BNF for Children 2011-2012

Croup(section 3.1)Dexamethasone oral solution (2 mg/5 mL). By mouthChild 1 month–2 years 150 micrograms/kg as asingle doseDiabetic hypoglycaemia(section 6.1.4)Glucose or sucrose. By mouthChild 2–18 years approx. 10–20 g (55–110 mLLucozade c Energy Original or 100–200 mL Coca-Cola c —both non-diet versions or 2–4 teaspoonfulsof sugar or 3–6 sugar lumps), repeated after 10–15minutes if necessaryor if hypoglycaemia unresponsive or if oral routecannot be usedGlucagon injection (1 mg/mL). By subcutaneous, intramuscular or intravenousinjectionChild body-weight under 25 kg 500 micrograms(0.5 mL)Child body-weight over 25 kg 1 mg (1 mL)or if hypoglycaemia prolonged or unresponsive toglucagon after 10 minutesGlucose intravenous infusion (10%). By intravenous injection into large veinChild 1 month–18 years 5 mL/kg (glucose 500 mg/kg)Meningococcal disease(Table 1, section 5.1)Benzylpenicillin sodium injection (600 mg, 1.2 g). By intravenous injection (or by intramuscular injectionif venous access not available)Neonate 300 mgChild 1 month–1 year 300 mgChild 1–10 years 600 mgChild 10–18 years 1.2 gNote A single dose can be given before urgent transfer tohospital, so long as this does not delay the transferor if history of allergy to penicillinCefotaxime injection (1 g). By intravenous injection (or by intramuscular injectionif venous access not available)Neonate 50 mg/kgChild 1 month–12 years 50 mg/kg (max. 1 g)Child 12–18 years 1gNote A single dose can be given before urgent transfer tohospital, so long as this does not delay the transferor if history of immediate hypersensitivity reaction(including anaphylaxis, angioedema or urticarialreaction) to penicillin or to cephalosporinsChloramphenicol injection (1 g). By intravenous injectionChild 1 month–18 years 12.5–25 mg/kgNote A single dose can be given before urgent transfer tohospital, so long as this does not delay the transfer