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Aprendiendo las dosis de los antitérmicos

Escrito por Isabel Rubio el 20 septiembre 2010 dentro de Enfermedades de la Infancia, General | 3 Comentarios escritos

A menudo en la consulta me preguntáis cómo calcular las dosis del paracetamol e ibuprofeno, los antitérmicos que más usamos.
Pues bien, veamos cómo hacerlo con una sencilla regla:
Paracetamol:
La dosis: 10-15 mg/kg/dosis (no sobrepasar los 60 mg/kg/día)
Aconsejo usar siempre la misma presentación, es decir, en el caso del paracetamol la de gotas (30 ml) o la solución de 60 o 90 ml pues la concentración es la misma: 1ml= 100 mg.
10 mg/kg/dosis = peso/10 = dosis a administrar en cc
Un ejemplo: tu hijo pesa 15 kg: 15/10= 1.5 cc de paracetamol (ojo! siempre que uses las presentaciones que he dicho, pues en otras puede ser distinta). A partir de 6 meses se puede repetir cada 4-6 u 8 horas.
Ibuprofeno:
La dosis:10 mg/kg/dosis (no sobrepasar los 30-40 mg/kg/día)
Y volvemos a lo mismo, usar siempre la misma presentación porque varía la concentración del producto, y así tenemos ibuprofeno al 2% y al 4%: en el ibuprofeno 2% 5ml=100 mg y en el ibuprofeno al 4% 5ml=200 mg.
10 mg/kg/dosis = peso/2 = dosis a administrar en cc de ibuprofeno al 2%.
10 mg/kg/dosis = peso/4 = dosis a administrar en cc de ibuprofeno al 4%
Un ejemplo: tu hijo pesa 20 kg: 20/2= 10 cc de ibuprofeno al 2% o 20/4= 5cc de ibuprofeno al 4%.
Y ahora lo complico un poco más: la dosis que hemos calculado de ibuprofeno es la que uso como dosis máxima, porque habitualmente con la regla de peso/3 = cc de ibuprofeno al 2% suele ser suficiente. Sólo en caso de fiebre alta difícil de controlar o dolor importante, otalgia, odontalgia…uso la “dosis correcta”: peso/2 = cc de ibuprofeno al 2%. Recordad que si estamos usando el ibuprofeno al 4% será siempre la mitad.
Y para terminar: ADIESTRAROS EN CALCULAR LAS DOSIS Y SUPERVISARLAS CON VUESTRO PEDIATRA Y USAR SIEMPRE LOS MISMOS FÁRMACOS CON LAS MISMAS CONCENTRACIONES PARA EVITAR EQUIVOCACIONES.

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