Paediatric analgesiC
Oral and parenteral analgesia
| Drug | Dose per kilo | Times a day |
| Paracetamol | 15mg/Kg orally Up to 30mg/kg PR |
4-6 hrly Max 90mg/kg for 3 days |
| Brufen (beware in asthmatics) |
5mg/Kg orally 7mg/Kg orally |
QDS TDS (max 20mg/Kg/24 hrs |
| Diclofenac | 1mg/Kg PO or PR | TDS to max 3mg/Kg/day |
| Codeine | 1mg/Kg orally | 4 - 6 hrly |
| Morphine | 01. - 0.2mg/Kg IV | PRN (Reverse with naloxone 10mcg/Kg then 100mcg/Kg) |
| Diamorphine (not available in Éire) | 0.1mg/Kg Intranasal (in 0.2ml) | PRN (Link to intranasal diamorphine page) |
Local anaesthetics
Ametop
Can be used in children over 1 month old
Leave in situ for 30 mins for venepuncture
Remove after 1 hour
Lasts 4 - 6 hours after removal
Do not use on mucous membranes
Emla
Children over 1 year of age
>Should be left in situ for minimum 1 hour
After 2 hours will provide anaesthesia to 6 mm depth
Lignocaine 1%
Max 3mg/Kg
Adrenaline & cocaine gel
1ml of gel per 1cm of wound
To max 4mls
Not on mucous membranes or abrasions
Controlled drug
- Use TAC in preference to EMLA for topical anaesthesia [BestBets]
- For superficial wounds, topical anaesthesia should be used in preference to lignocaine inifiltration [BestBets]
