25kg (8yr)

Critical Care Quick Reference Group

kg 25kg
Age 8yr
Broselow Color Orange

Normal Vital Signs

Heart Rate 70 - 110
Respiratory Rate 18
Systolic BP >86

Intubation

Medication Dose Calculation
Pretreatment
Lidocaine 37.5mg
Fentanyl NA
Atropine NA
RSI
Etomidate 7.5mg
Succinylcholine 37.5mg
Midazolam (Versed) 2.5mg
Ketamine 50mg
Vecuronium 2.5mg
Rocuronium 25mg
Equipment
ET Tube 6c
Blade 3
cm to teeth 18

Pulseless Arrest

Medication Dose Calculation
Defibrilation 50J
Epinephrine (1:10,000) 2.5mL
Amiodarone load (without pulse) 125mg
Amiodarone drip may repeat loading dose for a total of up to 3 times
Lidocaine 25mg
Magnesium 1250
CalCl (100mg/mL) 500mg
Hypoglycemia 50mL

Cardiac with Pulse

Medication Dose Calculation
Adenosine 2.5mg
Amiodarone load (with pulse) 125mg
Amiodarone drip may repeat loading dose for a total of up to 3 times
Atropine 0.5mg
Cardioversion
Procainamide (max) 250mg
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) 1.25mg
Morphine 2.5mg
Fenatnyl 25mcg
Ketamine 25mg
Midazolam (Versed) 1.25mg

Seizure and CNS

Medication Dose Calculation
Lorazepam (Ativan) 1.25mg
Fosphenytoin (PE=Phenytoin equivalent) 450 PE
Phenytoin (Dilantin) 450mg
Phenobarbitol 250mg
Diazepam (Valium) rectal 10mg
Mannitol 25g
Hypoglycemia 50mL
Naloxone (Narcan) 0.25mg

Trauma

Medication Dose Calculation
Normal saline 0.9% bolus 500mL
PRBCs (1u=250mL) 1 unit
Chest tube (fr) 28
Central line 4-5F (IJ/subclavian)

5-8F (femoral)

NG tube (fr) 12

Equipment

Medication Dose Calculation
ET Tube 6c
Blade 3
cm to teeth 18
Chest tube (fr) 28
Central line 4-5F (IJ/subclavian)

5-8F (femoral)

NG tube (fr) 12

Fluids

Medication Dose Calculation
Normal saline 0.9% bolus 500mL
Maintenance 65mL/hr
PRBCs (1u=250mL) 1 unit

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