Paediatric Medication

Question 1

What is the paediatric dose for Naloxone per kg

Answer 1

Intramuscular - 0.01mg/kg. IM/SC

Intranasal - 0.02mg/kg. IN

Reapeat dose PRN to maintain opioid reversal to max 0.1mg/kg OR 2mg

Question 2

Weight calculation for patient aged

1 year - 5 years

Answer 2

(age X 2) +8kg

Question 3

Weight calculation for patient aged

From 6 years old

Answer 3

(age X 3) +7 kg

Question 4

Weight calculation for patient aged

Less than one month

Answer 4

3.5kg

Question 5

Weight calculation for patient aged

6 months to one year

Answer 5

6 kg

Question 6

Chlorphenamine dose for mild allergic reaction

Answer 6

Mild reaction :

6 years to 11 years 2mg PO

12 years or Greater 4mg PO

Question 7

Chlorphenamine dose for Moderate allergic reaction in patient less than 1 year

Answer 7

0.25mg/kg IM

Weight - 6 month old child = 6kg

OR if < 4 weeks = 3.5kg

6kg X 0.25mg/kg = 1.5mg

1.5mg
———- X 1ml = 0.15ml - Rounded up to = 0.2ml
10mg

Administer = 0.2ml IM

Question 8

Formula for calculating volume of medication to administer Paediatric

Answer 8

Want
——– X Volume = mg
Have

Round up to closest 0.1mg

Question 9

Chlorphenamine dose for Moderate and Severe allergic reaction in patient 1 year to 5 years

Answer 9

2.5mg IM

Question 10

Chlorphenamine dose for Moderate allergic reaction in patient 6 years to 11 years

Answer 10

2mg PO

Question 11

Chlorphenamine dose for Severe allergic reaction in patient 6 years to 11 years

Answer 11

5mg IM

Question 12

Chlorphenamine dose for Moderate allergic reaction in patient 12 years or over

Answer 12

4mg PO

Question 13

Chlorphenamine dose for Severe allergic reaction in patient 12 years or over

Answer 13

10mg PO

Question 14

Epinephrine dose for anaphylaxis in patient <6 months old

Answer 14

50mcg = 0.05ml

PRN every 5 minutes

Question 15

Epinephrine dose for anaphylaxis in patient

6 months - 5 Years

Answer 15

125mcg - 0.13ml

PRN every 5 minutes

Question 16

Epinephrine dose for anaphylaxis in patient

6 Years - 8 Years

Answer 16

250mcg IM - 0.25ml

PRN every 5 minutes

Question 17

Epinephrine dose for anaphylaxis in patient

8 Years or Greater

Answer 17

500mcg IM - 0.5ml

PRN every 5 minutes

Question 18

How many 500mcg doses will you have in one vial of epinephrine 1mg/1ml

Answer 18

2 doses of 500mcg in 0.5ml

Question 19

Contraindications for Glucagon

Answer 19

1. KSAR
2. Under 1 year old
3. Phaechromocytoma (Adrenal gland tumor)
4. Non diabetic paediatric hypoglycemic patients should not receive Glucagon

Question 20

Paediatric dose for Glucagon

Answer 20

1 - 8 Years - 0.5mg IM

> 8 years - 1mg IM

Question 21

Usual dose of glucose gel for paediatric patient

Answer 21

8 or less - 5 - 10g buccal

Greater than 8 years - 10 - 20g buccal

Reapeat PRN

Question 22

What is presentation of hydrocortisone

Answer 22

Vial of 100mg powder

reconstitution in not more than 2ml sterile water

Question 23

What is the paediatric dose for Hydrocortisone in Anaphylaxis

Answer 23

< 1 Year 25mg IM

1 - 5 Years 50mg IM

> 5 Years 100mg IM

Question 24

What is the dose of Hydrocortisone for a paediatric patient with Adrenal insufficiency

Answer 24

6 months to < 5 Years - 50mg IM

> 5 Years 100mg IM

Dose should not be less than 25mg

Avoid deltoid

Question 25

What is the usual dose of ibuprofen for a paediatric patient

Answer 25

10mg/kg PO If given in previous 6 hours adjust dose to max 10mg/kg

Question 26

What are the Contraindications for ibuprofen

Answer 26

Under 3 months Asthma exacerbated by aspirin KSAR Renal / Liver impairment Peptic ulcer disease CCF Pregnancy Concurrent NSAID use

Question 27

What is the correct dose of midazolam solution for a paediatric that is having a seizure

Answer 27

0.2mg/kg Repeat x 4 PRN

Question 28

What are the side effects of midazolam

Answer 28

1. Respiratory Depression 2. Headache 3. Hypotension 4. Drowsiness

Question 29

What are the Contraindications of midazolam in a seizing patient

Answer 29

1. KSAR

Question 30

What age can a paediatric patient be administered methoxyflurane

Answer 30

5 years or Greater

Question 31

What is the correct IM dose of Naloxone for a paediatric patient

Answer 31

0.01mg/kg IM Repeat dose PRN to max 0.1mg/kg OR 2mg Eg. 1 year old = 10kg X 0.1mg/kg = 1mg max

Question 32

What consentraion of oxygen should be administered during resuscitation of a Neonate

Answer 32

30% or less

Question 33

Consider humidifier if oxygen therapy for paediatric patient is

Answer 33

>30 minutes duration

Question 34

Target oxygen saturation for a paediatric patient is

Answer 34

Lifethreatening - 100% until reliable sp02 reading Titrate 96%-98%

Question 35

Contraindications for paracetamol

Answer 35

1. KSAR 2. < 1 month 3. Chronic liver disease

Question 36

Indications for paracetamol

Answer 36

Pyrexia - Temperature > 38.5 Minor to moderate pain