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Flashcards in Paediatric Dosages Deck (57)
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1

Adrenaline Indications

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)

2

Adrenaline Dosages
Anaphylaxis OR severe allergic reaction

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

3

Adrenaline Dosages
Severe life-threatening bronchospasm OR silent chest

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.

4

Adrenaline Dosages
Cardiac Arrest

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.

5

Adrenaline Dosages
Croup

NEB - ACP2, CCP
5mg. Single Dose only.

6

Adrenaline Dosages
Shock Unresponsive to adequate fluid resus

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

7

Adrenaline Dosages
Bradycardia with poor perfusion

CONSULT!

8

Amiodarone Paediatric Indications

Cardiac arrest (refractory VF or pulse-less VT)

9

Amiodarone Dosages
Cardiac Arrest

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

10

Atropine Indications

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

11

Atropine Dosages
Bradycardia

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

12

Atropine Dosages
Envenomation and Organophosphate toxicity

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.

13

Atropine Dosages
Hypersalivation

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

14

Calcium Gluconate Paediatric Indications

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

15

Calcium Gluconate Dosages
All indications

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

16

Ceftriaxone Indications

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

17

Ceftriaxone Dosages

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.

18

Fentanyl Indications

Significant Pain
Sedation (for maintenance of established ETT)

19

Fentanyl Dosages
Significant Pain

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

20

Fentanyl Dosages
Sedation

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

21

Glucagon Indications

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

22

Glucagon Dosages

> 25 kg - 1 mg single dose only.
≤ 25 kg - 0.5 mg single dose only.

23

Glucose 10% Indications

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

24

Glucose 10% Dosages

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