Paracetamol dosage for Paediatric group. How its Calculated ?
Paracetamol is commonly used to relieve pain and reduce fever in children. Calculating the correct dosage is crucial to ensure its safety and effectiveness. Here's a breakdown of how it's done:
1. Standard Dosage:
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The general rule: 15 mg of paracetamol per kilogram of body weight per dose.
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Frequency: Every 4 to 6 hours as needed.
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Maximum daily dose: Do not exceed 60 mg/kg in 24 hours.
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Maximum single dose: Should not be more than 1 gram (1000 mg), even if the calculated dose based on weight is higher.
2. Calculation:
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Step 1: Weigh the child accurately in kilograms.
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Step 2: Multiply the child's weight (in kg) by 15 mg/kg.
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Step 3: Compare the calculated dose with the maximum single dose (1 gram). If the calculated dose exceeds 1 gram, give 1 gram.
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Step 4: Ensure the total daily dose does not exceed 60 mg/kg.
Example:
A child weighing 20 kg needs paracetamol.
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Calculation: 20 kg x 15 mg/kg = 300 mg
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This is within the safe single dose limit, so you would give 300 mg of paracetamol.
Important Considerations:
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Age restrictions: Paracetamol is generally safe for children older than 2 months. Always consult a doctor for infants under 2 months.
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Liquid formulations: Paracetamol comes in various liquid concentrations (e.g., 120 mg/5 mL or 250 mg/5 mL). Carefully check the concentration and measure the correct volume using a calibrated measuring device.
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Different formulations: Besides liquids, paracetamol is available as suppositories, which can be useful for children who have difficulty swallowing or are vomiting.
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Underlying health conditions: Children with liver or kidney problems may need dosage adjustments. Always consult a doctor in such cases.
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Never exceed the recommended dosage: Overdosing on paracetamol can cause serious liver damage.
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Seek medical advice: If your child's fever or pain doesn't improve after a few doses of paracetamol, consult a doctor.
Always read the label and follow the dosage instructions provided by the manufacturer or your doctor.