Pediatric Dose calculation and Pediatric Glasgow coma Scale

This slides will help to understand pediatric drug dose calculation and drip calculation. This slide will help to learn the glasgow coma scale.

1. Presentation On Pediatric Dose Calculation and G lasgow c oma Scale Presented By Neha Bhandari Staff Nurse

2. Dose calculation related to age Young’s rule Child’s dose = A ge(year) * adult dose Age (year)+ 12 Pediatric Dose Calculation

3. 2. Dilling’s rule Child’s dose = Age(year) *adult dose 20 3. Fried’s rule Child’s dose = Age(months) *adult dose 150

4. Clarke’s rule Child’s dose = Body wt.( lb ) *adult dose 150 Child’s dose = Body wt .(kg) *adult dose 70 # 1kg= 2.2 lb B. Dose calculation related to body weight

5. Child’s dose = Child’s BSA *adult dose 150 BSA= body surface area C. Dose calculation related to body surface area

6. 0-10 kg = wt.(kg)*100 ml/kg/day 10-20 kg = 1000ml+ [wt.(kg)*50 ml/kg/day > 20 kg = 1500ml + [wt.(kg )*20 ml/kg/day Fluid Requirement for pediatric

7. Drops/min = total volume [ml] * drop factor total time[min] Drop factor Micro drip delivers 20 drops/min Macro drip delivers 60 drops/min Drip calculation

8. S.N Children over 2 years Children below 2 years score A. Eye opening response Spontaneous opens with blinking Eye opening spontaneously 4 points 2. Opens to verbal command Eye opening to speech 3 points 3. Opens to pain Eye opening to pain 2 points 4. None No eye opening 1 points B. Verbal response 1. Oriented and converses Infant coos or babbles(normal) 5 points 2. Confused but able to answer questions Infant is irritable and continually cries 4 points 3. Inappropriate responses, words are discernible Infant cries to pain 3 points 4. Incomprehensible speech/sounds Infant moans to pain 2 points Pediatric Glasgow coma scale

9. 5. None No verbal response 1 points C. Motor Response 1. Obeys commands for movement Infant moves spontaneously or purposefully 6 points 2. Purposeful movement to painful stimulus Infant withdraws from touch 5 points 3. Withdraws from pain Infant withdraws from pain 4 points 4. Abnormal (spastic) flexion, decorticate posture Abnormal flexion to pain for an infant( decorticate response) 3 points 5. Extensor (rigid) response decerebrate posture Extension to pain( decerebrate response) 2 points 6. None No motor response 1 points

10. Scoring 13 – 15= mild brain injury 9- 12 = moderate brain injury 3- 8 = severe brain injury