Template:CCQuickRef

Revision as of 20:19, 1 April 2015 by Ostermayer (talk | contribs)



Intubation

Medication Dose Calculation
Pretreatment
Lidocaine 75 mg 1.5 mg/kg[1]
Fentanyl 50 mcg 1 mcg/kg
RSI
Etomidate 15 mg 0.3 mg/kg
Succinylcholine 75 mg 1.5 mg/kg
Midazolam (Versed) 5 mg 0.1 mg/kg
Ketamine 100 mg 2 mg/kg
Vecuronium 5 mg 0.1 mg/kg
Rocuronium 50 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) 0.5mg mg 0.01 mg/kg
(max 1 mg)
Amiodarone load (without pulse) 250 mg 5 mg/kg
(max 300)
Lidocaine 50 mg 1 mg/kg
Lidocaine Infusion 2500 mcg/min 50 mcg/kg/min
Magnesium sulfate 2000 mg 50 mg/kg
(max 2000 mg)
CalCl (100mg/mL) 1000 20 mg/kg
(max 1000 mg)

Cardiac with Pulse

Medication Dose Calculation
Adenosine 5 mg 0.1 mg/kg
(max 6 mg)
Adenosine Repeat 10 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 1 mg 0.02 mg/kg
(max 1 mg)
Cardioversion First Shock 50 J 1 J/kg
Cardioversion Second Shock 100 J 2 J/kg
Procainamide 750 mg 15 mg/kg
(max 1500 mg)
Diltiazem 12.5 mg 0.25 mg/kg
Esmolol 5000 mcg/min 100 mcg/kg/min
Magnesium sulfate 2000 mg 50 mg/kg
Nitroglycerin drip 2.5 mcg 0.05 mcg/kg/min
Glucagon 1.25 mg 0.025 mg/kg

Hypoglycemia

Medication Dose Calculation
D50W 50mL (1 amp) 1 mL/kg
D25W 100mL 2 mL/kg
D10 W 125mL 2.5 mL/kg
Glucagon 1.25mg 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) 2mg mg 0.05 mg/kg
(max 2 mg per dose)
Morphine 5 mg 0.1 mg/kg
Fenatnyl 50 mcg 1 mcg/kg
Ketamine 50 mg 1 mg/kg
Midazolam (Versed) 2 mg | 5 }} mg 0.1 mg/kg
(max 2 mg per dose)
Propofol IV (initial) 50 mg 1 mg/kg
Propofol (drip) 2500 mcg 50 mcg/kg/min

Seizure and CNS

Medication Dose Calculation
Lorazepam (Ativan) 2mg mg 0.05 mg/kg
(max 2 mg per dose)
Fosphenytoin (PE = phenytoin equivalent) 1000 PE 20 PE/kg
Phenytoin (Dilantin) 1000 mg 20 mg/kg
Phenobarbitol 500 mg 10 mg/kg
Diazepam (Valium) rectal 5 mg 0.1 mg/kg every 2 min
Levetiracetam (Keppra) 1000 mg 20 mg/kg
Mannitol 50 g 1 mg/kg
Hypoglycemia IV dextrose see glucose table
  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