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
- “PEM Playbook:” there is no contraindication to ketamine except for known hydrocephalus. It is safe in head trauma.”
ketorolac
CrCL >50ml/min 30mg IV/IM
CrCl 20-50 mL/min 15mg IV/IM