Peds Pain Meds

Pain:
  • tylenol 15mg/kg q 4 hrs (up to 500mg)
  • ibuprofen 10mg/kg q 6 hrs (up to 600mg)
  • Meds:
    • fentanyl 1-2mcg/min IV, 2mcg/kg IN (comes in 50mcg/kg) max age 40kg), 
    • midazolam 0.05-0.1mg/kg IV, 0.2-0.5 mg/kg (works up to 20kg),  (lower range when child is older)
    • ketamine 0.3mg/kg IV pain control, 1mg/kg IN pain control (works up to 70kg)
      • “PEM Playbook:” there is no contraindication to ketamine except for known hydrocephalus. It is safe in head trauma.”
        Read more at http://pemplaybook.libsyn.com/adventures-in-rsi#fI2bh14dHlwxO6J8.99



ketorolac

CrCL >50ml/min 30mg IV/IM
CrCl 20-50 mL/min 15mg IV/IM


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