Template:CCQuickRef: Difference between revisions

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{{Dosing Variables}}
{{Dosing Variables}}
{{#vardefine:age|50}} {{#vardefine:weight|50}}
==[[Intubation]]==
==[[Intubation]]==
{| class="wikitable"
{| class="wikitable"
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{{#ifexpr: {{#var:age}}<6|
{{#ifexpr: {{#var:age}}<6|
<tr>
<tr>
<td> [[Atropine]]</td><td>{{#vardefine:atropinedose|{{#expr:{{#var:weight}}*{{#var:atropine}} }} }}  {{#ifexpr:{{#var:atropinedose}}>0.5 |0.5|{{#var:atropinedose}} }} mg</td><td> {{#var:atropine}} mg/kg </td>
<td> [[Atropine]]</td><td>{{#vardefine:atropinedose|{{#expr:{{#var:weight}}*{{#var:atropine}} }} }}  {{#ifexpr:{{#var:atropinedose}}>0.5| 0.5mg |{{#var:atropinedose}} }} mg</td><td> {{#var:atropine}} mg/kg </td>
</tr>
</tr>
}}
}}
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| [[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]]|| {{#expr:{{#var:weight}}*{{#var:atropine}} }} mg ||  {{#var:atropine}} mg/kg
| [[Atropine]]|| {{#ifexpr:{{#expr:{{#var:weight}}*{{#var:atropine}} }} > {{#var:atropinemax}} | {{#var:atropinemax}} mg  |{{#expr:{{#var:weight}}*{{#var:atropine}} }} }} mg||  {{#var:atropine}} mg/kg <br> (max {{#var:atropinemax}} mg)
|-
|-
| [[Cardioversion]] First Shock || {{#expr:{{#var:weight}}*{{#var:cardioversion-first}} }} J || {{#var:cardioversion-first}}  J/kg
| [[Cardioversion]] First Shock || {{#expr:{{#var:weight}}*{{#var:cardioversion-first}} }} J || {{#var:cardioversion-first}}  J/kg
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| [[Cardioversion]] Second Shock || {{#expr:{{#var:weight}}*{{#var:cardioversion-second}} }} J|| {{#var:cardioversion-second}} J/kg
| [[Cardioversion]] Second Shock || {{#expr:{{#var:weight}}*{{#var:cardioversion-second}} }} J|| {{#var:cardioversion-second}} J/kg
|-
|-
| [[Procainamide]] ||{{#expr:{{#var:weight}}*{{#var:procainamide}} }} mg || {{#var:procainamide}} mg/kg
| [[Procainamide]] || {{#ifexpr:{{#expr:{{#var:weight}}*{{#var:procainamide}} }} > {{#var:procainamidemax}} | {{#var:procainamidemax}} mg | {{#expr:{{#var:weight}}*{{#var:procainamide}} }} mg}}|| {{#var:procainamide}} mg/kg <br> (max {{#var:procainamidemax}} mg)
|-
|-
| [[Diltiazem]] || {{#expr:{{#var:weight}}*{{#var:diltiazem}} round 2 }} mg || {{#var:diltiazem}} mg/kg
| [[Diltiazem]] || {{#expr:{{#var:weight}}*{{#var:diltiazem}} round 2 }} mg || {{#var:diltiazem}} mg/kg
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| align="center" style="background:#f0f0f0;"|'''Calculation'''
| align="center" style="background:#f0f0f0;"|'''Calculation'''
|-
|-
| [[Lorazepam]] (Ativan)||{{#expr:{{#var:weight}}*{{#var:lorazepamdrip}} round 1 }} mg || {{#var:lorazepamdrip}} mg/kg
| [[Lorazepam]] (Ativan)|| {{#ifexpr: {{#expr:{{#var:weight}}*{{#var:lorazepamdrip}} round 1 }} > {{#var:lorazepammax}} | {{#var:lorazepammax}}mg | {{#expr:{{#var:weight}}*{{#var:lorazepamdrip}} round 1 }} }} mg  || {{#var:lorazepamdrip}} mg/kg <br> (max {{#var:lorazepammax}} mg per dose)
|-
|-
| [[Morphine]]||{{#expr:{{#var:weight}}*{{#var:morphine}} }} mg ||{{#var:morphine}} mg/kg
| [[Morphine]]||{{#expr:{{#var:weight}}*{{#var:morphine}} }} mg ||{{#var:morphine}} mg/kg
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| [[Ketamine]]||{{#expr:{{#var:weight}}*{{#var:ketaminedrip}} }} mg || {{#var:ketaminedrip}} mg/kg
| [[Ketamine]]||{{#expr:{{#var:weight}}*{{#var:ketaminedrip}} }} mg || {{#var:ketaminedrip}} mg/kg
|-
|-
| [[Midazolam]] (Versed)|| {{#expr:{{#var:weight}}*{{#var:midazolamdrip}} round 2 }} mg || {{#var:midazolamdrip}} mg/kg
| [[Midazolam]] (Versed) || {{#ifexpr:{{ {{#expr:{{#var:weight}}*{{#var:midazolam}} round 1 }} > {{#var:midazolammax}} | {{#var:midazolammax}} mg | {{#expr:{{#var:weight}}*{{#var:midazolam}} round 1 }} }} mg|| {{#var:midazolam}} mg/kg <br> (max {{#var:midazolammax}} mg per dose)
|-
|-
| [[Propofol]] IV (initial) || {{#expr:{{#var:weight}}*{{#var:propofoliv}} }} mg ||  {{#var:propofoliv}} mg/kg
| [[Propofol]] IV (initial) || {{#expr:{{#var:weight}}*{{#var:propofoliv}} }} mg ||  {{#var:propofoliv}} mg/kg
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| align="center" style="background:#f0f0f0;"|'''Calculation'''
| align="center" style="background:#f0f0f0;"|'''Calculation'''
|-
|-
| [[Lorazepam]] (Ativan)||{{#expr:{{#var:weight}}*{{#var:lorazepamdrip}} round 1 }} mg || {{#var:lorazepamdrip}} mg/kg
| [[Lorazepam]] (Ativan)|| {{#ifexpr: {{#expr:{{#var:weight}}*{{#var:lorazepamdrip}} round 1 }} > {{#var:lorazepammax}} | {{#var:lorazepammax}}mg | {{#expr:{{#var:weight}}*{{#var:lorazepamdrip}} round 1 }} }} mg  || {{#var:lorazepamdrip}} mg/kg <br> (max {{#var:lorazepammax}} mg per dose)
|-
|-
| [[Fosphenytoin]] (PE = phenytoin equivalent) || {{#expr:{{#var:weight}}*{{#var:fosphenytoin}} }} PE|| {{#var:fosphenytoin}} PE/kg
| [[Fosphenytoin]] (PE = phenytoin equivalent) || {{#expr:{{#var:weight}}*{{#var:fosphenytoin}} }} PE|| {{#var:fosphenytoin}} PE/kg
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| [[Diazepam]] (Valium) rectal ||{{#expr:{{#var:weight}}*{{#var:diazepamiv}} round 1}} mg || {{#var:diazepamiv}} mg/kg every 2 min
| [[Diazepam]] (Valium) rectal ||{{#expr:{{#var:weight}}*{{#var:diazepamiv}} round 1}} mg || {{#var:diazepamiv}} mg/kg every 2 min
|-
|-
| [[Levetiracetam]] (Keppra)|| {{#expr:{{#var:weight}}*{{#var:levetiracetam}} round 2 }} mg || {{#var:levetiracetam}} mg/kg
| [[Levetiracetam]] (Keppra)|| {{#expr:{{#var:weight}}*{{#var:keppra}} round 2 }} mg || {{#var:keppra}} mg/kg
|-
|-
| [[Mannitol]] || {{#expr:{{#var:weight}}*{{#var:mannitol}} }} g || {{#var:mannitol}} mg/kg
| [[Mannitol]] || {{#expr:{{#var:weight}}*{{#var:mannitol}} }} g || {{#var:mannitol}} mg/kg

Revision as of 20:19, 1 April 2015



Intubation

Medication Dose Calculation
Pretreatment
Lidocaine 75 mg 1.5 mg/kg[1]
Fentanyl 50 mcg 1 mcg/kg
RSI
Etomidate 15 mg 0.3 mg/kg
Succinylcholine 75 mg 1.5 mg/kg
Midazolam (Versed) 5 mg 0.1 mg/kg
Ketamine 100 mg 2 mg/kg
Vecuronium 5 mg 0.1 mg/kg
Rocuronium 50 mg 1 mg/kg
Equipment
ET Tube (cuffed) 8 ±0.5 age/4+3
Blade 3-4 Miller or MAC
cm to teeth 23 3 x ETT size


Pulseless Arrest

Medication Dose Calculation
Defibrilation 200 J 2 J/kg
(max 200)
Epinephrine (1:10,000) 0.5mg mg 0.01 mg/kg
(max 1 mg)
Amiodarone load (without pulse) 250 mg 5 mg/kg
(max 300)
Lidocaine 50 mg 1 mg/kg
Lidocaine Infusion 2500 mcg/min 50 mcg/kg/min
Magnesium sulfate 2000 mg 50 mg/kg
(max 2000 mg)
CalCl (100mg/mL) 1000 20 mg/kg
(max 1000 mg)

Cardiac with Pulse

Medication Dose Calculation
Adenosine 5 mg 0.1 mg/kg
(max 6 mg)
Adenosine Repeat 10 mg 0.2 mg/kg
(max 12 mg)
Amiodarone load (with pulse) 150 mg 5 mg/kg
Amiodarone 2nd/3rd dose repeat loading dose up to total 3 times 15 mg/kg max
Atropine 1 mg 0.02 mg/kg
(max 1 mg)
Cardioversion First Shock 50 J 1 J/kg
Cardioversion Second Shock 100 J 2 J/kg
Procainamide 750 mg 15 mg/kg
(max 1500 mg)
Diltiazem 12.5 mg 0.25 mg/kg
Esmolol 5000 mcg/min 100 mcg/kg/min
Magnesium sulfate 2000 mg 50 mg/kg
Nitroglycerin drip 2.5 mcg 0.05 mcg/kg/min
Glucagon 1.25 mg 0.025 mg/kg

Hypoglycemia

Medication Dose Calculation
D50W 50mL (1 amp) 1 mL/kg
D25W 100mL 2 mL/kg
D10 W 125mL 2.5 mL/kg
Glucagon 1.25mg 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) 2mg mg 0.05 mg/kg
(max 2 mg per dose)
Morphine 5 mg 0.1 mg/kg
Fenatnyl 50 mcg 1 mcg/kg
Ketamine 50 mg 1 mg/kg
Midazolam (Versed) 2 mg | 5 }} mg 0.1 mg/kg
(max 2 mg per dose)
Propofol IV (initial) 50 mg 1 mg/kg
Propofol (drip) 2500 mcg 50 mcg/kg/min

Seizure and CNS

Medication Dose Calculation
Lorazepam (Ativan) 2mg mg 0.05 mg/kg
(max 2 mg per dose)
Fosphenytoin (PE = phenytoin equivalent) 1000 PE 20 PE/kg
Phenytoin (Dilantin) 1000 mg 20 mg/kg
Phenobarbitol 500 mg 10 mg/kg
Diazepam (Valium) rectal 5 mg 0.1 mg/kg every 2 min
Levetiracetam (Keppra) 1000 mg 20 mg/kg
Mannitol 50 g 1 mg/kg
Hypoglycemia IV dextrose see glucose table
  1. ↑ Robinson N, Clancy M. Emerg Med J. 2001 Nov; 18(6): 453–457. In patients with head injury undergoing rapid sequence intubation, does pretreatment with intravenous lignocaine/lidocaine lead to an improved neurological outcome? A review of the literature doi:10.1136/emj.18.6.453 PMCID:PMC1725712
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