Most common ER pediatric meds
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This is a discussion on Most common ER pediatric meds in Emergency Nursing, part of Nursing Specialties ... Hello. I work in an emergency department that sees mostly adults but we get pediatrics on...
by liser79 Dec 23, '12Hello.
I work in an emergency department that sees mostly adults but we get pediatrics on occasion. I wanted to know which meds are most common for peds in the ER, specifically the ones I should administer with caution. (I know all meds should be administered with caution)
Thanks.
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Dec 23, '12 by hiddencatRNThe most commonly used PEDs meds are pretty low risk. Tylenol, ibuprofen, albuterol, prednisolone, zofran, amoxicillin, decadron, racemic epinephrine. IV fluids (NSS, D5NS or D5 1/2NS), morphine for severe pain. Ampicillin, gentamycin, acyclovir for neonatal fevers. Ativan, diastat, or IM versed for seizures. Mag for bad asthma. LET, LMX, or EMLA for topical numbing.That Guy and ~*Stargazer*~ like this. -
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Dec 23, '12 by cjcsoon2brnI don't work in the ED. I work in Adult Med/Surg but I used to be a tech. in a Pediatric ED. HiddencatRN hit on some of the big time meds. One I would admin. with caution in the Pedi. population is Toradol. It is not recommended for children but since it is used often for adults I have seen it ordered in regular EDs that serve Adults/Children. Although Toradol isn't recommended for children I have seen it used in 16 - 17 year olds on rare occation (usually only 1 dose.)
!Chris
- Dec 23, '12 by hiddencatRNWe use toradol frequently in pediatrics. It's a godsend for sickle cell pain and migraines. The formulary (lexicomp) we use doesn't caution against it.
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Dec 26, '12 by ChristineNQuote from cjcsoon2brnChris, I have done peds and adults and I have seen tordol used more frequently with children than with adults. With sickle cell, migraines, or any sort of inflammatory pain, Tordol can work wonders for kids. Because of the risk of bleeding, it is often contraindicated in a lot of the elderly population. Most hospitals have a policy about how many doses of tordol you can receive in a 30 day period, and once you have max'ed out your tordol doses the patient would be switched to Motrin.I don't work in the ED. I work in Adult Med/Surg but I used to be a tech. in a Pediatric ED. HiddencatRN hit on some of the big time meds. One I would admin. with caution in the Pedi. population is Toradol. It is not recommended for children but since it is used often for adults I have seen it ordered in regular EDs that serve Adults/Children. Although Toradol isn't recommended for children I have seen it used in 16 - 17 year olds on rare occation (usually only 1 dose.)
!ChrishiddencatRN likes this. -
Dec 29, '12 by JahnaI would only add ketamine to this list. In Peds, this drug is one of the go meds for moderate sedation procedures.That Guy and ~*Stargazer*~ like this. -
Dec 30, '12 by That GuyI still get nervous with morphine. I always give half the ordered dose, wait assess then give the rest. Seen one too many times of nurses just push it like on adults and then the kid is gorked. - Dec 30, '12 by hiddencatRNAs long as you give a weight appropriate dose and aren't pushing it too fast, morphine is safe in kids. Children are more likely to be undertreated for pain than snowed. I've had many chats with residents on not fearing morphine.
- Dec 30, '12 by That GuyQuote from hiddencatRNIts mainly from my inexperience with the kiddos. I am becoming more and more comfortable with them, but it is taking time and I find that I am becoming better with confidence with them. All in due time. But thanks for thatAs long as you give a weight appropriate dose and aren't pushing it too fast, morphine is safe in kids. Children are more likely to be undertreated for pain than snowed. I've had many chats with residents on not fearing morphine.
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