PAEDIATRICS
PAEDIATRIC - GENERAL KNOWLEDGE
Drug doses - if no idea, divide adult dose by 50 - thats usually close to the mg/kg dose
PromptPaediatric age ranges
ResponseNeonates < 28 d
Infant ≥ 28 d - ≤ 1 y
Paediatrics > 1 y - ≤ 14 y
Juvenile > 14 y - ≤ 16 y
Adolescence / Puberty ≤ 19 y
Infant ≥ 28 d - ≤ 1 y
Paediatrics > 1 y - ≤ 14 y
Juvenile > 14 y - ≤ 16 y
Adolescence / Puberty ≤ 19 y
PromptDifferential Mnemonics
ResponseTHE MISFITS
Trauma
Heart
Endocrine
Metabolic
Iatrogenic
Sepsis
Feeding problems
Intestinal (emergencies
Toxins
Seizures
Trauma
Heart
Endocrine
Metabolic
Iatrogenic
Sepsis
Feeding problems
Intestinal (emergencies
Toxins
Seizures
PromptPreparation for paeds resus
ResponseWET FLAGS
Weight = (age + 4) x 2
Energy = 4 J/kg
Tube
Lorazepam (Midazolam) = 0.1 mg/kg of Midazolam IV
Adrenaline = 10 mics/kg
Glucose = 10% 2-5 mL/kg
Weight = (age + 4) x 2
Energy = 4 J/kg
Tube
- CUFFED = age/4 + 3.5
- UNCUFFED = age/4 +4
- ETT Depth = Age / 2 + 12 - Best
- ETT Depth = 3 x tube size
Lorazepam (Midazolam) = 0.1 mg/kg of Midazolam IV
Adrenaline = 10 mics/kg
Glucose = 10% 2-5 mL/kg
PromptAnalgesia in paeds
ResponseParacetamol 15 mg/kg, Ibuprofen 10 mg/kg
Fentanyl 1 mic/kg IV, 1.5 mics/kg IN
Morphine 0.1 mg/kg
Ketamine 0.2 mg/kg
Ondansetron 0.15 mg/kg
Reassurance, splinting, parents visible, distraction (toys/peppa pig oink oink).
Fentanyl 1 mic/kg IV, 1.5 mics/kg IN
Morphine 0.1 mg/kg
Ketamine 0.2 mg/kg
Ondansetron 0.15 mg/kg
Reassurance, splinting, parents visible, distraction (toys/peppa pig oink oink).
PromptANTIBIOTICS FOR SEPTIC CHILDREN
ResponseUNDER 2 MONTHS
Benpen 60 mg/kg + Cefotaxime 50 mg/kg IV
<7 days - both BD
7-28 days - Both 6-8 hourly
1-2 months - both Q6h
OVER 2 MONTHS
Fluclox 50 mg/kg + Ceftriaxone 50 mg/kg (Or cefotaxime)
ONCOLOGY PATIENTS
Tazocin 100 mg/kg (piperacilin component)
Amp 50 mg/kg + Gent 5 mg/kg + Metro 12.5 mg/kg
Benpen 60 mg/kg + Cefotaxime 50 mg/kg IV
<7 days - both BD
7-28 days - Both 6-8 hourly
1-2 months - both Q6h
OVER 2 MONTHS
Fluclox 50 mg/kg + Ceftriaxone 50 mg/kg (Or cefotaxime)
ONCOLOGY PATIENTS
Tazocin 100 mg/kg (piperacilin component)
- Amikacin 22.5mg/kg + Vancomycin 15mg/kg QID if severely unwell.
Amp 50 mg/kg + Gent 5 mg/kg + Metro 12.5 mg/kg
PromptCauses of sepsis in child >2 months
ResponseNeisseria Meningitidis
Streptococcus pneumoniae
Staphylococcus Aureus (MSSA or MRSA)
Group A streptococcus (GAS)
Streptococcus pneumoniae
Staphylococcus Aureus (MSSA or MRSA)
Group A streptococcus (GAS)