20kg (6yr)

Critical Care Quick Reference Group

kg 20kg
Age 6yr
Broselow Color Blue

Normal Vital Signs

Heart Rate 70-110 bpm
Respiratory Rate 18-24 rpm
Systolic BP 80-110 mmHg

Intubation

Medication Dose Calculation
Pretreatment
Lidocaine 30mg
Fentanyl NA
Atropine 0.4mg
RSI
Etomidate 6mg
Succinylcholine 30mg
Midazolam (Versed) 2mg
Ketamine 40mg
Vecuronium 2mg
Rocuronium 20mg
Equipment
ET Tube 5.5
Blade 3
cm to teeth 16

Pulseless Arrest

Medication Dose Calculation
Defibrilation 40J
Epinephrine (1:10,000) 2mL
Amiodarone load (without pulse) 100mg
Amiodarone drip may repeat loading dose for a total of up to 3 times
Lidocaine 20mg
Magnesium 1000
CalCl (100mg/mL) 400mg
Hypoglycemia 40mL

Cardiac with Pulse

Medication Dose Calculation
Adenosine 2mg
Amiodarone load (with pulse) 100mg
Amiodarone drip may repeat loading dose for a total of up to 3 times
Atropine 0.4mg
Cardioversion 40J
Procainamide (max) 200mg
Diltiazem
Esmolol
Magnessium
Metoprolol
Nitroglycerine drip
Glucagon

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) 1mg
Morphine 2mg
Fenatnyl 20mcg
Ketamine 20mg
Midazolam (Versed) 1mg

Seizure and CNS

Medication Dose Calculation
Lorazepam (Ativan) 1mg
Fosphenytoin (PE=Phenytoin equivalent) 360 PE
Phenytoin (Dilantin) 360mg
Phenobarbitol 200mg
Diazepam (Valium) rectal 10mg
Mannitol 20g
Hypoglycemia 40mL
Naloxone (Narcan) 0.2mg

Trauma

Medication Dose Calculation
Normal saline 0.9% bolus 400mL
PRBCs (1u=250mL) 200mL
Chest tube (fr) 28
Central line 4F (IJ/subclavian)

4-5F (femoral)

NG tube (fr) 12

Equipment

Medication Dose Calculation
ET Tube 5.5
Blade 3
cm to teeth 16
Chest tube (fr) 28
Central line 4F (IJ/subclavian)

4-5F (femoral)

NG tube (fr) 12

Fluids

Medication Dose Calculation
Normal saline 0.9% bolus 400mL 20 mL/kg
Maintenance 60mL/hr 4-2-1 Rule
PRBCs (1u=250mL) 200mL

See Also

Quick Reference Groups[1]

Adult
Category Weight
Large adult 100kg
ADULT 70kg
Small adult 50kg
Pediatric
Broslow Color Weight (Age)
Green 35kg (10yr)
Orange 25kg (8yr)
Blue 20kg (6yr)
White 15kg (4yr)
Yellow 12kg (2yr)
Purple 10kg (1yr)
Red 8kg (6mo)
Pink 6kg (4mo)
Gray 5kg (2mo)
3.5kg (newborn)
Preemie 2kg (preemie)
  1. Unless otherwise noted, all pediatric dosing per AAP guidelines: AAP Committee on Drugs. Drugs for Pediatric Emergencies full text