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P Level > Paediatric Medication > Flashcards

Paediatric Medication Flashcards

1
Q

What is the paediatric dose for Naloxone per kg

A

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

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2
Q

Weight calculation for patient aged

1 year - 5 years

A

(age X 2) +8kg

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3
Q

Weight calculation for patient aged

From 6 years old

A

(age X 3) +7 kg

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4
Q

Weight calculation for patient aged

Less than one month

A

3.5kg

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5
Q

Weight calculation for patient aged

6 months to one year

A

6 kg

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6
Q

Chlorphenamine dose for mild allergic reaction

A

Mild reaction :

6 years to 11 years 2mg PO

12 years or Greater 4mg PO

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7
Q

Chlorphenamine dose for Moderate allergic reaction in patient less than 1 year

A

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

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8
Q

Formula for calculating volume of medication to administer Paediatric

A

Want
——– X Volume = mg
Have

Round up to closest 0.1mg

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9
Q

Chlorphenamine dose for Moderate and Severe allergic reaction in patient 1 year to 5 years

A

2.5mg IM

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10
Q

Chlorphenamine dose for Moderate allergic reaction in patient 6 years to 11 years

A

2mg PO

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11
Q

Chlorphenamine dose for Severe allergic reaction in patient 6 years to 11 years

A

5mg IM

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12
Q

Chlorphenamine dose for Moderate allergic reaction in patient 12 years or over

A

4mg PO

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13
Q

Chlorphenamine dose for Severe allergic reaction in patient 12 years or over

A

10mg PO

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14
Q

Epinephrine dose for anaphylaxis in patient <6 months old

A

50mcg = 0.05ml

PRN every 5 minutes

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15
Q

Epinephrine dose for anaphylaxis in patient

6 months - 5 Years

A

125mcg - 0.13ml

PRN every 5 minutes

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16
Q

Epinephrine dose for anaphylaxis in patient

6 Years - 8 Years

A

250mcg IM - 0.25ml

PRN every 5 minutes

17
Q

Epinephrine dose for anaphylaxis in patient

8 Years or Greater

A

500mcg IM - 0.5ml

PRN every 5 minutes

18
Q

How many 500mcg doses will you have in one vial of epinephrine 1mg/1ml

A

2 doses of 500mcg in 0.5ml

19
Q

Contraindications for Glucagon

A
  1. KSAR
  2. Under 1 year old
  3. Phaechromocytoma (Adrenal gland tumor)
  4. Non diabetic paediatric hypoglycemic patients should not receive Glucagon
20
Q

Paediatric dose for Glucagon

A

1 - 8 Years - 0.5mg IM

> 8 years - 1mg IM

21
Q

Usual dose of glucose gel for paediatric patient

A

8 or less - 5 - 10g buccal

Greater than 8 years - 10 - 20g buccal

Reapeat PRN

22
Q

What is presentation of hydrocortisone

A

Vial of 100mg powder

reconstitution in not more than 2ml sterile water

23
Q

What is the paediatric dose for Hydrocortisone in Anaphylaxis

A

< 1 Year 25mg IM

1 - 5 Years 50mg IM

> 5 Years 100mg IM

24
Q

What is the dose of Hydrocortisone for a paediatric patient with Adrenal insufficiency

A

6 months to < 5 Years - 50mg IM

> 5 Years 100mg IM

Dose should not be less than 25mg

Avoid deltoid

25
Q

What is the usual dose of ibuprofen for a paediatric patient

A

10mg/kg PO

If given in previous 6 hours adjust dose to max 10mg/kg

26
Q

What are the Contraindications for ibuprofen

A

Under 3 months

Asthma exacerbated by aspirin

KSAR

Renal / Liver impairment

Peptic ulcer disease

CCF

Pregnancy

Concurrent NSAID use

27
Q

What is the correct dose of midazolam solution for a paediatric that is having a seizure

A

0.2mg/kg

Repeat x 4 PRN

28
Q

What are the side effects of midazolam

A
  1. Respiratory Depression
  2. Headache
  3. Hypotension
  4. Drowsiness
29
Q

What are the Contraindications of midazolam in a seizing patient

A
  1. KSAR
30
Q

What age can a paediatric patient be administered methoxyflurane

A

5 years or Greater

31
Q

What is the correct IM dose of Naloxone for a paediatric patient

A

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

32
Q

What consentraion of oxygen should be administered during resuscitation of a Neonate

A

30% or less

33
Q

Consider humidifier if oxygen therapy for paediatric patient is

A

> 30 minutes duration

34
Q

Target oxygen saturation for a paediatric patient is

A

Lifethreatening - 100% until reliable sp02 reading

Titrate 96%-98%

35
Q

Contraindications for paracetamol

A
  1. KSAR
  2. < 1 month
  3. Chronic liver disease
36
Q

Indications for paracetamol

A

Pyrexia - Temperature > 38.5

Minor to moderate pain

P Level (31 decks)

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