Paeds Drugs Flashcards
(20 cards)
Salbutamol mild-moderate asthma
2-5 years: 2-6 doses pMDI
6+ years: 4-12 doses pMDI
Salbutamol severe asthma
2-4 years: 2.5mg nebulised
5-11 years: 2.5-5mg nebulised
12-15 years: 5mg nebulised
Repeat @ 20 minute intervals
Salbutamol critical asthma
10mg nebulised
Repeat @ 5 minute intervals
Ipratropium bromide severe asthma
2-4 years: 250mcg nebulised
5-11 years: 250mcg nebulised
12-15 years: 500mcg nebulised
Ipratropium bromide critical asthma
2-11 years: 250mcg nebulised
12-15 years: 500mcg nebulised
Dexamethasone critical asthma
600mcg per kg (max 12mg) oral
Adrenaline critical asthma
10mcg/kg IM (max 500mcg)
Repeat @ 5-10 minute intervals (max 3 doses)
Dexamethasone mild to moderate croup
150 mcg per kg (max 12mg) oral
Dexamethasone severe croup
600mcg per kg (max 12mg) oral
Adrenaline severe croup
5mg nebulised
Repeat @ 5 minute intervals
Unconscious asthma ventilation rates
2-4 years: 12-15 per minute
5-11 years: 10-14 per minute
12-15 years: 5-8 per minute
Midazolam seizure
<1 year: 1mg IM
1-4 years: 2.5mg IM
5-11 years: 2.5-5mg IM
12-15 years: 5mg IM
Repeat once after 10 minutes if required
Adrenaline anaphylaxis
10mcg/kg (max 500mcg) IM
Repeat @ 5 minute intervals
Ceftriaxone meningococcal septicaemia
50mg per kg (max 2g) IM
Dilute with 3.5mL 1% lignocaine to make 4mL
Ondansetron nausea
1-4 years: 2mg oral
5-11 years: 4mg oral
12-15 years: 4mg oral (repeat after 5-10 minutes if required)
Fentanyl
1-4 years: 25mcg IN
5-11 years: 25-50mcg IN
12-15 years: 50-75mcg IN
Repeat @ 5-10 minute intervals (consult after 3 doses)
Paracetamol
15mg/kg oral liquid
Defibrillation
4J per kg (max 200J)
Naloxone opioid overdose adult
Uncomplicated: 800mcg IM (repeat once after 10 minutes)
Complex: 100mcg IV (repeat @ 2 minute intervals, max 2000mcg)
Complex with no IV access: 400mcg IM once only
Naloxone opioid overdose paediatric
Opioid naive: 10mcg per kg IM (repeat once after 10 minutes)
Opioid dependent: 1-2mcg per kg IM (repeat once after 10 minutes)