http://www.nelh-ec.warwick.ac.uk/NELH-EC_home.htm

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.

Back to index

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.

Back to index

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.

Back to index

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.

Back to index

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.

Back to index

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.

Back to index

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.

Back to index

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.

Back to index

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.

Back to index

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.

Back to index

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.

Back to index

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.

Back to index

Back to top

Back to NeLH-EC home