[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-365841-105":3,"detail-sidebar-cat-0-en-105":81,"doc-detail-365841-en":131},{"code":4,"msg":5,"data":6},0,"ok",{"site_id":7,"language":8,"slug":9,"title":10,"keywords":11,"description":12,"schema_data":13,"social_meta":74,"head_meta":76,"extra_data":78,"updated_unix":80},105,"en","section-24-pediatric-medication-administration","Section 24 - Pediatric Medication Administration","","Section 24 outlines pediatric medication administration and pediatric pain control protocols for prehospital providers. It specifies route-based medication administration, emphasizing special attention to patient age and weight and limiting pediatric dosing to adult maximums per Memorial EMS System. The document includes EMR, BLS, A-EMT/EMT-I, and paramedic care steps with pain assessment using validated scales, comfort measures, oxygen guidance, and medication options (morphine sulfate and fentanyl), including IV and intranasal dosing charts and key decision points requiring medical control.",{"@graph":14,"@context":73},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/document/","Document",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/document/healthcare/","Healthcare",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/document/section-24-pediatric-medication-administration/365841/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/section-24-pediatric-medication-administration/365841.png","ImageObject",300,407,{"name":42,"@type":43},"Finn","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-10-28","2026-09-23",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",13,{"@type":57,"mainEntity":58},"FAQPage",[59,65,69],{"name":60,"@type":61,"acceptedAnswer":62},"How are oxygen and pulse oximetry used in EMR pain care for pediatric patients?","Question",{"text":63,"@type":64},"Oxygen is given with 10–15 LPM via NRM if respiratory distress is noted, or 6 LPM via nasal cannula if the mask can’t be tolerated. If no obvious respiratory distress is noted, apply a pulse ox and give oxygen/nasal cannula as needed to keep pulse ox above 94%.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"What pain assessment tools are recommended in the pediatric pain protocol?",{"text":68,"@type":64},"Pain should be rated using the Pain Assessment Scale (0–10) or the Wong-Baker Faces Pain Rating Scale, with reassessment after interventions.",{"name":70,"@type":61,"acceptedAnswer":71},"When can paramedics provide pain medication without calling Medical Control?",{"text":72,"@type":64},"Paramedic care may administer pain medication without calling Medical Control when the situation is limited to listed cases (e.g., extremity pain such as deformity or inability to bear weight, burns, abdominal/flank pain, head pain/injury with GCS 15, or discomfort from an IO infusion) as long as the patient’s BP remains age-appropriate.","https://schema.org",{"og:url":32,"og:type":75,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":77,"canonical":32},"index,follow",{"doc_id":79,"site_id":7},365841,1790428141,{"code":4,"msg":82,"data":83},"success",[84,88,92,96,101,106,110,115,120,123,127],{"id":22,"doc_module":4,"doc_module_name":25,"category_name":85,"show_sort_weight":86,"slug":87},"Story & Novel",90,"story-novel",{"id":26,"doc_module":4,"doc_module_name":25,"category_name":89,"show_sort_weight":90,"slug":91},"Literature",80,"literature",{"id":33,"doc_module":4,"doc_module_name":25,"category_name":93,"show_sort_weight":94,"slug":95},"Exam",70,"exam",{"id":97,"doc_module":4,"doc_module_name":25,"category_name":98,"show_sort_weight":99,"slug":100},5,"Comic",60,"comic",{"id":102,"doc_module":4,"doc_module_name":25,"category_name":103,"show_sort_weight":104,"slug":105},6,"Technology",50,"technology",{"id":107,"doc_module":4,"doc_module_name":25,"category_name":29,"show_sort_weight":108,"slug":109},7,40,"healthcare",{"id":111,"doc_module":4,"doc_module_name":25,"category_name":112,"show_sort_weight":113,"slug":114},8,"Research & Report",30,"research-report",{"id":116,"doc_module":4,"doc_module_name":25,"category_name":117,"show_sort_weight":118,"slug":119},9,"Religion & Spirituality",20,"religion-spirituality",{"id":118,"doc_module":4,"doc_module_name":25,"category_name":121,"show_sort_weight":118,"slug":122},"World Cup","world-cup",{"id":124,"doc_module":4,"doc_module_name":25,"category_name":125,"show_sort_weight":124,"slug":126},10,"Lifestyle","lifestyle",{"id":128,"doc_module":4,"doc_module_name":25,"category_name":129,"show_sort_weight":97,"slug":130},19,"General","general",{"code":4,"msg":82,"data":132},{"doc_id":79,"user_id":133,"nickname":42,"user_avatar":134,"doc_module":4,"category_id":107,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":55,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":111,"language":140,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":12,"update_tm":144,"read_time":118},34359740700684,"https://ap-avatar.wpscdn.com/avatar/1f400023980c374ae676?_k=1777273430885731487","Section 24  \nPediatric Medication Administration  \nPediatric Medication Administration Procedure   24.A.1  \nPediatric Pain Control Protocol   24.B. 1  \nIntranasal Fentanyl Dosing Chart ................................................................................................................ 24.C.1  \nIntranasal Versed Dosing Chart ................................................................................................................... 24.D.1  \nPediatric Medication Administration Procedure  \nMedication administration is accomplished by specific routes as indicated by the protocols. Pediatric medication routes and procedures are analogous to the adult patient with the exception of the intraosseous (IO) .  \nSpecial consideration needs to be given to patient age and weight when administering medications.  \nResources for medication dosages include:  \n• Specific treatment protocol  \n• Medical Control  \n• Broselow Tape**  \n**Per Memorial EMS System protocol, do not exceed the adult dose when administering pediatric medications. Approximate weight based on age:  \nAge-Weight  \n• Newborn-3 kg / 7 lbs  \n• 2 months-5 kg / 8 lbs  \n• 6 months-7 kg / 15 lbs  \n• 1 year-10 kg / 22 lbs  \n• 5 years-20 kg / 44 lbs  \n• 10 years-30 kg / 66 lbs  \n• 16 years-Adult values  \nPediatric Pain Control Protocol  \nPain, and the lack of relief from the pain, is one of the most common complaints among patients. Pediatric pain must not be ignored and must be identified and treated if appropriate. The prehospital provider must use clinical observations and a pain scale to rate the pain of the child.  \nEMR Care  \n1. Render initial care in accordance with the Routine Pediatric Care Protocol  \n2. Oxygen If respiratory distress is noted, 10-15 LPM via NRM or ifunable to tolerate the mask, 6 LPM via nasal cannula.  \na. If no obvious respiratory distress is noted, apply a pulse ox. If > 94% and no signs/ symptoms of respiratory distress, no Oxygen is required. If \u003C94% apply nasal cannula at 2-6 LPM or 15 LPM via NRM as needed to raise pulse ox to >94% .  \n3. Assess level of pain using the Pain Assessment Scale (0-10) or the Wong-Baker Faces Pain Rating Scale.  \n4. Place patient in a position of comfort.  \n5. Reassure the patient.  \n6. Use distraction therapy to help reduce the patient’s anxiety (e.g. stuffed animals, discussing favorite foods, toys, etc.)  \n7. Consider ice or splinting.  \n8. Reassess level of pain using the approved pain scale.  \nBLS Care  \n1. BLS Care includes all of the components of EMR Care.  \n2. Apply Waveform Capnography (if equipped) .  \n3. Initiate Paramedic intercept, if indicated and begin transport.  \nA-EMT/EMT-I Care  \n1. A-EMT/EMT-I Care includes all of the components of BLS Care.  \n2. Establish IV access.  \n3. In cases of extremity pain (long bone fractures) or burns may consider:  \n1mcg/kg IV over 2 minutes for pain (Max single dose: 50mcg).  \nFentanyl  \nIf additional pain medication is required, consider Paramedic upgrade or contact Medical Control.  \n\n|  | If unable to establish IV access may administer Intranasal Fentanyl.(Max single dose: 100mcg Intranasal)\u003Cbr>(See intranasal dosing sheet of Pediatric Prehospital Care Manual) . |\n| --- | --- |\n\nPediatric Pain Control Protocol  \nParamedic Care  \n1. Paramedic Care includes all of the components ofA-EMT/EMT-I Care.  \n2. In cases of extremity pain (deformity, inability to bear weight, inability to flex joints etc.), back pain, burns, abdominal/ flank pain, head pain/injury (with GCS of 15), and discomfort from an IO infusion pain medication may be given without calling Medical Control as long as the patient BP remains age appropriate. Any other situation involving pain medication administration requires Medical Control order prior to giving the medication.  \n3. Manage the patient’s pain by using one of the following medications. Situation can dictate which medication is first and second option or if one or both medications are administered:  \nMorphine Sulfate  \n0.1mg/kg I","cbCaik1j3i4rgA4Y","https://ap.wps.com/l/cbCaik1j3i4rgA4Y","pdf",386236,"English","# Pediatric Medication Administration Procedure\n## Pediatric Pain Control Protocol\n## EMR Care\n## BLS Care\n## A-EMT/EMT-I Care\n## Paramedic Care\n## Intranasal Fentanyl Dosing Chart","[{\"question\":\"How are oxygen and pulse oximetry used in EMR pain care for pediatric patients?\",\"answer\":\"Oxygen is given with 10–15 LPM via NRM if respiratory distress is noted, or 6 LPM via nasal cannula if the mask can’t be tolerated. If no obvious respiratory distress is noted, apply a pulse ox and give oxygen/nasal cannula as needed to keep pulse ox above 94%.\"},{\"question\":\"What pain assessment tools are recommended in the pediatric pain protocol?\",\"answer\":\"Pain should be rated using the Pain Assessment Scale (0–10) or the Wong-Baker Faces Pain Rating Scale, with reassessment after interventions.\"},{\"question\":\"When can paramedics provide pain medication without calling Medical Control?\",\"answer\":\"Paramedic care may administer pain medication without calling Medical Control when the situation is limited to listed cases (e.g., extremity pain such as deformity or inability to bear weight, burns, abdominal/flank pain, head pain/injury with GCS 15, or discomfort from an IO infusion) as long as the patient’s BP remains age-appropriate.\"}]","Section 24 - Pediatric Medication Administration | PDF",1790162596]