Case Studies

A 6-month-old baby is having a cleft lip operation. He weighs 6 kg.

Question: How much paracetamol can you give rectally?

Answer

A 6-month-old baby is having a cleft lip operation. He weighs 6 kg.

Question: How much paracetamol can you give rectally?

Answer: You can give:

  • Loading dose paracetamol PR 180-240 mg
  • Maintenance dose PO/PR 120 mg per dose 6 hourly
  • Maximum daily dose PO/PR 450 mg/24 hours

A 2-month-old baby is having his scheduled vaccinations.

Question: How would you manage his pain?

Answer

A 6-month-old baby is having a cleft lip operation. He weighs 6 kg.

Question: How much paracetamol can you give rectally?

Answer: You can give:

  • Loading dose paracetamol PR 180-240 mg
  • Maintenance dose PO/PR 120 mg per dose 6 hourly
  • Maximum daily dose PO/PR 450 mg/24 hours

A 2-month-old baby is having his scheduled vaccinations.

Question: How would you manage his pain?

Answer: Management involves:

  • Non pharmacologic strategies: Swaddling, sucrose water, pacifier, breast feeding, distraction during the procedure
  • Pharmacologic strategies: Oral paracetamol