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{{Dosing Variables}} | {{Dosing Variables}} {{#vardefine:weight|100}}{{#vardefine:age|70}} | ||
==[[Intubation]]== | ==[[Intubation]]== | ||
{| class="wikitable" | {| class="wikitable" | ||
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| [[Lidocaine]] Infusion || {{#expr:{{#var:weight}}*{{#var:lidoinfusion}} }} mcg/min || {{#var:lidoinfusion}} mcg/kg/min | | [[Lidocaine]] Infusion || {{#expr:{{#var:weight}}*{{#var:lidoinfusion}} }} mcg/min || {{#var:lidoinfusion}} mcg/kg/min | ||
|- | |- | ||
| [[Magnesium sulfate]]|| {{#ifexpr:{{#expr:{{#var:weight}}*{{#var:mag}} }} > {{#var:magmax}} |{{#var:magmax} | | [[Magnesium sulfate]]|| {{#ifexpr:{{#expr:{{#var:weight}}*{{#var:mag}} }} > {{#var:magmax}} | {{#var:magmax}} |{{#expr:{{#var:weight}}*{{#var:mag}} }} }} mg|| {{#var:mag}} mg/kg <br>(max {{#var:magmax}} mg) | ||
|- | |- | ||
| [[CalCl]] (100mg/mL)|| {{#ifexpr:{{#expr:{{#var:weight}}*{{#var:cacl}} }} > {{#var:caclmax}} | {{#var:caclmax}} mg |{{#expr:{{#var:weight}}*{{#var:cacl}} }} }} || {{#var:cacl}} mg/kg <br> (max {{#var:caclmax}} mg) | | [[CalCl]] (100mg/mL)|| {{#ifexpr:{{#expr:{{#var:weight}}*{{#var:cacl}} }} > {{#var:caclmax}} | {{#var:caclmax}} mg |{{#expr:{{#var:weight}}*{{#var:cacl}} }} }} || {{#var:cacl}} mg/kg <br> (max {{#var:caclmax}} mg) | ||
| Line 95: | Line 95: | ||
| [[Esmolol ]] || {{#expr:{{#var:weight}}*{{#var:esmolol}} }} mcg || {{#var:esmolol}} mcg/kg/min | | [[Esmolol ]] || {{#expr:{{#var:weight}}*{{#var:esmolol}} }} mcg || {{#var:esmolol}} mcg/kg/min | ||
|- | |- | ||
| [[Magnesium sulfate]]|| {{#ifexpr:{{#expr:{{#var:weight}}*{{#var:mag}} }} > | | [[Magnesium sulfate]]|| {{#ifexpr:{{#expr:{{#var:weight}}*{{#var:mag}} }} > {{#var:magmax}} | {{#var:magmax}} | {{#expr:{{#var:weight}}*{{#var:mag}} }} }} mg|| {{#var:mag}} mg/kg | ||
|- | |- | ||
| [[Nitroglycerin]] drip ||{{#expr:{{#var:weight}}*{{#var:nitro}} }} mcg || {{#var:nitro|.05}} mcg/kg/min | | [[Nitroglycerin]] drip ||{{#expr:{{#var:weight}}*{{#var:nitro}} }} mcg || {{#var:nitro|.05}} mcg/kg/min | ||
Revision as of 14:06, 1 April 2015
Intubation
| Medication | Dose | Calculation |
| Pretreatment | ||
|---|---|---|
| Lidocaine | 150 mg | 1.5 mg/kg[1] |
| Fentanyl | 100 mcg | 1 mcg/kg |
| RSI | ||
| Etomidate | 30 mg | 0.3 mg/kg |
| Succinylcholine | 150 mg | 1.5 mg/kg |
| Midazolam (Versed) | 10 mg | 0.1 mg/kg |
| Ketamine | 200 mg | 2 mg/kg |
| Vecuronium | 10 mg | 0.1 mg/kg |
| Rocuronium | 100 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) | 1 mg | 0.01 mg/kg (max 1 mg) |
| Amiodarone load (without pulse) | 300 mg | 5 mg/kg (max 300) |
| Lidocaine | 100 mg | 1 mg/kg |
| Lidocaine Infusion | 5000 mcg/min | 50 mcg/kg/min |
| Magnesium sulfate | 2000 mg | 50 mg/kg (max 2000 mg) |
| CalCl (100mg/mL) | 1000 mg | 20 mg/kg (max 1000 mg) |
Cardiac with Pulse
| Medication | Dose | Calculation |
| Adenosine | 6 mg | 0.1 mg/kg (max 6 mg) |
| Adenosine Repeat | 12 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 | 2 mg | 0.02 mg/kg |
| Cardioversion First Shock | 100 J | 1 J/kg |
| Cardioversion Second Shock | 200 J | 2 J/kg |
| Procainamide | 1500 mg | 15 |
| Diltiazem | 25 mg | 0.25 mg/kg |
| Esmolol | 10000 mcg | 100 mcg/kg/min |
| Magnesium sulfate | 2000 mg | 50 mg/kg |
| Nitroglycerin drip | 5 mcg | 0.05 mcg/kg/min |
| Glucagon | 2.5 mg | 0.025 mg/kg |
Hypoglycemia
| Medication | Dose | Calculation |
| D50W | 50mL (1 amp) | 1 mL/kg |
| D25W | 200mL | 2 mL/kg |
| D10 W | 250mL | 2.5 mL/kg |
| Glucagon | 2.5mg | 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) | 5 mg | 0.05 mg/kg |
| Morphine | 10 mg | 0.1 mg/kg |
| Fenatnyl | 100 mcg | 1 mcg/kg |
| Ketamine | 100 mg | 1 mg/kg |
| Midazolam (Versed) | 5 mg | 0.05 mg/kg |
| Propofol IV (initial) | 100 mg | 1 mg/kg |
| Propofol (drip) | 5000 mcg | 50 mcg/kg/min |
Seizure and CNS
| Medication | Dose | Calculation |
| Lorazepam (Ativan) | 5 mg | 0.05 mg/kg |
| Fosphenytoin (PE = phenytoin equivalent | 2000 PE | 20 PE/kg |
| Phenytoin (Dilantin) | 2000 mg | 20 mg/kg |
| Phenobarbitol | 1000 mg | 10 mg/kg |
| Diazepam (Valium) rectal | 10 mg | 0.1 mg/kg every 2 min |
| Mannitol | 100 g | 1 mg/kg |
| Hypoglycemia | IV dextrose | see glucose table |
- ↑ 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