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AV - GAPPIES wear nappies > Paediatric Medications - Cheat Sheet > Flashcards

Paediatric Medications - Cheat Sheet Flashcards

1
Q

Age & Weight definitions

> Newborn?

A

= birth to 24/24

~ 3.5 kg

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2
Q

Age & Weight definitions

> Small Infant?

A

= < 3/12

~ 6 kg

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3
Q

Age & Weight definitions

> Large infant?

A

= 3-12/12

~ 8 kg

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4
Q

Age & Weight definitions

> Small Child?

A

= 1-4 yrs

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5
Q

Age & Weight definitions

> Medium Child?

A

= 5-11 yrs

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6
Q

Age & Weight definitions

> 1 yr

A

~ 10 kg

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7
Q

Age & Weight definitions

> 1-9 yrs

A

(Age x 2) + 8 kg

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8
Q

Age & Weight definitions

> 10-11 yrs

A

Age x 3.3 kg

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9
Q

Paediatric Triangle

> Appearance?

A

TICLS

  • Tone
  • Interactiveness
  • Consolability
  • Look / gaze
  • Speech / cry
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10
Q

Paediatric Triangle

> Work of Breathing

A
  • Abnormal breath sounds
  • Abnormal positioning
  • Nasal flaring
  • Retractions
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11
Q

Paediatric Triangle

> Circulation to Skin

A
  • Pallor
  • Mottling
  • Cyanosis
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12
Q

Perfusion (HR & SBP) & Respiratory

> Newborn & Small Infant

A

HR: 110-170
SBP > 60
RR: 25-60

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13
Q

Perfusion (HR & SBP) & Respiratory

> Large Infant

A

HR: 105-165
SBP > 65
RR: 25-55

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14
Q

Perfusion (HR & SBP) & Respiratory

> Small Child

A

HR: 85-150
SBP > 70
RR: 20-40

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15
Q

Perfusion (HR & SBP) & Respiratory

> Medium Child

A

HR: 70-135
SBP > 80
RR: 16-34

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16
Q

GCS (= 4yrs)

> Eye opening?

A 
4 = spontaneous
3 = reacts to speech
2 = reacts to pain
1 = none
17
Q

GCS (= 4yrs)

> Verbal response?

A 
5 = appropriate words / smile
4 = cries - consolable
3 = persistently irritable
2 = moans to pain
1 = none
18
Q

GCS (= 4yrs)

> Motor response?

A 
6 = spontaneous
5 = localises to pain
4 = withdraws to pain
3 = flexion response
2 = extension response
1 = none
19
Q

Pain Relief

> Mild?

A

Mild: Paracetamol 15 mg/kg PO

* 10-11 yrs can have 1 x 500 mg tablet

20
Q

Pain Relief

> Moderate?

A 
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

21
Q

Pain Relief
> Moderate and unable to administer IN
OR mod/severe procedural pain?

A

Methoxyflurane 3 mL
Rpt: ~20-25 / 60 (if required)
Max: 6 mL

22
Q

Pain Relief

> Severe

A

Fent IN +/- Methoxy

23
Q

Pain Relief

> All patients

A

Consider non-pharmalogical mx

e.g. splinting, cold/heat packs

24
Q

Respiratory - Croup

> Moderate

A

Dexamethasone PO
600 mcg / kg
Max: 12 mg (12000 mcg)

  • 20 kg Pt = 12 mg dose
25
Q

Respiratory - Croup

> Severe

A

Criteria:

  • increasing resp. distress OR
  • increasing lethargy OR
  • decreasing stridor

Adrenaline NEB
5 mg / 5 mL
Dexamethasone as per moderate

AV - GAPPIES wear nappies (26 decks)

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