Paediatric Drug Doses

Question 1

Cardiac Arrest

Answer 1

Adrenaline 10mcg/kg IV (MICA) every second cycle or 4 minutes

Question 2

Pain Relief

Answer 2

Paracetamol 15mcg/kg

Fentanyl:
- small child (10-17kg) - 25mcg IN
- medium child (18-39kg) 25-50mcg IN
5-10 minute intervals, consult after 3 doses

Methoxyflurane 3ml, 2 doses

Question 3

Dexamethasone

Answer 3

600mcg/kg (max 12 mg) once only

Question 4

Adrenaline

Answer 4

5mg nebulised every 5 minutes for croup, once only and then consult for anaphylaxis

IM: 10mcg/kg (min. dose 100mcgs / 0.1mls)
(5-10mins for asthma, max 3 doses)
(5 minutely for anaphylaxis, no max)

Question 5

Salbutamol pMDI

Answer 5

pMDI:
2-5yrs - 2-6 doses
6 and over - 4-12 doses

repeat @ 20 mins, no max

Question 6

Salbutamol Nebs

Answer 6

Nebulised:
small child - 2.5mg
Medium child - 2.5mg-5mg
Repeat @ 20 mins, no max

Critical asthma - 10mg in 5ml
Repeat @ 5 minutes, no max

Question 7

Ipratropium Bromide

Answer 7

250mcgs (1ml) nebulised once only

Question 8

Ondansetron

Answer 8

Small child - 2mg
Medium child - 4mg
Once only

Question 9

Glucose

Answer 9

15g orally, repeat once after 15 minutes

Question 10

Glucagon

Answer 10

<25kg - 0.5 IU (0.5ml)
25kg and above - 1 IU (1ml)
Once only

Question 11

Midazolam

Answer 11

Newborn - 0.5mg (0.1ml)
Small & large infant - 1mg (0.2ml)
Small child - 2.5mg (0.5ml)
Medium child - 2.5 - 5mg (0.5 - 1ml)

Repeat @ 10 mins once only

For agitation - as per adult after consult (2.5-5mg if under 60kgs)

Question 12

Ceftriaxone

Answer 12

50mg/kg (max 1000mg) once only

Question 13

Naloxone

Answer 13

not for newborns
10mcg/kg IM (max 400mcg per dose)
repeat @ 10 mins once only