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{{Dosing Variables}}
{{Dosing Variables}}
{{#vardefine:age|10}}
{{#vardefine:weight|34}}
==[[Critical Care Quick Reference]] Group==
==[[Critical Care Quick Reference]] Group==
{| class="wikitable"
{| class="wikitable"
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! scope="row" colspan="3"| '''Pretreatment'''
! scope="row" colspan="3"| '''Pretreatment'''
|-
|-
| [[Lidocaine]]||52.5mg||{{#var:lidocaine}} mg/kg
| [[Lidocaine]]|| {{#expr:{{#var:weight}}*{{#var:lidocaine}} }} mg||{{#var:lidocaine}} mg/kg
|-
|-
| [[Fentanyl]]||{{#expr: 35*1 }} ||{{#var:fentany}}  mcg/kg
| [[Fentanyl]]|| {{#expr:{{#var:weight}}*{{#var:fentanyl}} }} mcg||{{#var:fentanyl}}  mcg/kg
|-
|-
| [[Atropine]]||0.5mg|| {{#var:atropine}} mg/kg
| [[Atropine]]||{{#expr:{{#var:weight}}*{{#var:atropine}} }} mg|| {{#var:atropine}} mg/kg
|-
|-
! scope="row" colspan="3"|'''RSI'''
! scope="row" colspan="3"|'''RSI'''
|-
|-
| [[Etomidate]] || {{#expr:{{#var:weight}}+{{#var:etomidatedoseint}} }}|| {{#var:etomidatedoseint}} mg/kg
| [[Etomidate]] || {{#expr:{{#var:weight}}*{{#var:etomidatedoseint}} }} mg|| {{#var:etomidatedoseint}} mg/kg
|-
|-
| [[Succinylcholine]] ||50mg|| {{#var:succ}} mg/kg
| [[Succinylcholine]] ||{{#expr:{{#var:weight}}*{{#var:succ}} }} mg|| {{#var:succ}} mg/kg
|-
|-
| [[Midazolam]] (Versed) ||3.5mg|| {{#var:midazolam}} mg/kg
| [[Midazolam]] (Versed) || {{#expr:{{#var:weight}}*{{#var:midazolam}} }}mg || {{#var:midazolam}} mg/kg
|-
|-
| [[Ketamine]] ||70mg|| {{#var:ketamine}} mg/kg
| [[Ketamine]] ||{{#expr:{{#var:weight}}*{{#var:ketamine}} }} mg|| {{#var:ketamine}} mg/kg
|-
|-
| [[Vecuronium]] ||3.5mg|| {{#var:vec}} mg/kg
| [[Vecuronium]] || {{#expr:{{#var:weight}}*{{#var:vec}} }} mg|| {{#var:vec}} mg/kg
|-
|-
| [[Rocuronium]]||35mg|| {{#var:roc}} mg/kg
| [[Rocuronium]]||{{#expr:{{#var:weight}}*{{#var:roc}} }} mg|| {{#var:roc}} mg/kg
|-
|-
! scope="row" colspan="3"|'''Equipment'''
! scope="row" colspan="3"|'''Equipment'''
|-
|-
| ET Tube||6c ||ETSize
| ET Tube|| {{#vardefineecho:ETTsize|{{#expr:{{#var:age}}/4 + 4 }}}}||ETSize
|-
|-
| Blade||3 ||NA
| Blade||3 ||NA
|-
|-
| cm to teeth||18|| 3 x ETT size
| cm to teeth|| {{#expr:{{#var:ETTsize}}*3}}|| 3 x ETT size
|-
|-
|}
|}
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| align="center" style="background:#f0f0f0;"|'''Calculation'''
| align="center" style="background:#f0f0f0;"|'''Calculation'''
|-
|-
| [[Defibrilation]] First||70J ||  {{#var:defib-first}} J/kg
| [[Defibrilation]] First||{{#expr:{{#var:weight}}*{{#var:defib-first} }} J||  {{#var:defib-first}} J/kg
|-
|-
| [[Defibrilation]] Second || 140J || {{#var:defib-second}} J/kg
| [[Defibrilation]] Second || {{#expr:{{#var:weight}}*{{#var:defib-second}} }}  J|| {{#var:defib-second}} J/kg
|-
|-
| [[Epinephrine]] (1:10,000)|| 3.5mL || {{#var:epi|.1}} mg/kg
| [[Epinephrine]] (1:10,000)|| {{#expr:{{#var:weight}}*{{#var:epi}} }} mg|| {{#var:epi|.1}} mg/kg
|-
|-
| [[Amiodarone]] load (without pulse)||175mg || {{#var:amioload}} mg/kg
| [[Amiodarone]] load (without pulse)||175mg || {{#var:amioload}} mg/kg
|-
|-
| [[Lidocaine]]||35mg || {{#var:lidocaine}} mg/kg
| [[Lidocaine]]|| {{#expr:{{#var:weight}}*{{#var:lidocaine}} }} mg || {{#var:lidocaine}} mg/kg
|-
|-
| [[Lidocaine]] Infusion || 700 mcg/kg/min || {{#var:lidoinfusion}} mcg/kg/min
| [[Lidocaine]] Infusion || {{#expr:{{#var:weight}}*{{#var:lidoinfusion}} }} mcg/min || {{#var:lidoinfusion}} mcg/kg/min
|-
|-
| [[Magnesium sulfate]]||1750mg|| {{#var:mag}} mg
| [[Magnesium sulfate]]|| {{#expr:{{#var:weight}}*{{#var:mag}} }} mg || {{#var:mag}} mg
|-
|-
| [[CalCl]] (100mg/mL)||700mg|| {{#var:cacl}} mg/kg
| [[CalCl]] (100mg/mL)|| {{#expr:{{#var:weight}}*{{#var:cacl}} }} mg|| {{#var:cacl}} mg/kg
|-
|-
|}
|}
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| align="center" style="background:#f0f0f0;"|'''Calculation'''
| align="center" style="background:#f0f0f0;"|'''Calculation'''
|-
|-
| [[Adenosine]]||3.5mg || {{#var:adenosine}} mg/kg
| [[Adenosine]]|| {{#expr:{{#var:weight}}*{{#var:adenosine}} }}mg || {{#var:adenosine}} mg/kg
|-
|-
| [[Adenosine]] Repeat || || {{#var:adenosinerepeat}} mg/kg
| [[Adenosine]] Repeat || {{#expr:{{#var:weight}}*{{#var:adenosinerepeat}} }}mg || {{#var:adenosinerepeat}} mg/kg
|-
|-
| [[Amiodarone]] load (with pulse)||150mg ||{{#var:amioload}} mg/kg
| [[Amiodarone]] load (with pulse)|| {{#expr:{{#var:weight}}*{{#var:amioload}} }}mg ||{{#var:amioload}} mg/kg
|-
|-
| [[Amiodarone]] 2nd/3rd dose|| repeat loading dose up to total 3 times|| 15 mg/kg max
| [[Amiodarone]] 2nd/3rd dose|| repeat loading dose up to total 3 times|| 15 mg/kg max
|-
|-
| [[Atropine]]||0.7mg ||  {{#var:atropine}} mg/kg
| [[Atropine]]|| {{#expr:{{#var:weight}}*{{#var:atropine}} }}mg ||  {{#var:atropine}} mg/kg
|-
|-
| [[Cardioversion]] First Shock || || {{#var:cardioversion-first}}  J/kg
| [[Cardioversion]] First Shock || {{#expr:{{#var:weight}}*{{#var:cardioversion-first}} }}J || {{#var:cardioversion-first}}  J/kg
|-
|-
| [[Cardioversion]] Second Shock || || {{#var:cardioversion-second}} J/kg
| [[Cardioversion]] Second Shock || {{#expr:{{#var:weight}}*{{#var:cardioversion-second}} }} J|| {{#var:cardioversion-second}} J/kg
|-
|-
| [[Procainamide]] ||350mg || {{#var:procainamide}}  
| [[Procainamide]] ||{{#expr:{{#var:weight}}*{{#var:procainamide}} }}mg || {{#var:procainamide}}  
|-
|-
| [[Diltiazem]] || || {{#var:diltiazem}}  
| [[Diltiazem]] || {{#expr:{{#var:weight}}*{{#var:diltiazem}} }}mg || {{#var:diltiazem}} mg/kg
|-
|-
| [[Esmolol ]] || || {{#var:esmolol}} mcg/kg/min
| [[Esmolol ]] || {{#expr:{{#var:weight}}*{{#var:esmolol}} }}mcg || {{#var:esmolol}} mcg/kg/min
|-
|-
| [[Magnesium sulfate]]||1750mg|| {{#var:mag}} mg/kg
| [[Magnesium sulfate]]|| {{#expr:{{#var:weight}}*{{#var:mag}} }}mg|| {{#var:mag}} mg/kg
|-
|-
| [[Nitroglycerine]] drip ||  || {{#var:nitro|.05}} mcg/kg/min
| [[Nitroglycerin]] drip ||{{#expr:{{#var:weight}}*{{#var:nitro}} }}mcg || {{#var:nitro|.05}} mcg/kg/min
|-
|-
| [[Glucagon]] || || {{#var:glucagon}} mg/kg
| [[Glucagon]] || {{#expr:{{#var:weight}}*{{#var:glucagon}} }}mg || {{#var:glucagon}} mg/kg
|-
|-
|}
|}
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| [[D50W]] || 50mL (1 amp) || {{#var:d50w}}  
| [[D50W]] || 50mL (1 amp) || {{#var:d50w}}  
|-
|-
| D25W ||  || {{#var:d25}} mL/kg
| D25W ||  {{#expr:{{#var:weight}}*{{#var:d25}} }}mL|| {{#var:d25}} mL/kg
|-
|-
| D10 W || || {{#var:d10}} mL/kg
| D10 W ||{{#expr:{{#var:weight}}*{{#var:d10}} }}mL || {{#var:d10}} mL/kg
|-
|-
| [[Glucagon]] || || {{#var:glucagon}} mg/kg
| [[Glucagon]] || {{#expr:{{#var:weight}}*{{#var:glucagon}} }}mg|| {{#var:glucagon}} mg/kg
|}
|}


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| align="center" style="background:#f0f0f0;"|'''Calculation'''
| align="center" style="background:#f0f0f0;"|'''Calculation'''
|-
|-
| [[Lorazepam]] (Ativan)||1.75mg || {{#var:lorazepamdrip}} mg/kg
| [[Lorazepam]] (Ativan)||{{#expr:{{#var:weight}}*{{#var:lorazepamdrip}} }}mg || {{#var:lorazepamdrip}} mg/kg
|-
|-
| [[Morphine]]||3.5mg ||{{#var:morphine}} mg/kg
| [[Morphine]]||{{#expr:{{#var:weight}}*{{#var:morphine}} }}mg ||{{#var:morphine}} mg/kg
|-
|-
| [[Fenatnyl]]||35mcg || {{#var:fentanyl}} mcg/kg
| [[Fenatnyl]]|| {{#expr:{{#var:weight}}*{{#var:fentanyl}} }}mcg || {{#var:fentanyl}} mcg/kg
|-
|-
| [[Ketamine]]||35mg || {{#var:ketaminedrip}} mg/kg
| [[Ketamine]]||{{#expr:{{#var:weight}}*{{#var:ketaminedrip}} }}mg || {{#var:ketaminedrip}} mg/kg
|-
|-
| [[Midazolam]] (Versed)||1.75mg || {{#var:midazolamdrip}} mg/kg
| [[Midazolam]] (Versed)|| {{#expr:{{#var:weight}}*{{#var:midazolamdrip}} }}mg || {{#var:midazolamdrip}} mg/kg
|-
|-
| [[Propofol]] IV (initial) || ||  {{#var:propofoliv}} mg/kg
| [[Propofol]] IV (initial) || {{#expr:{{#var:weight}}*{{#var:propofoliv}} }} ||  {{#var:propofoliv}} mg/kg
|-
|-
| [[Propofol]] (drip) ||  || {{#var:propofoldrip}}  mcg/kg/min
| [[Propofol]] (drip) ||  {{#expr:{{#var:weight}}*{{#var:propofoldrip}} }}|| {{#var:propofoldrip}}  mcg/kg/min
|}
|}


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| [[Lorazepam]] (Ativan)||1.75mg|| {{#var:lorazepamdrip}}  
| [[Lorazepam]] (Ativan)||1.75mg|| {{#var:lorazepamdrip}}  
|-
|-
| [[Fosphenytoin]] || || {{#var:fosphenytoin}} PE/kg
| [[Fosphenytoin]] (PE = phenytoin equivalent || {{#expr:{{#var:weight}}*{{#var:fosphenytoin}} }} PE|| {{#var:fosphenytoin}} PE/kg
|-
|-
| [[Phenytoin]] (Dilantin) || || {{#var:phenytoin}} mg/kg
| [[Phenytoin]] (Dilantin) || {{#expr:{{#var:weight}}*{{#var:phenytoin}} }} || {{#var:phenytoin}} mg/kg
|-
|-
| [[Phenobarbitol]] ||350mg || {{#var:phenobarbitol}} mg/kg
| [[Phenobarbitol]] ||{{#expr:{{#var:weight}}*{{#var:phenobarbitol}} }}mg || {{#var:phenobarbitol}} mg/kg
|-
|-
| [[Diazepam]] (Valium) rectal || 10mg || {{#var:diazepamiv}} mg/kg every 2 min
| [[Diazepam]] (Valium) rectal ||{{#expr:{{#var:weight}}*{{#var:diazepamiv}} }}mg || {{#var:diazepamiv}} mg/kg every 2 min
|-
|-
| [[Mannitol]] || 35g || {{#var:mannitol}} mg/kg
| [[Mannitol]] || {{#expr:{{#var:weight}}*{{#var:mannitol}} }}g || {{#var:mannitol}} mg/kg
|-
|-
| [[Hypoglycemia]]|| IV dextrose || see glucose table
| [[Hypoglycemia]]|| IV dextrose || see glucose table
|}
|}

Revision as of 01:41, 30 March 2015



Critical Care Quick Reference Group

kg 34
Age 10 years
Broselow Color Green

Normal Vital Signs

Heart Rate 75
Respiratory Rate 18
Systolic BP >90

Intubation

Medication Dose Calculation
Pretreatment
Lidocaine 34 mg 1 mg/kg
Fentanyl 34 mcg 1 mcg/kg
Atropine 0.68 mg 0.02 mg/kg
RSI
Etomidate 10.2 mg 0.3 mg/kg
Succinylcholine 51 mg 1.5 mg/kg
Midazolam (Versed) 3.4mg 0.1 mg/kg
Ketamine 68 mg 2 mg/kg
Vecuronium 3.4 mg 0.1 mg/kg
Rocuronium 34 mg 1 mg/kg
Equipment
ET Tube 6.5 ETSize
Blade 3 NA
cm to teeth 19.5 3 x ETT size

Pulseless Arrest

Medication Dose Calculation
Defibrilation First {{#expr:34* J 2 J/kg
Defibrilation Second 136 J 4 J/kg
Epinephrine (1:10,000) 0.34 mg 0.01 mg/kg
Amiodarone load (without pulse) 175mg 5 mg/kg
Lidocaine 34 mg 1 mg/kg
Lidocaine Infusion 1700 mcg/min 50 mcg/kg/min
Magnesium sulfate 1700 mg 50 mg
CalCl (100mg/mL) 680 mg 20 mg/kg

Cardiac with Pulse

Medication Dose Calculation
Adenosine 3.4mg 0.1 mg/kg
Adenosine Repeat 6.8mg 0.2 mg/kg
Amiodarone load (with pulse) 170mg 5 mg/kg
Amiodarone 2nd/3rd dose repeat loading dose up to total 3 times 15 mg/kg max
Atropine 0.68mg 0.02 mg/kg
Cardioversion First Shock 34J 1 J/kg
Cardioversion Second Shock 68 J 2 J/kg
Procainamide 510mg 15
Diltiazem 8.5mg 0.25 mg/kg
Esmolol 3400mcg 100 mcg/kg/min
Magnesium sulfate 1700mg 50 mg/kg
Nitroglycerin drip 1.7mcg 0.05 mcg/kg/min
Glucagon 0.85mg 0.025 mg/kg

Hypoglycemia

Medication Dose Calculation
D50W 50mL (1 amp) 1
D25W 68mL 2 mL/kg
D10 W 85mL 2.5 mL/kg
Glucagon 0.85mg 0.025 mg/kg

Vasopressors

Medication IV Dose (mcg/kg/min) Concentration
Norepinephrine (Levophed) 0.1-2 mcg/kg/min 8mg in 500mL D5W
Dopamine 2-20 mcg/kg/min 400mg in 250 D5W
Dobutamine 2-20 mcg/kg/min 250mg in 250 mg D5W
Epinephrine 0.1-1 mcg/kg/min 1mg in 250 D5W

Sedation

Medication Dose Calculation
Lorazepam (Ativan) 1.7mg 0.05 mg/kg
Morphine 3.4mg 0.1 mg/kg
Fenatnyl 34mcg 1 mcg/kg
Ketamine 34mg 1 mg/kg
Midazolam (Versed) 1.7mg 0.05 mg/kg
Propofol IV (initial) 34 1 mg/kg
Propofol (drip) 1700 50 mcg/kg/min

Seizure and CNS

Medication Dose Calculation
Lorazepam (Ativan) 1.75mg 0.05
Fosphenytoin (PE = phenytoin equivalent 680 PE 20 PE/kg
Phenytoin (Dilantin) 680 20 mg/kg
Phenobarbitol 340mg 10 mg/kg
Diazepam (Valium) rectal 3.4mg 0.1 mg/kg every 2 min
Mannitol 34g 1 mg/kg
Hypoglycemia IV dextrose see glucose table
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