Paediatric Drugs

Question 1

Paediatric weight calculation

Answer 1

Age x 3 +7

Question 2

Fentanyl paediatric dose

Answer 2

NAS: 1.5 microg/kg
Repeat 1 microg/kg at 10min
MAX 100 microg

IM: 1-2 microg/kg
Single MAX dose 50 microg
MAX total 2 microg/kg

Question 3

Panadol elixir

Answer 3

15 mg/kg single dose only

<22kg use elixir

Question 4

Panadol soluble

Answer 4

22-24kg = 1 (250mg)
24-32kg = 1.5
32-36kg = 2 
36-40kg = 2.5 
>12 yrs/50kg = paracetamol tablets

Question 5

Paediatric methoxy

Answer 5

3 ml single dose only

Question 6

Dexamethasone ❌✅☢️⁉️

Answer 6

✅ croup

❌ allergy/ADR, <6months, > 6 yrs, steroid within 4 hours

☢️nil
⁉️nil

Question 7

Dexamethasone dosages

Answer 7

0.3mg/kg rounded to nearest 0.5ml

MAX 0.6/kg OR 12mg

Question 8

Tranexamic acid ✅❌☢️⁉️

Answer 8

✅ PPH, recent traumatic injuries

❌allergy/ADR

☢️ headache, hypotension, nausea/vomiting, seizures

⁉️nil

Question 9

Tranexamic acid dosages

Answer 9

IV: 1g slow push over 10 min

IV infusion: 1g over 10 min

Question 10

Oxytocin ✅❌☢️⁉️

Answer 10

✅active third stage + prevention of PPH, Primary/secondary PPH.

❌allergy/ADR, undelivered foetus

☢️ nausea/vomiting, headache, bradycardia, tachycardia

⁉️myocardial ischaemia, hypotension with analgesia

Question 11

Oxytocin dosages

Answer 11

IM: 10 units single dose (3rd stage)

IV: 10 units slow push 2-5 min (can be on top of first dose)