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Para­ce­ta­mol

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.

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.

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Ibu­pro­fen

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

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.

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

(Quick weight cal­cu­la­tion =2 (age + 4)

Stat dose 200 micro­grammes to 400 micro­grammes per kg

Mea­sure doses with oral syringe.

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.

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Tri­me­pra­zine
(Val­ler­gan)

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)

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.

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Pethi­dine I.V.

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

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.

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Mor­phine I.V.

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

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.

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

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.)

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.

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Ento­nox (50% oxy­gen, 50% Nitrous Oxide)

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.

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Sal­bu­ta­mol

for nebu­li­sa­tion

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

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.

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Anti­bio­tic doses

(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.

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Codeine phos­phate
Pain relief dose

(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.

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.

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Other pae­dia­tric drug doses :

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.

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