Paediatric Overdose

Question 1

What are the assessment points in paediatric opioid overdose?

Answer 1

1. Exclude other causes
2. Confirm clinical signs of opioid OD
3. Assess most likely substance/s involved

Question 2

What is the Mx for a confirmed paediatric Opioid OD?

Answer 2

1. Assist and maintain airway/ventilation
2. Naloxone 10mcg/kg (max 400mcg) IM
   - Can repeat original dose once after 10mins
3. Request MICA

Question 3

What is the dosing calculation for Naloxone in paediatric Opioid OD?

Answer 3

10mcg/kg, max. 400mcg

Can repeat once only after 10mins

Question 4

Is there an “Other Opioid OD” for paediatrics?

Answer 4

No.

Question 5

If sedation is required in a psychostimulant overdose for a child, how is this managed?

Answer 5

Consult and work within adult Agitation CPG.

Question 6

In paediatric psychostimulant overdose, what are the key management points?

Answer 6

1. Be aware for potential for violence
2. Reduce stimuli, calm environment
3. Mx seizures as per Paed Seizures guidelines
4. Mx temp as per relevant CPGs
5. Mx aggression/agitation under consult