Ped Pain Management Flashcards
A fibers
Faster conduction sharp pain
C fibers
Slower conduction
Dull and achy pain
Local anesthetics
Block pain transmission to CNS
Analgesics block pain
Perception in the CNS
Pain management recommendation
Ibuprofen
Acetaminophen
Pediatric adverse drug events are
3x more common and are more likely to be harmful
Children have smaller
Differencesa between therapeutic and toxic drug levels
Children less physiologic
Reserves to buffer medication errors
Children have less developed
Communication skills to recognize or alert caregivers to ADE
Max lidocaine
4.4 mg/kg
Max Articaine
7 mg/kg
Most carpules are
1.7 ml
____mg/Carpule lidocaine
34
_____mg/carpule articaine
68
Schedule 1
No current accepted medical use
Schedule II
High potential for abuse
Schedule III
Potential for abuse but less than schedule II
Not more than 90mg of codeine per dosage
Schedule IV
Low potential for abuse
Klonopin
Schedule V
Low potential for abuse
Cough preparations contains not more than 200 mg of codeine per 100 ml or per 100 grams
Penicillin
Dosing 25-50 mg/kg/day in divided doses every 6-8 hours
Max dose 3 g per day
Available 125 or 250 mg/5 ml
Amoxicillin
25-50 mg/kg/day divided into 8 hour disease
max dose 500 mg
Available 125, 200, 250, 400 mg/ 5 ml
Clindamycin
10-40 mg/kg/day divided every 8 hours
Available Strenght 300 mg/2ml
Amoxicillin and clavulanate
Dosing 25-45 mg amoxicillin kg/day in divided doses twice daily
Available 200 or 400mg/5 ml
Acetaminophen
160 mg/5ml
Dosing 10-15 mg/kg q4-6h
Max not to exceed 5 doses (50-75 mg/kg) per day from all sources
