Pediatric Oral Sedation Meds

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Author:
rundds
ID:
164691
Filename:
Pediatric Oral Sedation Meds
Updated:
2012-08-01 16:02:46
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pediatric oral sedation
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Pediatric Oral Sedation Meds
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  1. What are the dosage amounts for Meperidine?(Demerol) for Moderate Anxiety and Severe Anxiety?
    • Moderate Anxiety
    •  1.0 mg/kg -- 1.5 mg/kg

    • Severe Anxiety
    •  1.5 mg/kg -- 2.0 mg/kg
  2. What are the dosage amounts for Midazolam? (versed)
    • Moderate Anxiety:  
    •   0.5 mg/kg

    • Severe Anxiety
    •   0.7-- 1.0 mg/kg

    MAX 20 MG
  3. How much Vistaril/ Atarax do you dispense during Moderate Anxiety? Sever Anxiety?
    • Moderate Anxiety:  
    •  25 mg dosage WITH Meperidine or Midazolam 

    • ONLY  Vistaril/Atarax
    • 25-100 mg for children less than 3 yrs of age
    • 50-100 mg for children over 3 yrs of age



    Severe Anxiety

    2mg/kg/day   Epocrates
  4. How much Promethazine (Phenegran) is dispensed in Moderate Anxiety and Severe Anxiety? What is the FDA Warning about Promethazine?
    • Moderate Anxiety 
    • 0.5 mg/kg

    • Severity Anxiety 
    • 25 mg total

    FDA Advisory: No Promethazine for 2 yrs or younger
  5. When do you use Diazapem? (Valium)
    • DO NOT use for Moderate Anxiety
    • Use on mostly older patients 

    • Severe Anxiety 
    • 0.5 mg/kg   MAX 10mg

    Dispense with Promethazine  0.5 mg/kg
  6. What are the Drug Regimens for Moderate Anxiety? 
    1. Meperidine 1.0-- 1.5 mg/kg     +   Vistaril   25  mg

    2. Midazolam 0.5 mg/kg

    3. Midazolam 0.5 mg/kg   +  Hydroxyzine  25 mg

    • 4. Hydroxyzine  25-100 mg for children less than 3 yrs
    •     50--100 mg for children over 3 yrs
  7. What are the drug regimens for Severe Anxiety? 
    1. Meperidine 2.0 mg/kg   +   Promethazine 0.5 mg/kg  or  Vistaril 25 mg

    2. Midazolam 0.7 -- 1.0 mg/kg   max 20 mg

    3. Midazolam 0.7 -- 1.0 mg/kg   +   25 mg Hydroxyzine or Promethazine

    4. Diazapam  0.5 mg/kg   +   Promethazine  0.5 mg/kg
  8. What are the Asthmatic Patient Sedation Regimens? 
    • MODERATE ANXIETY
    • 1. Midazolam  0.5 mg/kg
    • 2. Midazolam  0.5 mg/kg  +  Hydroxyzine 25 mg

    • SEVERE ANXIETY
    • 1. Midazolam 0.7 -- 1.0 mg/kg   max 20mg
    • 2. Midazolam 0.7 -- 1.0 mg/kg   +  25 mg Hydroxyzine or Promethazine
    • 3. Diazapam 0.5 mg/kg    max 10 mg  +   Promethazine 0.5 mg/kg
  9. Demerol (Meperidine) and Local Anesthetic can do what when adminstered together? 
    Raise Seizure Threshold
  10. What are the Triple Medication Regimens for Severe Anxiety? 
    • 1. Older Children  6-9 yrs
    •   Midazolam  0.5 mg/ kg    10 mg  MAX
    •   Meperidine  1 mg/ kg       50 mg  MAX
    •   Hydroxyzine 1mg/kg       25 mg  MAX

    • B1 M1    Valium   0.3 mg/kg  MAX 10 mg
    •                Demerol 1.5 mg/kg  
    •                Hydroxyzine   25 mg

    • B2  M2   Valium   0.3 mg/kg   MAX 10 mg
    •                 Demerol  1.0  mg/kg
    •                 Visteril  25 mg
  11. What is the drug MAX for Meperidine, Valium and Versed? 
    • 1. Meperidine    50 mg
    • 2. Valium          10 mg
    • 3. Versed           20 mg

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