35kg (10yr): Difference between revisions
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==[[Critical Care Quick Reference]] Group== | ==[[Critical Care Quick Reference]] Group== | ||
{{#vardefine:weight|35}}{{#vardefine:age|10}} | |||
{| class="wikitable" | {| class="wikitable" | ||
|- | |- | ||
| | | Weight||{{#var:weight}} kg | ||
|- | |- | ||
| Age|| | | Age||{{#ifexpr:{{#var:age}}<1|{{#expr:ceil( {{#var:age}}*12)}} months |{{#var:age}} years }} | ||
|-style="background:lightgreen" | |-style="background:lightgreen" | ||
| [[Broselow Color]]||Green | | [[Broselow Color]]||Green | ||
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{| class="wikitable" | {| class="wikitable" | ||
|- | |- | ||
| Heart Rate|| | | Heart Rate||70-110 bpm | ||
|- | |- | ||
| Respiratory Rate|| | | Respiratory Rate||16-20 rpm | ||
|- | |- | ||
| Systolic BP|| | | Systolic BP||90-120 mmHg | ||
|- | |- | ||
|} | |} | ||
{{CCQuickRef}} | |||
== | ==Equipment== | ||
{| class="wikitable" | {| class="wikitable" | ||
| align="center" style="background:#f0f0f0;"|'''Medication''' | | align="center" style="background:#f0f0f0;"|'''Medication''' | ||
| align="center" style="background:#f0f0f0;"|'''Dose''' | | align="center" style="background:#f0f0f0;"|'''Dose''' | ||
|- | |- | ||
| | | [[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" | {| class="wikitable" | ||
| align="center" style="background:#f0f0f0;"|'''Medication''' | | align="center" style="background:#f0f0f0;"|'''Medication''' | ||
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| align="center" style="background:#f0f0f0;"|'''Calculation''' | | 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 | |||
|} | |} | ||
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| align="center" style="background:#f0f0f0;"|'''Medication''' | | align="center" style="background:#f0f0f0;"|'''Medication''' | ||
| align="center" style="background:#f0f0f0;"|'''Dose''' | | align="center" style="background:#f0f0f0;"|'''Dose''' | ||
|- | |- | ||
| Normal saline 0.9% bolus||700mL | | Normal saline 0.9% bolus||700mL | ||
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| NG tube (fr)||16 | | NG tube (fr)||16 | ||
|- | |- | ||
|} | |} | ||
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{{Critical care main}} | {{Critical care main}} | ||
==References== | |||
<references/> | |||
[[Category:Quick Ref]] | [[Category:Quick Ref]] |
Latest revision as of 02:20, 9 May 2016
Critical Care Quick Reference Group
Weight | 35 kg |
Age | 10 years |
Broselow Color | Green |
Normal Vital Signs
Heart Rate | 70-110 bpm |
Respiratory Rate | 16-20 rpm |
Systolic BP | 90-120 mmHg |
Intubation
Medication | Dose | Calculation |
Pretreatment | ||
---|---|---|
Lidocaine | 53 mg | 1.5 mg/kg[1] |
Fentanyl | 35 mcg | 1 mcg/kg |
RSI | ||
Etomidate | 10.5 mg | 0.3 mg/kg |
Succinylcholine | 53 mg | 1.5 mg/kg |
Midazolam (Versed) | 2 mg | 0.1 mg/kg (max 2 mg per dose) |
Ketamine | 70 mg | 2 mg/kg |
Vecuronium | 3.5 mg | 0.1 mg/kg |
Rocuronium | 35 mg | 1 mg/kg |
Equipment | ||
ET Tube (cuffed) | 6 ±0.5 | age/4+3 |
Blade | 3-4 | Miller or MAC |
cm to teeth | 18 | 3 x ETT size |
Pulseless Arrest
Medication | Dose | Calculation |
Defibrillation | 70 J | 2 J/kg (max 200) |
Epinephrine (1:10,000) | 0.35 mg | 0.01 mg/kg (max 1 mg) |
Amiodarone load (without pulse) | 175 mg | 5 mg/kg (max 300) |
Lidocaine | 35 mg | 1 mg/kg |
Lidocaine Infusion | 1750 mcg/min | 50 mcg/kg/min |
Magnesium sulfate | 1750 mg | 50 mg/kg (max 2000 mg) |
CalCl (100mg/mL) | 700 | 20 mg/kg (max 1000 mg) |
Sodium Bicarbonate (8.4%) | 35mL | 1 mL/kg (max 50 mL) |
Cardiac with Pulse
Medication | Dose | Calculation |
Adenosine | 3.5 mg | 0.1 mg/kg (max 6 mg) |
Adenosine Repeat | 7 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 | 0.7 mg | 0.02 mg/kg (max 1 mg) |
Cardioversion First Shock | 35 J | 1 J/kg |
Cardioversion Second Shock | 70 J | 2 J/kg |
Procainamide | 525 mg | 15 mg/kg (max 1500 mg) |
Diltiazem | 8.75 mg | 0.25 mg/kg |
Esmolol | 3500 mcg/min | 100 mcg/kg/min |
Magnesium sulfate | 1750 mg | 50 mg/kg |
Nitroglycerin drip | 1.75 mcg | 0.05 mcg/kg/min |
Glucagon | 0.88 mg | 0.025 mg/kg |
Hypoglycemia
Medication | Dose | Calculation |
D50W | 50 mL (1 amp) | 1 mL/kg |
D25W | 70 mL | 2 mL/kg |
D10 W | 87.5 mL | 2.5 mL/kg |
Glucagon | 0.88 mg | 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) | 1.8 mg | 0.05 mg/kg (max 2 mg per dose) |
Morphine | 3.5 mg | 0.1 mg/kg |
Fenatnyl | 35 mcg | 1 mcg/kg |
Ketamine | 35 mg | 1 mg/kg |
Midazolam (Versed) | 2 mg | 0.1 mg/kg (max 2 mg per dose) |
Propofol IV (initial) | 35 mg | 1 mg/kg |
Propofol (drip) | 1750 mcg | 50 mcg/kg/min |
Seizure and CNS
Medication | Dose | Calculation |
Lorazepam (Ativan) | 1.8 mg | 0.05 mg/kg (max 2 mg per dose) |
Fosphenytoin (PE = phenytoin equivalent) | 700 PE | 20 PE/kg |
Phenytoin (Dilantin) | 700 mg | 20 mg/kg |
Phenobarbitol | 350 mg | 10 mg/kg |
Diazepam (Valium) rectal | 3.5 mg | 0.1 mg/kg every 2 min |
Levetiracetam (Keppra) | 700 mg | 20 mg/kg |
Mannitol | 35 g | 1 g/kg |
Hypoglycemia | IV dextrose | see glucose table |
Equipment
Medication | Dose |
Chest tube (fr) | 32 |
Central line | 4-5F (IJ/subclavian)
5-8F (femoral) |
NG tube (fr) | 16 |
Fluids
Medication | Dose | Calculation |
Normal saline 0.9% bolus | 700mL | 20 mL/kg |
Maintenance | 75mL/hr | 4-2-1 Rule |
PRBCs (1u=250mL) | 1 unit |
Trauma
Medication | Dose |
Normal saline 0.9% bolus | 700mL |
PRBCs (1u=250mL) | 1 unit |
Chest tube (fr) | 32 |
Central line | 4-5F (IJ/subclavian)
5-8F (femoral) |
NG tube (fr) | 16 |
See Also
Quick Reference Groups[2]
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) |
References
- ↑ 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
- ↑ Unless otherwise noted, all pediatric dosing per AAP guidelines: AAP Committee on Drugs. Drugs for Pediatric Emergencies full text