Accueil Recherche NouveautésEmail webmaster Tous les textes - FMCSommaire généralPage précédente

ACCIDENT AND EMERGENCY DEPARTMENT

UNIVERSITY HOSPITALS COVENTRY AND WARWICKSHIRE N.H.S. TRUST
http://www.nelh-ec.warwick.ac.uk/NELH-EC_home.htm

PAEDIATRIC DRUG DOSES
For more information on dosages use Medicines for Children   (http://www.rcpch.ac.uk/library/Formulary/formulary.htm)
>British National Formulary - current edition - Alder Hey ABCD of Childrens Doses 1994 with amendments 1996 -Braselow Tape - British Association of Emergency Medicine Guidelines for Children in the Accident and Emergency Department. -Advanced Paediatric Life Support- A practical approach BMJ Publishing
Doses contained in this guide are for quick reference only and should be used together with full prescribing information.
Sarah Crowther - Valerie Madden (B. Pharm M.R .Pharm S. Paediatric Pharmacist.)
DISCLAIMER - It is the individual's responsibility to double-check all doses in this guideline and ensure they are correct.



2012
WHO Library Cataloguing-in-Publication Data

Persisting pain in children package: WHO guidelines on the pharmacological treatment of persisting pain in children with medical illnesses.
Contents: WHO guidelines on the pharmacological treatment of persisting pain in children with medical illnesses - Three brochures with important information for physicians and nurses; pharmacists; policy-makers and medicines regulatory authorities, hospital managers and health insurance managers - Dosing card - Pain Scale for children (4 years of age and up) - Pain Scale for children (6 - 10 years) - Wall chart for waiting rooms 1.Pain - drug therapy. 2.Pain - classification. 3.Pain measurement. 4.Analgesics, Opioid. 5.Drugs, Essential. 6.Drug and narcotic control. 7.Palliative care. 8.Child. 9.Guidelines.[Lire]




INDEX OF DRUGS:
All Drugs and Fluids should be calculated according to childs weight.
Quick weight calculation = 2 x (age + 4) or use dose according to approximate weight on charts

Paracetamol
Ibuprofen
Morphine sulphate oral solution- Oramorph (10mg/5ml)
Trimeprazine (Vallergan)
Pethidine I.V.
Morphine I.V.
Lignocaine 1% (10mg in 1ml)
Entonox (50% Oxygen, 50% Nitrous oxide)
Salbutamol (for nebulisation)
Antibiotic doses
Codeine phosphate (pain relief dose)
Naloxone (Narcan)
Mannitol 20% (2g in 10ml)
Hydrocortisone
Paraldehyde
Aminophylline
Diazepam
Diazemuls
Phenobarbitone
Phenytoin



Paracetamol

bear

Liquid 120mg in 5ml Tablets 500mg

(Quick weight calculation =2 (age + 4))

Stat. Dose 15mg/kg. Doses at least 4 hours apart and no more than 4 in 24 hours

Check time of previous doses at home.

Make sure an effective dose is given.

 

AGE

APPROX WEIGHT

DOSE

6 MONTHS

5 kg

60mg (2.5 ml)

1 YEAR

10kg

120mg (5ml)

3 YEARS

15kg

180mg (7.5 ml)

5 YEARS

20kg

240mg (10ml)

10 YEARS

30kg

360mg (15ml)

12 YEARS

40kg

480mg (20ml)

or 500mg (tab)

15 YEARS

50kg

1000mg (tabs)



Double check all doses before administration
Doses contained in this guide are for quick reference only and should be used together with full prescribing information.

Back to index



Ibuprofen

bear

Liquid 100mg in 5ml Tablets 200mg

(Quick weight calculation = Twice age +8)

Stat dose 5mg/kg

Repeat 4 to 6 hourly. No more than 4 doses in 24 hours

 

AGE

APPROX WEIGHT

DOSE

May only be prescribed by senior medical staff if patient less than 1 year old

1 YEAR

10kg

50mg (2.5ml)

3 YEARS

15kg

75mg (3.75ml)

5 YEARS

20 kg

100mg (5ml)

10 YEARS

30kg

150mg (7.5ml)

12 YEARS

40 kg

200mg (10ml)

15 YEARS

50 kg

200mg to 400mg (tablets)

Double check all doses before administration
Doses contained in this guide are for quick reference only and should be used together with full prescribing information.

Back to index



Morphine Sulphate Oral Solution
Oramorph (10mg/5ml)

bear

(Quick weight calculation =2 (age + 4)

Stat dose 200 microgrammes to 400 microgrammes per kg

Measure doses with oral syringe.

 

AGE

APPROX WEIGHT

DOSE

NOT RECOMMENDED UNDER 2 YRS OLD WITHOUT SENIOR MEDICAL STAFF CONSENT

1 YEARS

10 kg

2mg (1ml)

3 YEARS

15 kg

3 mg (1.5ml)

5 YEARS

20 kg

4 mg (2ml)

10 YEARS

30 kg

6 mg (3ml)

12 YEARS

40 kg

8mg (4ml)

Double check all doses before administration
Doses contained in this guide are for quick reference only and should be used together with full prescribing information.

Back to index



Trimeprazine
(Vallergan)

bear

Liquid 7.5mg in 5ml Tablets 10mg

(Quick weight calculation =2 (age + 4))

Sedative: Stat dose 1 to 2 mg/kg.(may need up to 3mg/kg)

 

AGE

APPROX WEIGHT

SEDATIVE DOSE

NOT RECOMMENDED UNDER 6 MONTHS.

6 MONTHS

5 kg

5 to 10 mg

1 YEAR

10 kg

10 to 20 mg

3 YEARS

15 kg

15 to 30 mg

5 YEARS

20 kg

20 to 40mg

10 YEARS

30 kg

30 to 60 mg

12 YEARS

40 kg

40 to 80 mg

15 YEARS

50 kg

50 to 100 mg

Double check all doses before administration
Doses contained in this guide are for quick reference only and should be used together with full prescribing information.

Back to index



Pethidine I.V.

bear

50 mg/ml or 100mg/2ml injection ampoules
Dilute in sodium chloride 0.9% before administration to make a solution of pethidine 50mg in 5ml i.e. 10mg in 1ml

(Quick weight calculation =2 (age + 4))


Stat Dose 0.5 to 1mg/kg. Give over 2 to 5minutes.
Doses can be repeated after 4 hours.

Monitor respiration , SaO2 and ECG

 

AGE

APPROX WEIGHT

SINGLE DOSE

6 MONTHS

5 kg

5 mg

1 YEAR

10 kg

10mg

3 YEARS

15 kg

15 mg

5 YEARS

20 kg

20 mg

10 YEARS

30 kg

30 mg

12 YEARS

40 kg

40 mg

15 YEARS

50 kg

50 mg

Double check all doses before administration
Doses contained in this guide are for quick reference only and should be used together with full prescribing information.

Back to index



Morphine I.V.

bear

Morphine 10mg in 1ml
Dilute in Sodium chloride 0.9% to 10mg in 10ml ie 1mg in 1ml to titrate
Give slowly IV over 10 minutes.

(Quick Weight calculation =2 (age + 4))

Monitor respirations, SaO2 and ECG.

Dose varies according to age

Stat dose 100 to 200microgrammes/kg over 1 year old.
Stat dose 50 microgrammes/kg 3 to 6 months.
Stat dose 25microgrammes /kg 1 to 3 months.
Give slowly over 5 to 10 minutes. Start with lower dose

AGE

APPROX WEIGHT

DOSE

6 MONTHS

5 kg

0.25mg

1 YEAR

10 kg

1 to 2 mg

3 YEARS

15 kg

1.5 to 3mg

5 YEARS

20 kg

2mg to 4mg

10 YEARS

30 kg

3 to 6mg

12 YEARS

40 kg

4 to 8mg

15 YEARS

50 kg

5 to 10mg

Double check all doses before administration
Doses contained in this guide are for quick reference only and should be used together with full prescribing information.

Back to index



Lignocaine 1% (10mg in 1ml)
(Local anaesthetic)

bear

Available as 2ml and 5ml ampoules

(Quick weight calculation =2 (age + 4))

Maximum safe dose is 3mg/kg by local infiltration repeated after 4 hours.
(1% Lignocaine contains 10mg/ml.)

AGE

APPROX WEIGHT

DOSE OF LIGNOCAINE

VOLUME OF LIGNOCAINE 1%

6 MONTHS

5 kg

15mg

1.5ml

3 YEARS

10 kg

30mg

3 ml

5 YEARS

15 kg

45mg

4.5ml

10 YEARS

20 kg

60mg

6 ml

12 YEARS

30 kg

90mg

9 ml

Double check all doses before administration
Doses contained in this guide are for quick reference only and should be used together with full prescribing information.

Back to index



Entonox (50% oxygen, 50% Nitrous Oxide)

bear

For use in children over 5 years old, must be patient administered.

Mouthpiece must be used for young child.

May be used whilst achieving intravenous access, performing as nerve block, moving a fractured limb in to a splint.

Contraindicated in children with:
A pneumothorax until drained.

Head injury.

Facial injury.

Decompression sickness.

CTITU Medias.

Back to index



Salbutamol

for nebulisation

bear

(Quick weight calculation = 2 ( age + 4))

 

AGE

APPROX WEIGHT

DOSE

6 MONTHS

5 kg

1.25 mg

1 YEAR

10 kg

1.25mg

3 YEARS

15 kg

2.5 mg

5 YEARS

20 kg

2.5mg

10 YEARS

30 kg

2.5 to 5mg

12 YEARS

40 kg

2.5 to 5mg

15 YEARS

50 kg

2.5 to 5mg

Double check all doses before administration
Doses contained in this guide are for quick reference only and should be used together with full prescribing information.

Back to index



Antibiotic doses

bear

(Quick weight calculation =2 (age + 4))

All doses to be checked with Alder Hey ABCD or B.N.F.
Try to prescribe eight hourly when possible to make it easier to fit in a school day.


Back to index



Codeine phosphate
Pain relief dose

bear

(Quick weight calculation =2 (age + 4))

Codeine syrup 25mg in 5ml, Tablets 15mg and 30mg.
(codeine linctus available for cough as 3mg in 5ml or 15mg in 5ml)

Stat dose 0.5mg (500microgrammes )/kg with a maximum 30mg at 12 years
Repeat dose after 4 hours upto 6 times a day.
Total maximum 3mg/kg/day upto 180mg /day at 12 years.


AGE

APPROX WEIGHT

DOSE of codeine phosphate syrup 25mg in 5ml

NOT RECOMMENDED UNDER 1 YEAR OLD

1 YEAR

10kg

5mg (1ml)

3 YEARS

15 kg

7.5mg (1.5ml)

5 YEARS

20 kg

10mg (2ml)

10 YEARS

30 kg

15mg (3ml)

12 YEARS

40 kg

20mg (4ml)

15 YEARS

50 kg

30mg tablet

Double check all doses before administration
Doses contained in this guide are for quick reference only and should be used together with full prescribing information.

Back to index



Other paediatric drug doses:

bear

Naloxone (Narcan)
Stat dose 10microgrammesg/kg over 5 minutes. A larger dose upto 100mcg/kg (max 2mg) may be given if response not adequate

Mannitol 20% (2g in 10ml)
0.5(2.5ml) to 1g (5ml)/kg IV Infusion

Hydrocortisone
4mg/kg then 2 to 4mg/kg every 6 hours
(Slow IV)

Paraldehyde
0.3ml/kg (Rectal)
(In glass syringe mixed in 50% Olive Oil
A plastic syringe can be used if administered immediately)

Aminophylline
Loading Dose 5mg/kg over 10mins
Then 1mg/kg/hr as IV Infusion

Diazepam
400 mcg/kg slow IV
Then 100 to 400 mcg/kg/hr
Infusion.

Under 1yr to 2.5mg Rectal
1 to 3 yrs to 5mg Rectal
4 to 12 yrs to 5 to 10mg Rectal

Diazemuls
Stat Dose by Slow IV
200 microgrammes/kg,larger doses my be needed to control convulsions

Phenobarbitone
15mg/kg by Slow IV no more than 1mg/kg/minute. Must be diluted.
See guides for further information.

Phenytoin
15mg/kg loading dose by slow IV at no more than 1mg/kg/minute. Monitor ECG and BP.
See guides for further information.

Double check all doses before administration
Doses contained in this guide are for quick reference only and should be used together with full prescribing information.

DISCLAIMER - It is the individual's responsibility to double-check all doses in this guideline and ensure they are correct.

Back to index

Back to top

Back to NeLH-EC home



Accueil NouveautésEmail webmaster Sommaire FMC Sommaire généralPage précédente