Pharmacological Pain Control

Question 1

Max Doses for paracetamol & time regime

Answer 1

paracetamol: 4-6 hourly, max 4 doses in 24 hours
⁃ 3-12mo = 60-125mg
⁃ 1-5yo = 125-250mg
⁃ 5-12yo = 250-500mg
⁃ 12-18yo = 500mg-1g
⁃ “Calpol” = 120 or 250mg/5ml. 120 for <6yrs old, 250 for >6yrs old.

6 included in 250mg/5ml

Question 2

What is paracetamol useful for in paeds

Answer 2

Pyrexia and pain

Question 3

Max doses for ibuprofen and time regime

Answer 3

ibuprofen: 8 hourly (max 3x a day?)
⁃ Contraindications = asthma, liver disease, renal failure, bleeding disorders
⁃ 3-12mo = 50mg (max 30mg/kg)
⁃ 1-4yo = 100mg (max 30mg/kg)
⁃ 4-7yo = 150mg (max 30mg/kg)
⁃ 7-10yo = 200mg (max 2.4g/kg)
⁃ 10-12yo = 300mg (max 2.4g/kg)
⁃ 12-18yo = 300-400mg
⁃ “Nurofen” = 100mg or 200mg/5ml (100 for 3-7yrs old, 200 for 7 and over)

Question 4

What is ibuprofen useful for

Answer 4

Pyrexia pain inflammation

Question 5

When is ibuprofen contraindicated

Answer 5

Asthma, liver disease, renal failure, bleeding disorders

Question 6

What is the max dose for lidocaine

Answer 6

4.4mg/kg

Question 7

What is the max dose for articaine

Answer 7

5mg/kg for paeds

7mg/kg for adults

Question 8

How do u work out estimated weight for paeds

Answer 8

(Age + 4) x 2 = kg

Question 9

How many mg of lidocaine in 1 2.2ml cartridge

Answer 9

44mg

Question 10

How many mg of articaine in 1 2.2ml
Cartridge

Answer 10

88mg

Question 11

What are the instructions for calpol?

Answer 11

• no more than 4 doses in 24 hrs
• leave at least 4 hours between doses
• don’t use more than one product containing paracetamol at the same time
• don’t give this medicine to the child for more than 3 days without speaking to doctor/pharmacist