Paeds - Fluoride

Question 1

what is the threshold for fluoride toxicity in children?

Answer 1

5mg/kg body weight

Question 2

how do we treat overdose if the child has ingested < 5mg/kg?

Answer 2

calcium orally - milk

observe

Question 3

how do we treat overdose if the child has ingested 5-15mg/kg?

Answer 3

calcium orally - milk, calcium gluconate, calcium lactate

admit to hospital

Question 4

how do we treat overdose if the child has ingested > 15mg/kg? (3)

Answer 4

immediate hospital admission

cardiac monitoring and life support

IV calcium gluconate

Question 5

At what age can we give children fluoride mouthwash?

Answer 5

6

Question 6

what is the concentration of fluoride mouthwash for children?

Answer 6

225ppm

Question 7

what are the concentration and frequency of fluoride tablets for children? (3)

Answer 7

6 months - 3 years old = 0.25mg 1x per day

3-6 years old = 0.5mg 1x per day

> 6 years old = 1mg 1x per day

Question 8

how man times per year can fluoride varnish be given to high risk children?

Answer 8

3/4 x per year