Paediatric Doses Emergency Medications

This is a general guide for the "average" sized child. If doubt arises over the dosage e.g.. because of thPaediatric Doses e child's size or an underlying medical condition, check the dosage in the eBNF.

Check if the dose has been quoted in mg. or ml.

Age 1-12mth 1yr 3yrs 5yrs 7yrs 9yrs 11yrs
Estimated Wt (Kg) - 10Kg 14Kg 18Kg 22Kg 26Kg 30Kg
20ml/Kg fluid bolus By wt 200ml 280ml 360ml 440ml 520ml 600ml
Paracetamol 15mg/Kg By wt 150mg 210mg 270mg 330mg 390mg 450mg
Paracetamol 30mg/Kg
(only single dose if none in previous 12 hrs)		 By wt 300mg 420mg 540mg 660mg 780mg 900mg
Morphine IV (0.1mg/Kg) By wt 1.0mg 1.4mg 1.8mg 2.2mg 2.6mg 3mg
Diclofenac 1mg/Kg (PO/PR) By wt 10mg 14mg 18mg 22mg 26mg 30mg

Anaphylaxis
Adrenaline   1:1000 IM 150mcg (0.15mL) IM 300mcg (0.3mL) IM
Chlorpheniramine IV/IM   2.5 - 5mg 5 - 10mg
Hydrocortisone IV/IM By wt 50mg 100mg

Convulsions
Diazepam PR (0.5mg/Kg approx) 2.5 5mg 5mg 10mg 10mg 10mg 10mg
Lorazepam 0.1mg/kg IV

Asthma
Salbutamol Neb 2.5mg 2.5mg 5mg 5mg 5mg 5mg

Content by - Dr Andrew Newton 23/06/2000. Reviewed by Dr ÍOS 02/03/2004, 30/05/2005. Last review Dr. ÍOS 3/05/17