6kg (4mo)
Revision as of 17:47, 30 March 2015 by Ostermayer (talk | contribs)
Intubation
| Medication | Dose | Calculation |
| Pretreatment | ||
|---|---|---|
| Lidocaine | 9 mg | 1.5 mg/kg[1] |
| Fentanyl | 6 mcg | 1 mcg/kg |
| Atropine | 0.12 mg | 0.02 mg/kg |
| RSI | ||
| Etomidate | 1.8 mg | 0.3 mg/kg |
| Succinylcholine | 9 mg | 1.5 mg/kg |
| Midazolam (Versed) | 0.6 mg | 0.1 mg/kg (max 2 mg per dose) |
| Ketamine | 12 mg | 2 mg/kg |
| Vecuronium | 0.6 mg | 0.1 mg/kg |
| Rocuronium | 6 mg | 1 mg/kg |
| Equipment | ||
| ET Tube (cuffed) | 4 ±0.5 | age/4+3 |
| ET Tube (uncuffed) | 5 ±0.5 | age/4+4 |
| Blade | 1 | Miller or MAC |
| cm to teeth | 12 | 3 x ETT size |
Pulseless Arrest
| Medication | Dose | Calculation |
| Defibrillation | 12 J | 2 J/kg (max 200) |
| Epinephrine (1:10,000) | 0.06 mg | 0.01 mg/kg (max 1 mg) |
| Amiodarone load (without pulse) | 30 mg | 5 mg/kg (max 300) |
| Lidocaine | 6 mg | 1 mg/kg |
| Lidocaine Infusion | 300 mcg/min | 50 mcg/kg/min |
| Magnesium sulfate | 300 mg | 50 mg/kg (max 2000 mg) |
| CalCl (100mg/mL) | 120 | 20 mg/kg (max 1000 mg) |
| Sodium Bicarbonate (8.4%) | 6mL | 1 mL/kg (max 50 mL) |
Cardiac with Pulse
| Medication | Dose | Calculation |
| Adenosine | 0.6 mg | 0.1 mg/kg (max 6 mg) |
| Adenosine Repeat | 1.2 mg | 0.2 mg/kg (max 12 mg) |
| Amiodarone load (with pulse) | 30 mg | 5 mg/kg |
| Amiodarone 2nd/3rd dose | repeat loading dose up to total 3 times | 15 mg/kg max |
| Atropine | 0.12 mg | 0.02 mg/kg (max 1 mg) |
| Cardioversion First Shock | 6 J | 1 J/kg |
| Cardioversion Second Shock | 12 J | 2 J/kg |
| Procainamide | 90 mg | 15 mg/kg (max 1500 mg) |
| Diltiazem | 1.5 mg | 0.25 mg/kg |
| Esmolol | 600 mcg/min | 100 mcg/kg/min |
| Magnesium sulfate | 300 mg | 50 mg/kg |
| Nitroglycerin drip | 0.3 mcg | 0.05 mcg/kg/min |
| Glucagon | 0.15 mg | 0.025 mg/kg |
Hypoglycemia
| Medication | Dose | Calculation |
| D25W | 12 mL | 2 mL/kg |
| D10 W | 15 mL | 2.5 mL/kg |
| Glucagon | 0.15 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) | 0.3 mg | 0.05 mg/kg (max 2 mg per dose) |
| Morphine | 0.6 mg | 0.1 mg/kg |
| Fenatnyl | 6 mcg | 1 mcg/kg |
| Ketamine | 6 mg | 1 mg/kg |
| Midazolam (Versed) | 0.6 mg | 0.1 mg/kg (max 2 mg per dose) |
| Propofol IV (initial) | 6 mg | 1 mg/kg |
| Propofol (drip) | 300 mcg | 50 mcg/kg/min |
Seizure and CNS
| Medication | Dose | Calculation |
| Lorazepam (Ativan) | 0.3 mg | 0.05 mg/kg (max 2 mg per dose) |
| Fosphenytoin (PE = phenytoin equivalent) | 120 PE | 20 PE/kg |
| Phenytoin (Dilantin) | 120 mg | 20 mg/kg |
| Phenobarbitol | 60 mg | 10 mg/kg |
| Diazepam (Valium) rectal | 0.6 mg | 0.1 mg/kg every 2 min |
| Levetiracetam (Keppra) | 120 mg | 20 mg/kg |
| Mannitol | 6 g | 1 g/kg |
| Hypoglycemia | IV dextrose | see glucose table |
Trauma
| Medication | Dose | Calculation |
| Normal saline 0.9% bolus | 120mL | |
| PRBCs (1u=250mL) | 60mL | |
| Chest tube (fr) | ||
| Central line | 3F (IJ/subclavian)
3F (femoral) | |
| NG tube (fr) |
Equipment
| Medication | Dose | Calculation |
| ET Tube | ||
| Blade | 1s | |
| cm to teeth | ||
| Chest tube (fr) | ||
| Central line | 3F (IJ/subclavian)
3F (femoral) | |
| NG tube (fr) |
Fluids
| Medication | Dose | Calculation |
| Normal saline 0.9% bolus | 120mL | 20 mL/kg |
| Maintenance | 4-2-1 Rule | |
| PRBCs (1u=250mL) | 60mL |
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) | ||||
Sources
- ↑ 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