Template:CCQuickRef

Critical Care Quick Reference Group

kg	2
Age	0 years
Broselow Color	Green

Normal Vital Signs

Heart Rate	75
Respiratory Rate	18
Systolic BP	>90

Intubation

Medication	Dose	Calculation
Pretreatment
Lidocaine	3 mg	1.5 mg/kg
Fentanyl	2 mcg	1 mcg/kg
Atropine	0.04 mg	0.02 mg/kg
RSI
Etomidate	0.6 mg	0.3 mg/kg
Succinylcholine	3 mg	1.5 mg/kg
Midazolam (Versed)	0.2 mg	0.1 mg/kg
Ketamine	4 mg	2 mg/kg
Vecuronium	0.2 mg	0.1 mg/kg
Rocuronium	2 mg	1 mg/kg
Equipment
ET Tube (cuffed)	3	cuffed: age/4+3 uncuffed: age/4+4
Blade	1	Miller or MAC
cm to teeth	9	3 x ETT size

Pulseless Arrest

Medication	Dose	Calculation
Defibrilation First Shock	4 J	2 J/kg
Defibrilation Second Shock	8 J	4 J/kg
Epinephrine (1:10,000)	0.02 mg	0.01 mg/kg
Amiodarone load (without pulse)	10 mg	5 mg/kg
Lidocaine	2 mg	1 mg/kg
Lidocaine Infusion	100 mcg/min	50 mcg/kg/min
Magnesium sulfate	100 mg	50 mg/kg
CalCl (100mg/mL)	40 mg	20 mg/kg

Cardiac with Pulse

Medication	Dose	Calculation
Adenosine	0.2 mg	0.1 mg/kg
Adenosine Repeat	0.4 mg	0.2 mg/kg
Amiodarone load (with pulse)	10 mg	5 mg/kg
Amiodarone 2nd/3rd dose	repeat loading dose up to total 3 times	15 mg/kg max
Atropine	0.04 mg	0.02 mg/kg
Cardioversion First Shock	2 J	1 J/kg
Cardioversion Second Shock	4 J	2 J/kg
Procainamide	30 mg	15
Diltiazem	0.5 mg	0.25 mg/kg
Esmolol	200 mcg	100 mcg/kg/min
Magnesium sulfate	100 mg	50 mg/kg
Nitroglycerin drip	0.1 mcg	0.05 mcg/kg/min
Glucagon	0.05 mg	0.025 mg/kg

Hypoglycemia

Medication	Dose	Calculation
D10 W	5mL	2.5 mL/kg
Glucagon	0.05mg	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)	0.1 mg	0.05 mg/kg
Morphine	0.2 mg	0.1 mg/kg
Fenatnyl	2 mcg	1 mcg/kg
Ketamine	2 mg	1 mg/kg
Midazolam (Versed)	0.1 mg	0.05 mg/kg
Propofol IV (initial)	2 mg	1 mg/kg
Propofol (drip)	100 mcg	50 mcg/kg/min

Seizure and CNS

Medication	Dose	Calculation
Lorazepam (Ativan)	1.75 mg	0.05 mg/kg
Fosphenytoin (PE = phenytoin equivalent	40 PE	20 PE/kg
Phenytoin (Dilantin)	40 mg	20 mg/kg
Phenobarbitol	20 mg	10 mg/kg
Diazepam (Valium) rectal	0.2 mg	0.1 mg/kg every 2 min
Mannitol	2 g	1 mg/kg
Hypoglycemia	IV dextrose	see glucose table