Paediatric Medications - Cheat Sheet Flashcards
Age & Weight definitions
> Newborn?
= birth to 24/24
~ 3.5 kg
Age & Weight definitions
> Small Infant?
= < 3/12
~ 6 kg
Age & Weight definitions
> Large infant?
= 3-12/12
~ 8 kg
Age & Weight definitions
> Small Child?
= 1-4 yrs
Age & Weight definitions
> Medium Child?
= 5-11 yrs
Age & Weight definitions
> 1 yr
~ 10 kg
Age & Weight definitions
> 1-9 yrs
(Age x 2) + 8 kg
Age & Weight definitions
> 10-11 yrs
Age x 3.3 kg
Paediatric Triangle
> Appearance?
TICLS
- Tone
- Interactiveness
- Consolability
- Look / gaze
- Speech / cry
Paediatric Triangle
> Work of Breathing
- Abnormal breath sounds
- Abnormal positioning
- Nasal flaring
- Retractions
Paediatric Triangle
> Circulation to Skin
- Pallor
- Mottling
- Cyanosis
Perfusion (HR & SBP) & Respiratory
> Newborn & Small Infant
HR: 110-170
SBP > 60
RR: 25-60
Perfusion (HR & SBP) & Respiratory
> Large Infant
HR: 105-165
SBP > 65
RR: 25-55
Perfusion (HR & SBP) & Respiratory
> Small Child
HR: 85-150
SBP > 70
RR: 20-40
Perfusion (HR & SBP) & Respiratory
> Medium Child
HR: 70-135
SBP > 80
RR: 16-34
GCS (= 4yrs)
> Eye opening?
4 = spontaneous 3 = reacts to speech 2 = reacts to pain 1 = none
GCS (= 4yrs)
> Verbal response?
5 = appropriate words / smile 4 = cries - consolable 3 = persistently irritable 2 = moans to pain 1 = none
GCS (= 4yrs)
> Motor response?
6 = spontaneous 5 = localises to pain 4 = withdraws to pain 3 = flexion response 2 = extension response 1 = none
Pain Relief
> Mild?
Mild: Paracetamol 15 mg/kg PO
* 10-11 yrs can have 1 x 500 mg tablet
Pain Relief
> Moderate?
Moderate: Fentanyl IN - small child: 25 mcg - medium child: 25-50 mcg Rpt: @ 5-10/60 Consult Clinician after 3 doses
Consult RCH for < 10 kg Pt
Pain Relief
> Moderate and unable to administer IN
OR mod/severe procedural pain?
Methoxyflurane 3 mL
Rpt: ~20-25 / 60 (if required)
Max: 6 mL
Pain Relief
> Severe
Fent IN +/- Methoxy
Pain Relief
> All patients
Consider non-pharmalogical mx
e.g. splinting, cold/heat packs
Respiratory - Croup
> Moderate
Dexamethasone PO
600 mcg / kg
Max: 12 mg (12000 mcg)
- 20 kg Pt = 12 mg dose
Respiratory - Croup
> Severe
Criteria:
- increasing resp. distress OR
- increasing lethargy OR
- decreasing stridor
Adrenaline NEB
5 mg / 5 mL
Dexamethasone as per moderate
