Analgesics and sedatives (peds): Difference between revisions

No edit summary
No edit summary
Line 33: Line 33:
===Combination Medication===
===Combination Medication===
Acetaminophen with Codeine
Acetaminophen with Codeine
*
*PO: 0.5-1 mg/kg/dose of codeine q4-6hrs
Acetaminophen with Hydrocodone
Acetaminophen with Hydrocodone
*
*PO: 0.15 mg/kg/dose of hydrocodone q4-6hrs
Acetaminophen with Oxycodone
Acetaminophen with Oxycodone
*
*PO: 0.05-0.15 mg/kg/dose of oxycodone 14-6hrs


==Sedatives==
==Sedatives==
[[Midazolam]]
[[Midazolam]]
*
*IM: 0.05-0.15 mg/kg; max 10 mg
*IV:
**6mo-5yr: 0.05-0.1 mg/kg initially with up to 0.6 mg/kg needed; max 6 mg
**6yr-12yr: 0.025-0.05 mg/kg initially with up to 0.4 mg/kg needed; max 10 mg
**12yr-16yr:1-2mg initially with up to 2.4-5mg needed; max 10 mg
*PO: 0.25-0.5 mg/kg; max 20 mg
[[Lorazepam]]
[[Lorazepam]]
*
*IV/PO: 0.05-0.1 mg/kg q4-8hrs
[[Ketamine]]
[[Ketamine]]
*
*IV: 0.5-2 mg/kg
*IM: 3-7 mg/kg
[[Chloral hydrate]]
[[Chloral hydrate]]
*
*PO: 25-50 mg/kg
[[Dexmedetomidine]]
*
[[Propofol]]
[[Propofol]]
*
*IV: 1-2 mg/kg over 30 seconds
[[Etomidate]]
[[Etomidate]]
*
*IV: 0.3 mg/kg
 
[[Image:Peds_Analgesics_and_Sedatives_1.jpg]]
 
 
 
[[Image:Peds_Analgesics_and_Sedatives_2.jpg]]


==See Also==
==See Also==

Revision as of 18:13, 5 March 2016

Analgesics

Non-Opioid

Acetaminophen

  • PO/PR: 10-15 mg/kg/dose q4-6hrs
  • Children’s Tylenol is 160mg/5ml
  • Max: 75 mg/kg/day or 4000 mg/day

Ibuprofen

  • PO: 4-10 mg/kg/dose q6-8hrs
  • Children’s Motrin is 100mg/5ml
  • Max: 40 mg/kg/day

Ketorolac

  • IM/IV: 0.5 mg/kg/dose q6hrs

Tramadol

  • PO: 1-2 mg/kg/dose q4-6hrs

Opioid

Naloxone

  • IV/IM: 0.001-0.02 mg/kg/dose

Morphine

  • IM/IV: 0.05-0.2 mg/kg/dose q2-4hrs

Hydromorphone

  • IV: 0.015 mg/kg/dose q4-6hrs
  • PO: 0.03-0.08 mg/kg/dose q3-4hrs

Fentanyl

  • IV: 1-2 mcg/kg/dose q1-2hrs
  • IN: 1-2 mcg/kg/dose via atomizer

Oxycodone

  • PO: 0.05-0.15 mg/kg/dose q4-6hrs

Codeine

  • PO: 0.5=1 mg/kg/dose q4-6hrs

Methadone

  • IV/PO: 0.05-0.1 mg/kg/dose q6hrs

Combination Medication

Acetaminophen with Codeine

  • PO: 0.5-1 mg/kg/dose of codeine q4-6hrs

Acetaminophen with Hydrocodone

  • PO: 0.15 mg/kg/dose of hydrocodone q4-6hrs

Acetaminophen with Oxycodone

  • PO: 0.05-0.15 mg/kg/dose of oxycodone 14-6hrs

Sedatives

Midazolam

  • IM: 0.05-0.15 mg/kg; max 10 mg
  • IV:
    • 6mo-5yr: 0.05-0.1 mg/kg initially with up to 0.6 mg/kg needed; max 6 mg
    • 6yr-12yr: 0.025-0.05 mg/kg initially with up to 0.4 mg/kg needed; max 10 mg
    • 12yr-16yr:1-2mg initially with up to 2.4-5mg needed; max 10 mg
  • PO: 0.25-0.5 mg/kg; max 20 mg

Lorazepam

  • IV/PO: 0.05-0.1 mg/kg q4-8hrs

Ketamine

  • IV: 0.5-2 mg/kg
  • IM: 3-7 mg/kg

Chloral hydrate

  • PO: 25-50 mg/kg

Propofol

  • IV: 1-2 mg/kg over 30 seconds

Etomidate

  • IV: 0.3 mg/kg

See Also

References