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QAS DTPS > Paediatric Dosages > Flashcards

Paediatric Dosages Flashcards

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1
Q

Adrenaline Indications

A

Cardiac Arrest
Anaphylaxis or severe allergic reaction
Seere life-threatening bronchospasm OR silent chest (only able to speak in single works AND/OR silent chest AND/OR haemodynamic compromise AND/OR an ALOC)
Bradycardia with poor perfusion (unresponsive to atropine AND/OR TCP)
Croup (with stridor at rest)
Shock unresponsive to adequate fluid resuscitation (excluding haemorhagic cause)

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2
Q

Adrenaline Dosages

Anaphylaxis OR severe allergic reaction

A

IM - ACP1, ACP2, CCP
≥ 6 years - 300 microg
repeat at 5 minute intervals. No max dose
< 6 years - 150 microg
Repeat at 5 minute intervals. No max dose.

IV/IO - CCP
2 microg/kg (Single dose not to excede 50 microg)
Repeat at 2 minute intervals. No max dose.

NEB - ACP2, CCP
5mg Single dose only

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3
Q

Adrenaline Dosages

Severe life-threatening bronchospasm OR silent chest

A

IM - ACP1, ACP2, CCP
≥ 6 years - 300 microg
repeat at 5 minute intervals. No max dose
< 6 years - 150 microg
Repeat at 5 minute intervals. No max dose.

IV/IO - CCP
2 microg/kg (Single dose not to excede 50 microg)
Repeat at 2 minute intervals. No max dose.

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4
Q

Adrenaline Dosages

Cardiac Arrest

A

IV - ACP2, CCP
≥ 10kg (≥ 1 year) - 10microg/kg
Repeat at 3-5 minute intervals. No max dose.
<10kg (<1 year) - 100 microg
Repeat at 3-5 minute intervals. No max dose.

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5
Q

Adrenaline Dosages

Croup

A

NEB - ACP2, CCP

5mg. Single Dose only.

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6
Q

Adrenaline Dosages

Shock Unresponsive to adequate fluid resus

A

IV/IO - CCP
2 microg/kg (Single dose not to excede 50 microg)
Repeat at 2 min intervals. No max dose.

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7
Q

Adrenaline Dosages

Bradycardia with poor perfusion

A

CONSULT!

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8
Q

Amiodarone Paediatric Indications

A

Cardiac arrest (refractory VF or pulse-less VT)

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9
Q

Amiodarone Dosages

Cardiac Arrest

A

IV/IO
5mg/kg
Slow push over 2 minutes
Single dose only

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10
Q

Atropine Indications

A

Bradycardia (with poor perfusion)
Envenomation (with increased parasympathetic activity)
Hypersalivation (secondary to ketamine administration)
Organophosphate toxicity (with cardiac AND/OR respiratory compromise)

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11
Q

Atropine Dosages

Bradycardia

A

IV/IO - CCP
20 microg/kg (Single dose not to exceed 600 microg)
Repeat ONCE at 2 minutes.
Total max dose 40 microg/kg

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12
Q

Atropine Dosages

Envenomation and Organophosphate toxicity

A

IM/IV/IO - ECP, CCP (IO CCP only)
20 microg/kg (Single dose not to exceed 600 microg)
Repeat at 5 minute intervals. No Max dose.

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13
Q

Atropine Dosages

Hypersalivation

A

IV - CCP
20 microg/kg (single dose not to exceed 600 microg)
Single dose only

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14
Q

Calcium Gluconate Paediatric Indications

A

Suspected Hyperkalaemic cardiac arrest
Severe Hyperkalaemia
Calcium Gluconate Blocker toxicity
Hypotension associated with Magnesium infusion (that fails to respond to IV fluid therapy)

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15
Q

Calcium Gluconate Dosages

All indications

A

IV/IO - CCP
0.5 mL/kg (or 50 mg/kg)
Slow push over 2-5 minutes.
Repeated once at 10 minutes.

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16
Q

Ceftriaxone Indications

A

Suspected meningococal septicaemia (with a non-blanching petechial and/or purpuric rash)

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17
Q

Ceftriaxone Dosages

A

IM - ACP1, ACP2, CCP
50 mg/kg (rounded up to the nearest 5kg)
Reconstitute in 3.6mL water for ingection.
IV/IO - ACP2, CCP (IO CCP ONLY)
50 mg/kg (rounded up to the nearest 5kg)
Reconstitute in 9.6mL water for ingection.

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18
Q

Fentanyl Indications

A

Significant Pain

Sedation (for maintenance of established ETT)

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19
Q

Fentanyl Dosages

Significant Pain

A

NAS - ACP2, CCP
≥ 1 year (CCP 6 months) - 1.5 microg/kg
Repeat at 1 microg/kg at 10 minutes.
< 1 year (CCP 6 months) - CONSULT

IM - ACP2, CCP
≥ 1 year - 1-2 microg/kg (CCP 2 microg)
Single max dose 50 microg
Total max dose 2 microg/kg
< 1 year - CONSULT

IV - ACP2, CCP
≥ 1 year - 1microg/kg
Single max dose 25 microg
Repeat at 0.5 microg/kg (max 25 microg) at 5 minutes.
Total max dose 2 microg/kg. (CCP - no max dose)
< 1 year - CONSULT

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20
Q

Fentanyl Dosages

Sedation

A 
IV/IO - CCP
≥ 1 year - 1 microg/kg
Single max dose 25 microg
Consider administration with midazolam. No max dose.
<1 year - Consult
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21
Q

Glucagon Indications

A

Symptomatic hypoglycaemia (with inability to self-administer oral glucose)

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22
Q

Glucagon Dosages

A

> 25 kg - 1 mg single dose only.

≤ 25 kg - 0.5 mg single dose only.

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23
Q

Glucose 10% Indications

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A

Symptomatic hypoglycaemia (with inability to self-administer oral glucose)

24
Q

Glucose 10% Dosages

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A

IV/IO - ACP2, CCP (IO CCP only)
0.25 g/kg (2.5mL/kg)
Repeat at 1mL/kg boluses every 5 minutes until BGL < 4.0 mmol/L

25
Glucose gel Indications
Symptomatic hypoglycaemia (with ability to self-administer oral glucose)
26
Glucose Gel Dosages
PO - ACP1, ACP2, CCP ≥ 2 years - 15g Repeat once at 15 minutes if BGL <4 mmol/L Total max dose 30g
27
Glyceryl Trinitrate Paediatric Indications
``` Autonomic Dysreflexia (SBP > 160 mmHg) Irukandji Syndrome (SBP > 160 mmHg) ```
28
GTN Dosages | All inidcations
Sublingual - ACP2, CCP | CONSULT
29
Hydrocortisone Indications
Moderate or Severe Asthma Severe allergic reaction OR anaphylaxis (requiring adrenaline (epinepherine) administration) Symptomatic adrenal insufficiency
30
Hydrocortisone Dosages Moderate or Severe Asthma Severe allergic reaction OR anaphylaxis
IM/IV - ECP (with consult), CCP 5mg/kg Single dose only. Not to exceed 100mg) IV single dose only
31
Ipratropium Bromide Indications
Moderate OR severe bronchospasm
32
Ipratropium Bromide Dosages
NEB - ACP1, ACP2, CCP | ≥ 2 years - 250 microg. Single dose
33
Ketamine Paediatric Indications
- Severe traumatic pain (following 0.2mg-0.2mg/kg morphne or 1-2 microg/kg fentanyl) associated with: - fracture reduction and splinting - multiple or significant fractures requiring facilitated extrication - Patients with splinted fractures requirign ongoing narcortic analgesia for transport requirements) Induction of anasethesia - Severe traumatic pain associated with burns - Ongoing traumatic pain unresponsive to narcotics (following 0.2-0.3 mg/kg morphine OR 2-3 microg/kg fentanyl)
34
Ketamine Dosages | Severe traumatic pain associated with burns
IV - CCP | CONSULT
35
Ketamine Dosages Ongoing traumatic pain Severe traumatic pain
IV - CCP > 1 year - 100microg/kg (0.1mg/kg) Repeate every 2-3 minutes Total max dose 1mg/kg
36
Ketamine Dosages | Induction of anaesthesia
IV/IO - ECCP 0.25-2mg/kg Single dose only Total max dose 100mg
37
Magnesium Sulphate Indications
Irukandji Syndrome Sever Life-threatening asthma Torsades de Pointes Box jellyfish envenomation
38
Magnesium Sulphate Dosages | Irukandji syndrome and Box jellyfish envenomation
IV - E.ACP2, CCP 0.1 mmol/kg over 15 minutes (rounded p to nearest 0.5 mmol). Single max dose 5 mmol Repeat once at 10 minutes Total max 10 mmol.
39
Magnesium Sulphate Dosages | Torsades de Pointes
``` IV/IO - CCP 0.1 mmol/kg over 10 minutes (round up to nearest 0.5 mmol) Single dose not to exceed 5 mmol Repeat once at 10 minutes Total max dose 10 mmol ```
40
Magnesium Sulphate Dosages | Severe life-threatening asthma
IV/IO - CCP 0.1 mmol/kg over 10 minutes (round up to nearest 0.5 mmol) Single dose not to exceed 5 mmol
41
Midazolam Indications
Generalized seizures/focal seizures (GCS < 12) Sedation Acuute behavioural disturbance (with SAT score at 2 or >)
42
Midazolam Dosages | Generalized Seizures/focal seizures
``` NAS - ACP2, CCP 200 microg/kg Single dose not to exceed 5mg. Repeat at half the initial dose at 10 minutes (max 0.25mg) Total Max 10mg ``` ``` IM - ACP2, CCP 200 microg/kg Single dose not to exceed 5mg. Repeat at half the initial dose at 10 minutes (max 0.25mg) Total Max 10mg ``` ``` IV/IO - CCP 100mcg/kg Single dose not to exceed 2.5mg Repeat at 5 min intervals Total max dose 10mg ```
43
Midazolam Dosages | Sedation
``` IV/IO - CCP Up to 100 microg/kg Single dose not to exceed 2.5mg Repeat at 3-5 minute intervals Total max dose 5mg ```
44
Midazolam Dosages | Acute Behavioural disurbance
IM (only if IV access not acheiveable) ≥ 8 years - 200 microg/kg Single dose only. Max 5mg IV - CCP ≥ 8 years - 100 microg/kg Single dose only. Max 2.5mg
45
Naloxone Indications
Respiratory depression (secondary to administration of narcotic drugs)
46
Naloxone Dosages
IM - ACP2, CCP 20 microg/kg Single dose only. Not toe xceed 800 microg.
47
Ondansetron Indications
Nausea AND/Or vomiting
48
Ondansetron Dosages
IM - ACP1 ≥ 5 years - 2mg Single dose only IM - ACP2, CCP ≥ 3 years - 100 microg/kg single dose only, not to exceed 4mg IV - ACP2, CCP ≥ 3 years - 100 microg/kg single dose only, not to exceed 4mg Slow push over 2-3 minutes
49
Paracetamol Indications
Minor pain | Fever (causing distress)
50
Paracetamol Dosages
PO - ACP1, ACP2, CCP ≥ 1 month - 15mg/kg Single dose only
51
Promethazine Paediatric Indications
Symptomatic rash/moderate allergic reactions
52
Promethazine Dosages
IV - ECP (CONSULT), CCP ≥ 2 years - 250 microg/kg Single dose only. Not to exceed 12.5mg Slow push over 1 minutes
53
Salbutamol Indications
``` Bronchospams Suspected hyperkalaemia (with QRS widening AND/OR dissociation) ```
54
Salbutamol Dosages | Bronchospasm
NEB - ACP1, ACP2, CCP ≥ 2 years - 5mg Repeated PRN No max dose IV - CCP ≥ 2 years - 5microg/kg Single dose not to exceed 250 microg. Repeat once at 10 mintues
55
Salbutamol Dosages | Suspected hyperkalaemia
NEB - CCP | 5mg - Single dose only
56
Sodium Bicarbonate Paediatric Indications
Cardiac Arrest Suspected hyperkalaemia Significant injury with potential for crush injury
57
Sodium Bicarbonate Dosages | All indicatiosn
IV/IO - ECP, CCP (IO CCP only) 1mL/kg - Single Dose only ECP must Consult

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