Template:CCQuickRef: Difference between revisions

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{{#vardefine:etomidatedoseint|0.3}} {{#vardefine:atropinedose|0.2}}
{{Dosing Variables}}
 
All pediatric dosing per AAP guidelines<ref>AAP Committee on Drugs. Drugs for Pediatric Emergencies [http://pediatrics.aappublications.org/content/101/1/e13.full.pdf full text]</ref>
==[[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||1-1.5mg/kg
| [[Lidocaine]]||52.5mg||{{#var:lidocaine}} mg/kg
|-
|-
| [[Fentanyl]]||{{#expr: 35*1 }}||1-3 mcg/kg
| [[Fentanyl]]||{{#expr: 35*1 }} ||{{#var:fentany}}  mcg/kg
|-
|-
| [[Atropine]]||0.5mg|| 0.02 mg/kg
| [[Atropine]]||0.5mg|| {{#var:atropine}} mg/kg
|-
|-
! scope="row" colspan="3"|'''RSI'''
! scope="row" colspan="3"|'''RSI'''
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| [[Etomidate]] ||<includeonly>{{#expr:{{#var:weight}}*{{#var:etomidatedoseint}}}}</includeonly>||{{#var:etomidatedoseint}} mg/kg
| [[Etomidate]] ||<includeonly>{{#expr:{{#var:weight}}*{{#var:etomidatedoseint}}}}</includeonly>||{{#var:etomidatedoseint}} mg/kg
|-
|-
| [[Succinylcholine]] ||50mg|| {{SuccinylcholineDose}}
| [[Succinylcholine]] ||50mg|| {{#var:succ}} mg/kg
|-
|-
| [[Midazolam]] (Versed) ||3.5mg|| {{MidazolamDose}}
| [[Midazolam]] (Versed) ||3.5mg|| {{#var:midazolam}} mg/kg
|-
|-
| [[Ketamine]] ||70mg|| {{KetamineDose}}
| [[Ketamine]] ||70mg|| {{#var:ketamine}} mg/kg
|-
|-
| [[Vecuronium]] ||3.5mg|| {{VecuroniumDose}}
| [[Vecuronium]] ||3.5mg|| {{#var:vec}} mg/kg
|-
|-
| [[Rocuronium]]||35mg||{{RocuroniumDose}}
| [[Rocuronium]]||35mg|| {{#var:roc}} mg/kg
|-
|-
! scope="row" colspan="3"|'''Equipment'''
! scope="row" colspan="3"|'''Equipment'''
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| Blade||3 ||NA
| Blade||3 ||NA
|-
|-
| cm to teeth||18||{{ETTteeth}}
| cm to teeth||18|| 3 x ETT size
|-
|-
|}
|}
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| align="center" style="background:#f0f0f0;"|'''Calculation'''
| align="center" style="background:#f0f0f0;"|'''Calculation'''
|-
|-
| [[Defibrilation]] First||70J || {{DefibFirstDose}}
| [[Defibrilation]] First||70J || {{#var:defib-first}} J/kg
|-
|-
| [[Defibrilation]] Second || 140J || {{DefibSecondDose}}
| [[Defibrilation]] Second || 140J || {{#var:defib-second}} J/kg
|-
|-
| [[Epinephrine]] (1:10,000)|| 3.5mL || {{EpiCardiacDose}}
| [[Epinephrine]] (1:10,000)|| 3.5mL || {{#var:epi|.1}} mg/kg
|-
|-
| [[Amiodarone]] load (without pulse)||175mg || {{AmiodaroneDose}}
| [[Amiodarone]] load (without pulse)||175mg || {{#var:amioload}} mg/kg
|-
|-
| [[Lidocaine]]||35mg ||{{LidocaineDose}}
| [[Lidocaine]]||35mg || {{#var:lidocaine}} mg/kg
|-
|-
| [[Lidocaine]] Infusion || 700 mcg/kg/min || {{LidocaineInfusionDose}}
| [[Lidocaine]] Infusion || 700 mcg/kg/min || {{#var:lidoinfusion}} mcg/kg/min
|-
|-
| [[Magnesium sulfate]]||1750mg||50 mg/kg
| [[Magnesium sulfate]]||1750mg|| {{#var:mag}} mg
|-
|-
| [[CalCl]] (100mg/mL)||700mg||20 mg/kg
| [[CalCl]] (100mg/mL)||700mg|| {{#var:cacl}} mg/kg
|-
|-
|}
|}
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| align="center" style="background:#f0f0f0;"|'''Calculation'''
| align="center" style="background:#f0f0f0;"|'''Calculation'''
|-
|-
| [[Adenosine]]||3.5mg
| [[Adenosine]]||3.5mg || {{#var:adenosine}} mg/kg
|-
|-
| [[Amiodarone]] load (with pulse)||150mg
| [[Adenosine]] Repeat || || {{#var:adenosinerepeat}} mg/kg
|-
|-
| [[Amiodarone]] drip||may repeat loading dose for a total of up to 3 times
| [[Amiodarone]] load (with pulse)||150mg ||{{#var:amioload}} mg/kg
|-
|-
| [[Atropine]]||0.7mg
| [[Amiodarone]] 2nd/3rd dose|| repeat loading dose up to total 3 times|| 15 mg/kg max
|-
|-
| [[Cardioversion]] ||
| [[Atropine]]||0.7mg ||  {{#var:atropine}} mg/kg
|-
|-
| [[Procainamide]] (max)||350mg
| [[Cardioversion]] First Shock || || {{#var:cardioversion-first}}  J/kg
|-
|-
| [[Diltiazem]]||
| [[Cardioversion]] Second Shock || || {{#var:cardioversion-second}} J/kg
|-
|-
| [[Esmolol ]]||
| [[Procainamide]] ||350mg || {{#var:procainamide}}
|-
|-
| [[Magnesium sulfate]]||1750mg||50 mg/kg
| [[Diltiazem]] || || {{#var:diltiazem}}
|-
|-
| [[Metoprolol ]]||
| [[Esmolol ]] || || {{#var:esmolol}} mcg/kg/min
|-
|-
| [[Nitroglycerine]] drip||
| [[Magnesium sulfate]]||1750mg|| {{#var:mag}} mg/kg
|-
|-
| [[Glucagon]]||
| [[Nitroglycerine]] drip ||  || {{#var:nitro|.05}} mcg/kg/min
|-
| [[Glucagon]] || || {{#var:glucagon}} mg/kg
|-
|-
|}
|}
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| align="center" style="background:#f0f0f0;"|'''Calculation'''
| align="center" style="background:#f0f0f0;"|'''Calculation'''
|-
|-
| [[D50W]] || 50mL (1 amp) || 2ml/kg
| [[D50W]] || 50mL (1 amp) || {{#var:d50w}}
|-
| D25W ||  || {{#var:d25}} mL/kg
|-
| D10 W || || {{#var:d10}} mL/kg
|-
|-
| [[Glucagon]] ||  || {{#var:glucagon}} mg/kg
|}
|}
==[[Vasopressors]]==
==[[Vasopressors]]==
{{Vasopressor critical care table}}
{{Vasopressor critical care table}}
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| align="center" style="background:#f0f0f0;"|'''Calculation'''
| align="center" style="background:#f0f0f0;"|'''Calculation'''
|-
|-
| [[Lorazepam]] (Ativan)||1.75mg
| [[Lorazepam]] (Ativan)||1.75mg || {{#var:lorazepamdrip}} mg/kg
|-
|-
| [[Morphine]]||3.5mg
| [[Morphine]]||3.5mg ||{{#var:morphine}} mg/kg
|-
|-
| [[Fenatnyl]]||35mcg
| [[Fenatnyl]]||35mcg || {{#var:fentanyl}} mcg/kg
|-
|-
| [[Ketamine]]||35mg
| [[Ketamine]]||35mg || {{#var:ketaminedrip}} mg/kg
|-
|-
| [[Midazolam]] (Versed)||1.75mg
| [[Midazolam]] (Versed)||1.75mg || {{#var:midazolamdrip}} mg/kg
|-
|-
| [[Propofol]] IV (initial) ||  ||  {{#var:propofoliv}} mg/kg
|-
| [[Propofol]] (drip) ||  || {{#var:propofoldrip}}  mcg/kg/min
|}
|}


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| align="center" style="background:#f0f0f0;"|'''Calculation'''
| align="center" style="background:#f0f0f0;"|'''Calculation'''
|-
|-
| [[Lorazepam]] (Ativan)||1.75mg
| [[Lorazepam]] (Ativan)||1.75mg|| {{#var:lorazepamdrip}}
|-
| [[Fosphenytoin]] (PE=Phenytoin equivalent)||630 PE
|-
| [[Phenytoin]] (Dilantin)||630mg
|-
| [[Phenobarbitol]]||350mg
|-
| [[Diazepam]] (Valium) rectal||10mg
|-
| [[Mannitol]]||35g
|-
|-
| [[Hypoglycemia]]||70mL
| [[Fosphenytoin]] || || {{#var:fosphenytoin}} PE/kg
|-
|-
| [[Naloxone]] (Narcan)||0.35mg
| [[Phenytoin]] (Dilantin) || || {{#var:phenytoin}} mg/kg
|-
|-
|}
| [[Phenobarbitol]] ||350mg || {{#var:phenobarbitol}} mg/kg
 
==Trauma==
{| class="wikitable"
| align="center" style="background:#f0f0f0;"|'''Medication'''
| align="center" style="background:#f0f0f0;"|'''Dose'''
| align="center" style="background:#f0f0f0;"|'''Calculation'''
|-
|-
| Normal saline 0.9% bolus||700mL
| [[Diazepam]] (Valium) rectal || 10mg || {{#var:diazepamiv}} mg/kg every 2 min
|-
|-
| PRBCs (1u=250mL)||1 unit
| [[Mannitol]] || 35g || || {{#var:mannitol}} mg/kg
|-
| [[Chest tube]] (fr)||32
|-
| [[Pediatric central line|Central line]]||4-5F ([[Central line: internal jugular|IJ]]/[[Central line: subclavian|subclavian]])
5-8F ([[Central line: femoral|femoral]])
|-
| NG tube (fr)||16
|-
|-
| [[Hypoglycemia]]|| IV dextrose || see glucose table
|}
|}
==Equipment==
{| class="wikitable"
| align="center" style="background:#f0f0f0;"|'''Medication'''
| align="center" style="background:#f0f0f0;"|'''Dose'''
| align="center" style="background:#f0f0f0;"|'''Calculation'''
|-
| ET Tube||6c
|-
| Blade||3
|-
| cm to teeth||19
|-
| [[Chest tube]] (fr)||32
|-
| [[Pediatric central line|Central line]]||4-5F ([[Central line: internal jugular|IJ]]/[[Central line: subclavian|subclavian]])
5-8F ([[Central line: femoral|femoral]])
|-
| NG tube (fr)||16
|-
|}
==[[Fluids]]==
{| class="wikitable"
| align="center" style="background:#f0f0f0;"|'''Medication'''
| align="center" style="background:#f0f0f0;"|'''Dose'''
| align="center" style="background:#f0f0f0;"|'''Calculation'''
|-
| Normal saline 0.9% bolus||700mL||20 mL/kg
|-
| Maintenance||75mL/hr||[[4-2-1 Rule]]
|-
| PRBCs (1u=250mL)||1 unit
|}
{{#vardefine:etomidatedoseint|0.3}}
{{#vardefine:atropinedose|0.2}}

Revision as of 22:19, 29 March 2015



All pediatric dosing per AAP guidelines[1]

Critical Care Quick Reference Group

kg
Age 10yr
Broselow Color Green

Normal Vital Signs

Heart Rate 75
Respiratory Rate 18
Systolic BP >90

Intubation

Medication Dose Calculation
Pretreatment
Lidocaine 52.5mg 1 mg/kg
Fentanyl 35 mcg/kg
Atropine 0.5mg 0.02 mg/kg
RSI
Etomidate 0.3 mg/kg
Succinylcholine 50mg 1.5 mg/kg
Midazolam (Versed) 3.5mg 0.1 mg/kg
Ketamine 70mg 2 mg/kg
Vecuronium 3.5mg 0.1 mg/kg
Rocuronium 35mg 1 mg/kg
Equipment
ET Tube 6c ETSize
Blade 3 NA
cm to teeth 18 3 x ETT size

Pulseless Arrest

Medication Dose Calculation
Defibrilation First 70J 2 J/kg
Defibrilation Second 140J 4 J/kg
Epinephrine (1:10,000) 3.5mL 0.01 mg/kg
Amiodarone load (without pulse) 175mg 5 mg/kg
Lidocaine 35mg 1 mg/kg
Lidocaine Infusion 700 mcg/kg/min 50 mcg/kg/min
Magnesium sulfate 1750mg 50 mg
CalCl (100mg/mL) 700mg 20 mg/kg

Cardiac with Pulse

Medication Dose Calculation
Adenosine 3.5mg 0.1 mg/kg
Adenosine Repeat 0.2 mg/kg
Amiodarone load (with pulse) 150mg 5 mg/kg
Amiodarone 2nd/3rd dose repeat loading dose up to total 3 times 15 mg/kg max
Atropine 0.7mg 0.02 mg/kg
Cardioversion First Shock 1 J/kg
Cardioversion Second Shock 2 J/kg
Procainamide 350mg 15
Diltiazem 0.25
Esmolol 100 mcg/kg/min
Magnesium sulfate 1750mg 50 mg/kg
Nitroglycerine drip 0.05 mcg/kg/min
Glucagon 0.025 mg/kg

Hypoglycemia

Medication Dose Calculation
D50W 50mL (1 amp) 1
D25W 2 mL/kg
D10 W 2.5 mL/kg
Glucagon 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) 1.75mg 0.05 mg/kg
Morphine 3.5mg 0.1 mg/kg
Fenatnyl 35mcg 1 mcg/kg
Ketamine 35mg 1 mg/kg
Midazolam (Versed) 1.75mg 0.05 mg/kg
Propofol IV (initial) 1 mg/kg
Propofol (drip) 50 mcg/kg/min

Seizure and CNS

Medication Dose Calculation
Lorazepam (Ativan) 1.75mg 0.05
Fosphenytoin 20 PE/kg
Phenytoin (Dilantin) 20 mg/kg
Phenobarbitol 350mg 10 mg/kg
Diazepam (Valium) rectal 10mg 0.1 mg/kg every 2 min
Mannitol 35g 1 mg/kg
Hypoglycemia IV dextrose see glucose table
  1. ↑ AAP Committee on Drugs. Drugs for Pediatric Emergencies full text
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