Template:CCQuickRef
Revision as of 22:19, 29 March 2015 by Ostermayer (talk | contribs)
All pediatric dosing per AAP guidelines[1]
Critical Care Quick Reference Group
| kg | |
| Age | years |
| 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 |