chlorphenamine dose for Severe allergic reaction in patient 12 years or over
10mg PO
Epinephrine dose for anaphylaxis in patient <6 months old
50mcg = 0.05ml
PRN every 5 minutes
Epinephrine dose for anaphylaxis in patient
6 months - 5 Years
125mcg - 0.13ml
PRN every 5 minutes
Epinephrine dose for anaphylaxis in patient
6 Years - 8 Years
250mcg IM - 0.25ml
PRN every 5 minutes
Epinephrine dose for anaphylaxis in patient
8 Years or Greater
500mcg IM - 0.5ml
PRN every 5 minutes
How many 500mcg doses will you have in one vial of epinephrine 1mg/1ml
2 doses of 500mcg in 0.5ml
Contraindications for Glucagon
- KSAR
- Under 1 year old
- Phaechromocytoma (Adrenal gland tumor)
- Non diabetic paediatric hypoglycemic patients should not receive Glucagon
Paediatric dose for Glucagon
1 - 8 Years - 0.5mg IM
> 8 years - 1mg IM
Usual dose of glucose gel for paediatric patient
8 or less - 5 - 10g buccal
Greater than 8 years - 10 - 20g buccal
Reapeat PRN
What is presentation of hydrocortisone
Vial of 100mg powder
reconstitution in not more than 2ml sterile water
What is the paediatric dose for Hydrocortisone in Anaphylaxis
< 1 Year 25mg IM
1 - 5 Years 50mg IM
> 5 Years 100mg IM
What is the dose of Hydrocortisone for a paediatric patient with Adrenal insufficiency
6 months to < 5 Years - 50mg IM
> 5 Years 100mg IM
Dose should not be less than 25mg
Avoid deltoid
What is the usual dose of ibuprofen for a paediatric patient
10mg/kg PO
If given in previous 6 hours adjust dose to max 10mg/kg
What are the Contraindications for ibuprofen
Under 3 months
Asthma exacerbated by aspirin
KSAR
Renal / Liver impairment
Peptic ulcer disease
CCF
Pregnancy
Concurrent NSAID use
What is the correct dose of midazolam solution for a paediatric that is having a seizure
0.2mg/kg
Repeat x 4 PRN
What are the side effects of midazolam
- Respiratory Depression
- Headache
- Hypotension
- Drowsiness
What are the Contraindications of midazolam in a seizing patient
- KSAR
What age can a paediatric patient be administered methoxyflurane
5 years or Greater
What is the correct IM dose of Naloxone for a paediatric patient
0.01mg/kg IM
Repeat dose PRN to max 0.1mg/kg OR 2mg
Eg. 1 year old = 10kg X 0.1mg/kg = 1mg max
What consentraion of oxygen should be administered during resuscitation of a Neonate
30% or less
Consider humidifier if oxygen therapy for paediatric patient is
> 30 minutes duration
Target oxygen saturation for a paediatric patient is
Lifethreatening - 100% until reliable sp02 reading
Titrate 96%-98%
Contraindications for paracetamol
- KSAR
- < 1 month
- Chronic liver disease
Indications for paracetamol
Pyrexia - Temperature > 38.5
Minor to moderate pain
