PARACETAMOL -Intravenous

Perfalgan

Prepared by Dr Mariam Buksh, Amy Chan, Branda Hughes &
Elizabeth Oliphant
February 2011
Dose and Pharmacology Newborn Drug Protocol Index Newborn Services Home Page

 

Management of  IV Paracetamol Administration

Description

Prescription

Administration
 

Slow IV Infusion

  1. Dilution is generally not required unless the baby weighs <1000 grams.
  2. Dilute to 2 mg/ml for use in ELBW infants using sodium chloride 0.9% or glucose 5%. If diluted, the solution should be used immediately (do not store for more than one hour, including the infusion time).
  3. Filter through a Pall (0.2 micron) filter prior to administration.
  4. Administer by slow IV bolus over 15 minutes.
  5. Flush the line before and after administration with sodium chloride 0.9%.
  6. Compatible with glucose 5% and sodium chloride 0.9%.
  7. Incompatible with Intralipid solution
  8. Do NOT mix with other drugs, blood or blood products.

Observation and Documentation

Storage

References

1 Anderson BJ, Allegaert K. Intravenous neonatal paracetamol dosing:the majic of 10 days.Pediatric Anesth 2009;19:289-295.
2 Anderson BJ, Wollard GA, Holford NH. A model for size and age changes in the pharmacokinetics of paracetamol in neonates, infants and children. Br J Clin Pharmacol 2000; 50(2):125-134.
3 Wilson-Smith EM, Morton NS. Survey of i.v. paracetamol (acetaminophen) use in neonates and infants under 1 year of age by UK anesthetists. Pediatric Anesth 2009; 19(4):329-337.
4 Perfalgan®.Data Sheet. Auckland:Bristol-Myers Squibb (NZ) Limited.,
October 2010. Available from URL: www.medsafe.govt.nz
5 http://www.adhb.govt.nz/newborn/DrugProtocols/ParacetamolPharmacology.htm