Pain management and fever in the pediatric population

Pain management and fever in the pediatric population -...

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Pain management and fever in the pediatric population Sucrose 12% - 24% - Used in infants < 6 months old - Oral or dipped in pacifier 1-2 mins b/f procedure o Heel sticks (bld test to screen for disease), circumcision adjunct and immunization Eutectic Mixture of Lidocaine and Prilocaine (EMLA) Local anesthetic, apply thick layer over skin and cover with occlusive dressing - Used for planned procedure pain o Placement of IV lines (1 hr prior) o Circumcision adjunct (5-15 min prior) o Lumbar puncture (1 hr prior) - Approved for > 37 weeks GA (term baby) o 0-3 mons or <5kg: 1 g applied for 1 hr o 3-12 mons & >5k: 2 g applied for 4 hrs o 1-6 yr & >10kg: 10 g applied for up to 4 hrs o 7-12 yr & > 20kg: 20 g for up to 4 hrs Not FDA approved 0.5 g applied to heel of preterm neonates - Should not be used in: o Methemoglobinemia Fe2+ inside Hb, oxidized to Fe3+, which cannot carry O2 o <12 months and are receiving Methemoglobinemia inducing agents Aniline dyes Prilocaine & lidocaine NO o <3months given longer dose/duration of drug o Glucose 6 phosphate deficiency at ↑ risk for Methemoglobinemia o Para-aminobenzoic acid (PABA) sensitivity Lidocaine 4% Apply ¼ inch thick layer to intact skin, may use occlusive dressing, remove cream bf procedure (Do not use on blisters or burns) - OTC approved ≥2 yrs o
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