Paediatric Life Support + common drugs

Question 1

Estimated weight term infant

Answer 1

3.5kg

Question 2

Estimated weight 6 month old

Answer 2

8kg

Question 3

Estimated weight of child > 1 year

Answer 3

Age + 4 x 2

Question 4

Arrest dose adrenaline

Answer 4

10mcg/kg

Question 5

Amiodarone dose

Answer 5

5mg/kg

Question 6

Cardiac arrest shock in joules

Answer 6

4J/kg

Question 7

ETT size neonate < 3kg

Answer 7

2.5 - 3.5mm

Question 8

ETT estimated size

Answer 8

Age/4 + 4 (0.5mm smaller if cuffed

Question 9

Push dose adrenaline

Answer 9

1mcg/kg

Question 10

Fluid bolus

Answer 10

10-20ml/kg

Question 11

Ketamine intubation dose

Answer 11

1-2mg/kg

Question 12

Rocuronium dose

Answer 12

1mg/kg

Question 13

Atropine dose

Answer 13

20mcg/kg

Question 14

Post intubation sedation morphine dose

Answer 14

50mcg/kg/hr (5 - 80mcg/kg/hr)

Question 15

Post intubation sedation midazolam dose

Answer 15

50mcg/kg/hr ( 5- 240mcg/kg/hr)

Question 16

Shock in joules for VT without arrest

Answer 16

2J/kg SYNCHRONISED then 4J/kg. Take off sync if not shocking

Question 17

Adenosine dose for SVT

Answer 17

100mcg/kg then 200mcg/kg then 400mcg/kg

Max 12g

Question 18

Shock in joules for SVT

Answer 18

1J/kg SYNCHRONIZED

Question 19

Name 3 options for bradycardia from compromise

Answer 19

1) Atropine 20mcg/kg
2) Adrenaline 10mcg/kg push then infusion
3) Pacing

Question 20

Midazolam dose for seizure for each route

Answer 20

IV/IO = 0.15mg/kg (max 10mg)
Buccal/intranasal = 0.3mg/kg (max 10mg)

Question 21

Levetiracetam dose

Answer 21

40mg/kg max 3 g over 5 minutes

Question 22

Phenytoin dose

Answer 22

20mg/kg over 20 minutes

Question 23

Anaphylaxis adrenaline dose

Answer 23

10mcg/kg (min 100mcg, max 500mcg)

Question 24

Anaphylaxis IV hydrocortisone dose (4 age groups)

Answer 24

Age < 6 months = 25mg
Age 6 months to 6 years = 50mg
Age 6 years - 12 years = 100mg
Age > 12 = 200mg

Question 25

Loratdine anaphylaxis PO dose

Answer 25

Age 1-2 years = 2.5mg Age >2 years but < 30kg = 5mg >30kg = 10mg daily

Question 26

Hyperkalaemia IV calcium dose

Answer 26

Calcium 0.1 mmol/kg

Question 27

Hyperkalaemia PO/PR reseonium dose

Answer 27

1 g/kg

Question 28

Hyperkalaemia if pH < 7.34 treatment (in addition to calcium)

Answer 28

Sodium bicarbonate 1-2 mmol/kg

Question 29

Hyperkalaemia treatment if pH > 7.34 (in addition to calcium)

Answer 29

Glucose 10% 5ml/kg + insulin 0.05 units/kg/hr

Question 30

Hypoglycaemia glucose dose

Answer 30

10% glucose 2ml/kg

Question 31

Hypoglcyaemia glucagon dose

Answer 31

0.2mg/kg IV/IM

Question 32

Hypertension hydralazine dose

Answer 32

IV slow push over 5 min 0.1 - 0.5mg/kg

Question 33

High flow oxygen therapy dose

Answer 33

< 12kg = 2L/kg/minute | > 12kg = 2L/kg/minute for first 12kg + 0.5L/kg/minute for each kg after (max 50L/kg)

Question 34

Pain management age < 18 months

Answer 34

Sucrose PO 0.1 = 0.5 ml

Question 35

Oxycodone

Answer 35

PO 0.1 mg/kg max 5-10mg

Question 36

Fentanyl intranasal dose

Answer 36

1.5 mcg/kg repeat 0.75 - 1.5 mcg/kg after 10 min. Max 75 mcg

Question 37

Morphine dose

Answer 37

0.1 mg/kg IV/sub cut Max 5 - 10mg

Question 38

Ondansetron dose

Answer 38

Age > 6 months 0.15 mg/kg PO/IV/IM

Question 39

Oral rehydration solution calculation

Answer 39

10ml/kg/hr with hydralite or 1:1 water: apple juice in short term If breast feeding continue often and or give ORS on top of feeds