Paediatric cardiology clinical profile - University Hospital ...

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WARFARINUses :Dose :Anticoagulant1)Used in management of Prosthetic valves2)Used in management of Fontana circulation3)Used in management of cardiomyopathy and in some conditions where risk ofpooling and turbulent flowUsually 100-200mcg/kg daily, orallyDose varied according to INRTarget INR Values :1) 3 – 42) 2 – 33) 2 – 3NB. Normal INR 0.8 – 1.2Side-effects :Risk of excessive bleeding and bruisingRisk of haemoptysisRashHair lossInteractions :Notes :Aspirin, NSAID’s, and Amiodarone and antibiotics can all affect INR and worsensymptomsMonitored on venous blood sample in hospital, dose adjusted accordingly. Usuallytested weeklyPatient may have home Coaguchek machine which tests on capillary blood sample
Specialised Cardiac DrugsADRENALINE (EPINEPHRINE)Uses :1 st line drug used in resuscitationDose :Baby/child 1 st dose 0.1ml/kg of 1 in 10,0002 nd /subsequent doses 1ml/kg of 1 in 10,000Older children 1 st dose 1ml/kg of 1 in 10,0002 nd /subsequent doses 1ml/kg of 1 in1,000RAPID IV/IO BOLUSSide-effects :Tremor, tachycardia, arrhythmias, headache, dizziness, vomitingNotes : May be given via ET tube, dose needs to be multiplied by 10DINOPROSTONEUses:Dose:Side-effects:Notes:To maintain patency of ductus arteriosus in patients with duct dependant lesionsTo encourage PVR to fall artificially soon in preparation for cardiac surgery5 –25ng/kg/minContinuous IV infusionRapid effect, short half-lifeApnoea, bradycardia, hypotension, flushing, pyrexia, peripheral vasoconstrictionRisk of necrotising enterocolitisEffect is reversed if O2 is given-ask before administering
Page 3: COMMON DRUGS USED IN PAEDIATRIC CAR
Page 7 and 8: DIGOXINUses :Dose :Side-effects :In
Page 9: CODEINE PHOSPHATEUses :Dose :Side-e

Paediatric cardiology clinical profile - University Hospital ...

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