Analgesics and sedatives (peds)

Analgesics

Non-Opioid

Acetaminophen

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

Ibuprofen

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

Ketorolac

  • IM/IV: 0.5mg/kg/dose q6hrs

Tramadol

  • PO: 1-2mg/kg/dose q4-6hrs

Opioid

Naloxone

  • IV/IM: 0.001-0.02mg/kg/dose

Morphine

  • IM/IV: 0.05-0.2mg/kg/dose q2-4hrs

Hydromorphone

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

Fentanyl

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

Oxycodone

  • PO: 0.05-0.15mg/kg/dose q4-6hrs

Codeine

  • PO: 0.5=1mg/kg/dose q4-6hrs

Methadone

  • IV/PO: 0.05-0.1mg/kg/dose q6hrs

Combination Medication

Acetaminophen with Codeine

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

Acetaminophen with Hydrocodone

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

Acetaminophen with Oxycodone

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

Sedatives

Midazolam

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

Lorazepam

  • IV/PO: 0.05-0.1mg/kg q4-8hrs

Ketamine

  • IV: 0.5-2mg/kg
  • IM: 3-7mg/kg

Chloral hydrate

  • PO: 25-50mg/kg

Propofol

  • IV: 1-2mg/kg over 30 seconds

Etomidate

  • IV: 0.3mg/kg

See Also

References

Authors:

Ross Donaldson