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{{#vardefine:weight|35}}{{#vardefine:age|10}}
{{#expr: 1/2 round 0 }}
{{#expr: 1/2 round 0 }}


{{#expr:{{#var:weight}}*{{#var:lidocainepretreatment}} }} mg
{{#vardefine:weight|35}}{{#vardefine:age|10}}
==[[Intubation]]==
{| class="wikitable"
| align="center" style="background:#f0f0f0;"|'''Medication'''
| align="center" style="background:#f0f0f0;"|'''Dose'''
| align="center" style="background:#f0f0f0;"|'''Calculation'''
|-
! scope="row" colspan="3"| '''Pretreatment'''
|-
| [[Lidocaine]]|| {{#expr:{{#var:weight}}*{{#var:lidocainepretreatment}} }} mg||{{#var:lidocainepretreatment}} mg/kg<ref>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</ref>
|-
| [[Fentanyl]]|| {{#expr:{{#var:weight}}*{{#var:fentanyl}} }} mcg||{{#var:fentanyl}}  mcg/kg
{{#ifexpr: {{#var:age}}<6|
<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>
</tr>
}}
|-
! scope="row" colspan="3"|'''RSI'''
|-
| [[Etomidate]] || {{#expr:{{#var:weight}}*{{#var:etomidatedoseint}} }} mg|| {{#var:etomidatedoseint}} mg/kg
|-
| [[Succinylcholine]] ||{{#expr:{{#var:weight}}*{{#var:succ}} }} mg|| {{#var:succ}} mg/kg
|-
| [[Midazolam]] (Versed) || {{#expr:{{#var:weight}}*{{#var:midazolam}} }} mg || {{#var:midazolam}} mg/kg
|-
| [[Ketamine]] ||{{#expr:{{#var:weight}}*{{#var:ketamine}} }} mg|| {{#var:ketamine}} mg/kg
|-
| [[Vecuronium]] || {{#expr:{{#var:weight}}*{{#var:vec}} }} mg|| {{#var:vec}} mg/kg
|-
| [[Rocuronium]]||{{#expr:{{#var:weight}}*{{#var:roc}} }} mg|| {{#var:roc}} mg/kg
|-
! scope="row" colspan="3"|'''Equipment'''
|-
| ET Tube (cuffed) || {{#vardefine:ETTsize|{{#expr:ceil({{#var:age}}/4 + 3)}} }} {{#ifexpr:{{#var:ETTsize}}>7.5|8|{{#var:ETTsize}} }} ±0.5  ||age/4+3
{{#ifexpr: {{#var:age}}<8|
<tr>
<td>ET Tube (uncuffed)</td><td>{{#expr:ceil ({{#var:age}}/4 + 4)}} ±0.5</td><td>age/4+4</td>
</tr>
}}
|-
| Blade|| {{#ifexpr:{{#var:age}}<2|1}} {{#ifexpr:{{#var:age}}=2|2}} {{#ifexpr:{{#var:age}}=3|2-3}} {{#ifexpr:{{#var:age}}=4|2-3}} {{#ifexpr:{{#var:age}}=5|2-3}} {{#ifexpr:{{#var:age}}>5|3-4}}|| Miller or MAC
|-
| cm to teeth|| {{#ifexpr:{{#var:ETTsize}}>7.5|23|{{#expr:{{#var:ETTsize}}*3 }} }}|| 3 x ETT size
|-
|}




Revision as of 18:41, 30 March 2015

1


Intubation

Medication Dose Calculation
Pretreatment
Lidocaine Expression error: Missing operand for *. mg mg/kg[1]
Fentanyl Expression error: Missing operand for *. mcg mcg/kg
RSI
Etomidate Expression error: Missing operand for *. mg mg/kg
Succinylcholine Expression error: Missing operand for *. mg mg/kg
Midazolam (Versed) Expression error: Missing operand for *. mg mg/kg
Ketamine Expression error: Missing operand for *. mg mg/kg
Vecuronium Expression error: Missing operand for *. mg mg/kg
Rocuronium Expression error: Missing operand for *. mg mg/kg
Equipment
ET Tube (cuffed) 6 ±0.5 age/4+3
Blade 3-4 Miller or MAC
cm to teeth 18 3 x ETT size





Intubation

Medication Dose Calculation
Pretreatment
Lidocaine 53 mg 1.5 mg/kg[2]
Fentanyl 35 mcg 1 mcg/kg
RSI
Etomidate 10.5 mg 0.3 mg/kg
Succinylcholine 53 mg 1.5 mg/kg
Midazolam (Versed) 2 mg 0.1 mg/kg
(max 2 mg per dose)
Ketamine 70 mg 2 mg/kg
Vecuronium 3.5 mg 0.1 mg/kg
Rocuronium 35 mg 1 mg/kg
Equipment
ET Tube (cuffed) 6 ±0.5 age/4+3
Blade 3-4 Miller or MAC
cm to teeth 18 3 x ETT size


Pulseless Arrest

Medication Dose Calculation
Defibrillation 70 J 2 J/kg
(max 200)
Epinephrine (1:10,000) 0.35 mg 0.01 mg/kg
(max 1 mg)
Amiodarone load (without pulse) 175 mg 5 mg/kg
(max 300)
Lidocaine 35 mg 1 mg/kg
Lidocaine Infusion 1750 mcg/min 50 mcg/kg/min
Magnesium sulfate 1750 mg 50 mg/kg
(max 2000 mg)
CalCl (100mg/mL) 700 20 mg/kg
(max 1000 mg)
Sodium Bicarbonate (8.4%) 35mL 1 mL/kg
(max 50 mL)


Cardiac with Pulse

Medication Dose Calculation
Adenosine 3.5 mg 0.1 mg/kg
(max 6 mg)
Adenosine Repeat 7 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 0.7 mg 0.02 mg/kg
(max 1 mg)
Cardioversion First Shock 35 J 1 J/kg
Cardioversion Second Shock 70 J 2 J/kg
Procainamide 525 mg 15 mg/kg
(max 1500 mg)
Diltiazem 8.75 mg 0.25 mg/kg
Esmolol 3500 mcg/min 100 mcg/kg/min
Magnesium sulfate 1750 mg 50 mg/kg
Nitroglycerin drip 1.75 mcg 0.05 mcg/kg/min
Glucagon 0.88 mg 0.025 mg/kg


Hypoglycemia

Medication Dose Calculation
D50W 50 mL (1 amp) 1 mL/kg
D25W 70 mL 2 mL/kg
D10 W 87.5 mL 2.5 mL/kg
Glucagon 0.88 mg 0.025 mg/kg


Vasopressors

Medication IV Dose (mcg/kg/min) Standard Concentration Final Concentration
Norepinephrine (Levophed) 0.01-2 mcg/kg/min 8 mg in 500 mL D5W 16 mcg/mL
Dopamine 2-20 mcg/kg/min 400 mg in 250 mL D5W 1,600 mcg/mL
Dobutamine 2-20 mcg/kg/min 250 mg in 250 mL D5W 1,000 mcg/mL
Epinephrine 0.01-1 mcg/kg/min 1 mg in 250 mL D5W 4 mcg/mL


Sedation

Medication Dose Calculation
Lorazepam (Ativan) 1.8 mg 0.05 mg/kg
(max 2 mg per dose)
Morphine 3.5 mg 0.1 mg/kg
Fenatnyl 35 mcg 1 mcg/kg
Ketamine 35 mg 1 mg/kg
Midazolam (Versed) 2 mg 0.1 mg/kg
(max 2 mg per dose)
Propofol IV (initial) 35 mg 1 mg/kg
Propofol (drip) 1750 mcg 50 mcg/kg/min


Seizure and CNS

Medication Dose Calculation
Lorazepam (Ativan) 1.8 mg 0.05 mg/kg
(max 2 mg per dose)
Fosphenytoin (PE = phenytoin equivalent) 700 PE 20 PE/kg
Phenytoin (Dilantin) 700 mg 20 mg/kg
Phenobarbitol 350 mg 10 mg/kg
Diazepam (Valium) rectal 3.5 mg 0.1 mg/kg every 2 min
Levetiracetam (Keppra) 700 mg 20 mg/kg
Mannitol 35 g 1 g/kg
Hypoglycemia IV dextrose see glucose table

References

  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
  2. ↑ 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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