Paediatric

Front 1

What is the Midazolam dose for anew born?

Back 1

Weight = 3.5 kg
IM 175 mg / 0.7 mls

Front 2

What is the Midazolam dose for a 2 month old?

Back 2

Weight = 5 kg
IM 0.5 mg / 0.1 ml

Front 3

What is the Midazolam dose for a 6 month old?

Back 3

Weight = 7 kg
IM 0.7mg / 0.14 mls

Front 4

What is the Midazolam dose for a 1 year old?

Back 4

Weight = 10 kg
1.0 mg / 0.2 mls

Front 5

What is the Midazolam dose for a 2 year old?

Back 5

Weight = 12 kg
IM 1.2 mg / 0.24 mls

Front 6

What is the Midazolam dose for a 3 year old?

Back 6

Weight = 14 kg
IM 1.4 mg in 0.28mls

Front 7

What is the Midazolam dose for a 4 year old?

Back 7

Weight = 16 kg
IM 1.6 mg in 0.32 mls

Front 8

What is the Midazolam dose for a 5 year old?

Back 8

Weight = 18 kg
IM 1.8 mg / 0.36 mls

Front 9

What is the Midazolam dose for a 6 year old?

Back 9

Weight = 20 kg
IM 2.0 mg / 0.4 mls

Front 10

What is the Midazolam dose for a 7 year old?

Back 10

Weight = 22 kg
IM 2.2 mg / 0.44 mls

Front 11

What is the Midazolam dose for a 8 year old?

Back 11

Weight = 24 kg
IM 2.4 mg / 0.48 mls

Front 12

What is the Midazolam dose for a 9 year old?

Back 12

Weight = 26 kg
IM 2.6 mg / 0.52 mls

Front 13

What is the Midazolam dose for a 10 year old?

Back 13

Weight = 33 kg
IM 3.3 mg / 0.66 mls

Front 14

What is the Midazolam dose for a 11 year old?

Back 14

Weight = 36 kg
IM 3.6 mg / 0.72 mls

Front 15

What is the Midazolam dose for a 12 year old?

Back 15

Weight = 40 kg
IM 4.0 mg / 0.8 mls

Front 16

What is the Midazolam dose for a 13 year old?

Back 16

Weight = 43 kg
IM 4.3 mg / 0.86 mls

Front 17

What is the Midazolam dose for a 14 year old?

Back 17

Weight = 46 kg
IM 4.6 mg / 0.92 mls

Front 18

What is the Midazolam dose for a 15 year old?

Back 18

Adult Dose - 0.1 mg / kg max 10 mg

Front 19

What is the Midazolam dose for a 16 year old?

Back 19

Adult Dose - 0.1 mg / kg max 10 mg

Front 20

What is the Ceftriaxone dose for a new born?

Back 20

Weight = 3.5 kg
IM 175 mg / 0.7 mls

Front 21

What is the Ceftriaxone dose for a 2 month old?

Back 21

Weight = 5 kg
IM 250 mg / 1.0 ml

Front 22

What is the Ceftriaxone dose for a 6 month old?

Back 22

Weight = 7 kg
IM 350 mg / 1.4 mls

Front 23

What is the Ceftriaxone dose for a 1 year old?

Back 23

Weight = 10 kg
IM 500mg / 2mls

Front 24

What is the Ceftriaxone dose for a 2 year old?

Back 24

Weight = 12 kg
IM 600mg / 2.5 mls

Front 25

What is the Ceftriaxone dose for a 3 year old?

Back 25

Weight = 14 kg
IM 700 mg / 2.8 mls

Front 26

What is the Ceftriaxone dose for a 4 year old?

Back 26

Weight = 16 kg
IM 800 mg / 3.2 mls

Front 27

What is the Ceftriaxone dose for a 5 year old?

Back 27

Weight = 18 kg
IM 900 mg / 3.6 mls

Front 28

What is the Ceftriaxone dose for a 6 year old?

Back 28

Weight = 20 kg
IM 1000 mg / 4.0 mls

Front 29

What is the Ceftriaxone dose for a 7 year old?

Back 29

Weight = 22 kg
IM 1000 mg / 4.0 mls

Front 30

What is the Ceftriaxone dose for a 8 year old?

Back 30

Weight = 24 kg
IM 1000 mg / 4.0 mls

Front 31

What is the Ceftriaxone dose for a 10 year old?

Back 31

Weight = 20 kg
IM 1000 mg / 4.0 mls

Front 32

What is the IN Fentanyl dose for a new born?

Back 32

Weight = 3.5 kg
IN 7.5 mcg / 0.25 mls
(Using 100mcg / 2ml amp)

Front 33

What is the IN Fentanyl dose for a 2 month old?

Back 33

Weight = 5 kg
IN 10 mcg / 0.3 mls
(Using 100mcg / 2ml amp"

Front 34

What is the IN Fentanyl dose for a 6 month old?

Back 34

Weight = 7 kg
IN 15 mcg / 0.4 mls
(Using 100mcg / 2ml amp)

Front 35

What is the IN Fentanyl dose for a 1 year old?

Back 35

Weight = 10 kg
IN 20 mcg / 0.5 mls
(Using 100mcg / 2ml amp)

Front 36

What is the IN Fentanyl dose for a 2 year old?

Back 36

Weight = 12 kg
IN 25 mcg / 0.6 mls
(Using 100mcg / 2ml amp)

Front 37

What is the IN Fentanyl dose for a 3 year old?

Back 37

Weight = 14 kg
IN 27.5 mcg / 0.65 mls
(Using 100mcg / 2ml amp)

Front 38

What is the IN Fentanyl dose for a 4 year old?

Back 38

Weight = 16 kg
IN 32.5 mcg / 0.75 mls
(Using 100mcg / 2ml amp)

Front 39

What is the IN Fentanyl dose for a 5 year old?

Back 39

Weight = 18 kg
IN 35 mcg / 0.8 mls
(Using 100mcg / 2ml amp)

Front 40

What is the IN Fentanyl dose for a 6 year old?

Back 40

Weight = 20 kg
IN 40 mcg / 0.9 mls
(Using 100mcg / 2ml amp)

Front 41

What is the IN Fentanyl dose for a 7 year old?

Back 41

Weight = 22 kg
IN 45 mcg / 1.0 mls
(Using 100mcg / 2ml amp)

Front 42

What is the IN Fentanyl dose for a 8 year old?

Back 42

Weight = 24 kg
IN 50mcg / 1.0 mls
(Using 100mcg / 2ml amp)

Front 43

What is the IN Fentanyl dose for a 9 year old?

Back 43

Weight = 26 kg
IN 60 mcg / 0.3 mls
(Using 600 mcg in 2ml amp)

Front 44

What is the IN Fentanyl dose for a 10 year old?

Back 44

Weight = 33 kg
IN 60 mcg / 0.3 mls
(Using 600 mcg in 2ml amp)

Front 45

What is the IN Fentanyl dose for a 11 year old?

Back 45

Weight = 36 kg
IN 75 mcg / 0.35 mls
(Using 600 mcg in 2ml amp)

Front 46

What is the IN Fentanyl dose for a 12 year old?

Back 46

Weight = 40 kg
IN 75 mcg / 0.35 mls
(Using 600 mcg in 2ml amp)

Front 47

What is the IN Fentanyl dose for a 13 year old?

Back 47

Weight = 43 kg
IN 90 mcg / 0.4 mls
(Using 600 mcg in 2ml amp)

Front 48

What is the IN Fentanyl dose for a 14 year old?

Back 48

Weight = 46 kg
IN 90 mcg / 0.4 mls
(Using 600 mcg in 2ml amp)

Front 49

What is the Ceftriaxone dose for a 15 year old?

Back 49

Adult Dose - 1gm / 4.0 mls

Front 50

What is the Ceftriaxone dose for a 16 year old?

Back 50

Adult Dose - 1gm / 4.0 mls

Front 51

What is the Dose for Ceftriaxone?

Back 51

50mg / Kg IM made up with 3.5 mls Lignocaine
Administer to upper outer thigh
(IV Method preferred if accredited)

** If 6 yr / 20 kg or greater then full dose**

Front 52

What is the Paediatric dose of IN Fentanyl?

Back 52

2 mcg / kg IN every 5 / 60
repeat up to 1 mcg / kg every 5/60
(max 3 doses) until pain reduced
to comfortable / tolerable level or
onset of side effects
(max dose 4mcg / kg)

if pain not controlled by above, and no IV access then
Morphine 0.1 mg / kg IM - Single Dose

Front 53

Which size ampule should IN fentanyl be prepared from?

Back 53

If <25 kg then Fentanyl 100 mcg / 2 mls

If > 25 kg then Fentanyl 600 mcg / 2mls

Front 54

What is the drug protocol for Tonic Clonic seizures?

Back 54

Midazolam 0.1 mg / kg IM

If seizure contnues 10/60 then repeat original dose.
Max dose 10 mg / kg

Front 55

What is the paed drug protocol for Anaphylaxis

Back 55

If Angio oedema or Urticaria or GIT disturbance
PLUS
Respiratory distress / bronchospasm or
< adequate perfusion or
ACS then

Adrenaline 10 mcg / kg IM (1:1000)
rpt. 10 mg / kg IM every 5/60
until satisfactory result or onset of side effects

Treat bronchospasm as per Asthma Protocol

Front 56

Wat is the Adult drug protocol for Anaphylaxis?

Back 56

If Angio oedema or Urticaria or GIT disturbance
PLUS
Respiratory distress / bronchospasm or
< adequate perfusion or
ACS then:

Adrenaline 0 3mg / 0.3 mls IM (1:1000)
rpt. 0 3mg / 0.3 mls IM every 5/60
until satisfactory result or onset of side effects

Treat bronchospasm as per Asthma Protocol"

Front 57

What is the Paediatric drug protocol in case of narcotic overdose?

Back 57

Naloxone 10 mcg / kg IM (max 2mg)

- if inadequate respone after 10 / 60 then
repeat 10 mcg / kg IM (max 2mg)

Front 58

What is the definition of a post partum haemorrhage?

Back 58

Blood loss > 500 mls in first 24 hour post birth.

Front 59

What is the management of croup?

Back 59

Mild / Moderate - BLS

Severe - increasing resp distress, increasing lethargy,
decreasing stridor
- Adrenaline 5mg / 5mls nebulised
repeat as above every 5/60 until improved.

Front 60

What is the Paed Asthmas Protocol?

Back 60

Mild - Mod
- pMDI 4 puffs (4 breaths)
every 4/60 until resolved

Severe - Salbutamol 10mg (5mls) and
Ipratopium Bromide 250mg (1ml)
- Repeat Salbutamol 5mg (2.5mls)
every 5/60 as required"

Front 61

What is the protocol for an unconscious asthmatic, with a cardiac output?

Back 61

- Ventilate - Infant 15 - 20 / min at 10ml /kg
- Small child 10 - 15 /min at 10 ml/kg
- Large child 8 - 12 / min at 10 ml/kg
- Moderately high respiratory pressures
- Allow for prolonged expiratory phase
- Gentle lateral chest pressure during expiration
if required

If inadequate response:
- if no IV Salbutamol then
Adrenaline 10 mcg / kg IM (1:1000)
repeat 20/60 as required
(max 30 mcg / kg (3 doses ))

Front 62

What is the management of a paediatric unconscious Asthmatic that lose cardiac output?

Back 62

Apnoea 30 sec
Exclude tension Pneumo thorax
Gentle lateral chest pressure
Prepare for potential resus

Front 63

At what rate do we commence ECC on a Paediatric

Back 63

1. Where no palapable pulse (carotid / brachial / femoral)
2. HR < 60 (infants)
3. HR < 40 (children)

Front 64

What hand technique do we use for paediatrics?

Back 64

1. Infant - Two fingers or two thumbs technique
(preferred)
2. Small child - one handed
3. Larger Child - Two handed

Front 65

What are the key points for newborn CPR?

Back 65

Definition - first few minutes to hours post birth
- 3:1
- ventilate at 40-60 / min with 5-10ml / kg
- 90 compressions / 30 breaths per minute
- suction mouth then nose
- airway management and ventilation key priorities

where HR < 100
- if after 1 min HR < 60 compressions should be started.
- Defib 4J per kg every 2/60 as required
- avoid use of ecg electrodes unless resus

Front 66

What are the definitions of paediatrics (age)?

Back 66

"1. New Born - birth to hours
2. Infant - < 1 year
3. Small Child - 1 to 8 years
4. Large Child - 9 to 14 years"

Front 67

Paediatric weight calculations

Back 67

1. New Born - 3.5 kg
2. 5 months - 7kg
3 1 year - 10 kg
4. 1-9 years - age x 2 + 8kg
5. 10-14 years - age x 3.3kg