pain relief in children

• High temperature common in children, usually returns to normal in 3-4 days
• Normal temperature in children/ babies

  36.4 C
• High temperature


  38 C or more
• High temperature is bodies normal response to fighting infections like coughs/ colds
• Causes of high temperature

  • Childhood illnesses e.g. chickenpox, tonsillitis
  • Vaccinations
• Immunisation dose?

  2-3 MONTHS

  • PARACETAMOL - 120mg/5ml
  • (>4kg & born after 37 weeks) 2.5ml (60mg) if necessary, after 4-6hrs can give 2nd dose of 2.5ml (60mg)
• Paracetamol doses by age 120mg/5ml

  • 3-5 MONTHS - 2.5ml (60mg) QDS
  • 6-23 MONTHS - 5ml (120mg) QDS
  • 2-3 YEARS - 7.5ML (180mg) QDS
  • 4-5 YEARS - 10ML (240mg) QDS
• Ibuprofen doses by age100mg/5ml

  • 3-5 MONTHS - 2.5ml (50mg) TDS
  • 6-11 MONTHS - 2.5ml (50mg) TDS/QDS
  • 1-3 YEARS - 5ML (100mg) TDS
  • 4-6 YEARS - 7.5ML (150mg) TDS
  • 7-9 YEARS - 10ML (200mg) TDS
  • 10-11 YEARS - 15ML (300mg) TDS
  • DOSES SHOULD BE GIVEN EVERY 6-8 HRS (WITH MINIMUM 6 HOURS BETWEEN DOSES)
• Paracetamol doses by age 250mg/5ml?

  • 6-7 YEARS - 5ML (250mg) QDS
  • 8-9 YEARS - 7.5ML (375mg) QDS
  • 10-12 YEARS - 10ML (500mg) QDS
• referrals in children with fevers?

  • <3 months old - high temp of 38 C or more
  • 3-6 months old - high temp of 39 C or more
  • Rash with high temp
  • not eating/or their usual self
  • high temp that does not come down with paracetamol/ibuprofen
  • dehydration- DRY NAPPIES, SUNKEN EYES, NO TEAR WHEN CRYING