Template:CCQuickRef: Difference between revisions
Ostermayer (talk | contribs) No edit summary |
Ostermayer (talk | contribs) (Text replacement - "Category:Peds" to "Category:Pediatrics") |
||
(21 intermediate revisions by 2 users not shown) | |||
Line 1: | Line 1: | ||
{{Dosing Variables}} | {{Dosing Variables}} | ||
==[[Intubation]]== | ==[[Intubation]]== | ||
{| class="wikitable" | {| class="wikitable" | ||
Line 24: | Line 23: | ||
| [[Succinylcholine]] ||{{#expr:{{#var:weight}}*{{#var:succ}} round 0 }} mg|| {{#var:succ}} mg/kg | | [[Succinylcholine]] ||{{#expr:{{#var:weight}}*{{#var:succ}} round 0 }} mg|| {{#var:succ}} mg/kg | ||
|- | |- | ||
| [[Midazolam]] (Versed) || {{#expr:{{#var:weight}}*{{#var:midazolam}} round 1 }} mg || {{#var:midazolam}} mg/kg | | [[Midazolam]] (Versed)|| {{#ifexpr: {{#expr:{{#var:weight}}*{{#var:midazolam}} round 1 }} > {{#var:midazolammax}} | {{#var:midazolammax}} | {{#expr:{{#var:weight}}*{{#var:midazolam}} round 1 }} }} mg || {{#var:midazolam}} mg/kg <br> (max {{#var:midazolammax}} mg per dose) | ||
|- | |- | ||
| [[Ketamine]] ||{{#expr:{{#var:weight}}*{{#var:ketamine}} round 0 }} mg|| {{#var:ketamine}} mg/kg | | [[Ketamine]] ||{{#expr:{{#var:weight}}*{{#var:ketamine}} round 0 }} mg|| {{#var:ketamine}} mg/kg | ||
Line 46: | Line 45: | ||
|- | |- | ||
|} | |} | ||
==[[Pediatric pulseless arrest|Pulseless Arrest]]== | ==[[Pediatric pulseless arrest|Pulseless Arrest]]== | ||
Line 56: | Line 54: | ||
| [[Defibrilation]] ||{{#ifexpr:{{#expr:{{#var:age}} >21}} |{{#var:defibmax}} J|{{#expr:{{#var:weight}}*{{#var:defib-first}} }} J}}|| {{#var:defib-first}} J/kg<br>(max {{#var:defibmax}}) | | [[Defibrilation]] ||{{#ifexpr:{{#expr:{{#var:age}} >21}} |{{#var:defibmax}} J|{{#expr:{{#var:weight}}*{{#var:defib-first}} }} J}}|| {{#var:defib-first}} J/kg<br>(max {{#var:defibmax}}) | ||
|- | |- | ||
|[[Epinephrine]] (1:10,000)|| {{#ifexpr:{{#expr:{{#var:weight}}*{{#var:epi}} }}< {{#var:epimax}} | {{#expr:{{#var:weight}}*{{#var:epi}} }} | |[[Epinephrine]] (1:10,000)|| {{#ifexpr:{{#expr:{{#var:weight}}*{{#var:epi}} }}< {{#var:epimax}} | {{#expr:{{#var:weight}}*{{#var:epi}} }} | {{#var:epimax}} }} mg|| {{#var:epi}} mg/kg <br>(max {{#var:epimax}} mg) | ||
|- | |- | ||
| [[Amiodarone]] load (without pulse)|| {{#ifexpr:{{#expr:{{#var:weight}}*{{#var:amioload}} }} > {{#var:amiomax}} | {{#var:amiomax}} | {{#expr:{{#var:weight}}*{{#var:amioload}} round 0 }} }} mg|| {{#var:amioload}} mg/kg <br> (max {{#var:amiomax}}) | | [[Amiodarone]] load (without pulse)|| {{#ifexpr:{{#expr:{{#var:weight}}*{{#var:amioload}} }} > {{#var:amiomax}} | {{#var:amiomax}} | {{#expr:{{#var:weight}}*{{#var:amioload}} round 0 }} }} mg|| {{#var:amioload}} mg/kg <br> (max {{#var:amiomax}}) | ||
Line 67: | Line 65: | ||
|- | |- | ||
| [[CalCl]] (100mg/mL)|| {{#ifexpr:{{#expr:{{#var:weight}}*{{#var:cacl}} }} > {{#var:caclmax}} | {{#var:caclmax}} mg |{{#expr:{{#var:weight}}*{{#var:cacl}} }} }} || {{#var:cacl}} mg/kg <br> (max {{#var:caclmax}} mg) | | [[CalCl]] (100mg/mL)|| {{#ifexpr:{{#expr:{{#var:weight}}*{{#var:cacl}} }} > {{#var:caclmax}} | {{#var:caclmax}} mg |{{#expr:{{#var:weight}}*{{#var:cacl}} }} }} || {{#var:cacl}} mg/kg <br> (max {{#var:caclmax}} mg) | ||
|- | |||
| [[Sodium Bicarbonate]] (8.4%) || {{#ifexpr:{{#expr:{{#var:weight}}*{{#var:bicarb}} }} > {{#var:bicarbmax}} | {{#var:bicarbmax}} mL |{{#expr:{{#var:weight}}*{{#var:bicarb}} }}mL }} || {{#var:bicarb}} mL/kg <br> (max {{#var:bicarbmax}} mL) | |||
|- | |- | ||
|} | |} | ||
Line 84: | Line 84: | ||
| [[Amiodarone]] 2nd/3rd dose|| repeat loading dose up to total 3 times|| 15 mg/kg max | | [[Amiodarone]] 2nd/3rd dose|| repeat loading dose up to total 3 times|| 15 mg/kg max | ||
|- | |- | ||
| [[Atropine]]|| {{#ifexpr:{{#expr:{{#var:weight}}*{{#var:atropine}} }} > {{#var:atropinemax}} | {{#var:atropinemax}} | | [[Atropine]]|| {{#ifexpr:{{#expr:{{#var:weight}}*{{#var:atropine}} }} > {{#var:atropinemax}} | {{#var:atropinemax}} |{{#expr:{{#var:weight}}*{{#var:atropine}} }} }} mg|| {{#var:atropine}} mg/kg <br> (max {{#var:atropinemax}} mg) | ||
| | {{#ifexpr: {{#var:age}}<18| | ||
<tr> | |||
<td>[[Cardioversion]] First Shock </td><td> {{#expr:{{#var:weight}}*{{#var:cardioversion-first}} }} J </td><td> {{#var:cardioversion-first}} J/kg</td> | |||
</tr> | |||
| | <tr> | ||
<td> [[Cardioversion]] Second Shock </td><td> {{#expr:{{#var:weight}}*{{#var:cardioversion-second}} }} J</td><td> {{#var:cardioversion-second}} J/kg</td> | |||
</tr> | |||
}} | |||
{{#ifexpr: {{#var:age}}>18| | |||
<tr> | |||
<td>[[Cardioversion]] (sync) </td><td> 100J, 200J, 300J, 360J </td><td>Increase Joules with each cardioversion </td> | |||
</tr> | |||
}} | |||
| [[Procainamide]] || {{#ifexpr:{{#expr:{{#var:weight}}*{{#var:procainamide}} }} > {{#var:procainamidemax}} | {{#var:procainamidemax}} mg | {{#expr:{{#var:weight}}*{{#var:procainamide}} }} mg}}|| {{#var:procainamide}} mg/kg <br> (max {{#var:procainamidemax}} mg) | | [[Procainamide]] || {{#ifexpr:{{#expr:{{#var:weight}}*{{#var:procainamide}} }} > {{#var:procainamidemax}} | {{#var:procainamidemax}} mg | {{#expr:{{#var:weight}}*{{#var:procainamide}} }} mg}}|| {{#var:procainamide}} mg/kg <br> (max {{#var:procainamidemax}} mg) | ||
|- | |- | ||
Line 111: | Line 120: | ||
{{#ifexpr: {{#var:age}}>8| | {{#ifexpr: {{#var:age}}>8| | ||
<tr> | <tr> | ||
<td> [[D50W]] </td><td> | <td> [[D50W]] </td><td>50 mL (1 amp) </td><td> {{#var:d50w}} mL/kg</td> | ||
</tr> | </tr> | ||
}} | }} | ||
{{#ifexpr: {{#var:age}}> | {{#ifexpr: {{#var:age}}>0| | ||
<tr> | <tr> | ||
<td> D25W </td><td> {{#expr:{{#var:weight}}*{{#var:d25}} }}mL</td><td> {{#var:d25}} mL/kg </td> | <td> D25W </td><td> {{#expr:{{#var:weight}}*{{#var:d25}} }} mL</td><td> {{#var:d25}} mL/kg </td> | ||
</tr> | </tr> | ||
}} | }} | ||
|- | |- | ||
| D10 W ||{{#expr:{{#var:weight}}*{{#var:d10}} }}mL || {{#var:d10}} mL/kg | | D10 W ||{{#expr:{{#var:weight}}*{{#var:d10}} }} mL || {{#var:d10}} mL/kg | ||
|- | |- | ||
| [[Glucagon]] || {{#expr:{{#var:weight}}*{{#var:glucagon}} round 2 }}mg|| {{#var:glucagon}} mg/kg | | [[Glucagon]] || {{#expr:{{#var:weight}}*{{#var:glucagon}} round 2 }} mg|| {{#var:glucagon}} mg/kg | ||
|} | |} | ||
Line 134: | Line 143: | ||
| align="center" style="background:#f0f0f0;"|'''Calculation''' | | align="center" style="background:#f0f0f0;"|'''Calculation''' | ||
|- | |- | ||
| [[Lorazepam]] (Ativan)|| {{#ifexpr: {{#expr:{{#var:weight}}*{{#var:lorazepamdrip}} round 1 }} > {{#var:lorazepammax}} | {{#var:lorazepammax}} | | [[Lorazepam]] (Ativan)|| {{#ifexpr: {{#expr:{{#var:weight}}*{{#var:lorazepamdrip}} round 1 }} > {{#var:lorazepammax}} | {{#var:lorazepammax}} | {{#expr:{{#var:weight}}*{{#var:lorazepamdrip}} round 1 }} }} mg || {{#var:lorazepamdrip}} mg/kg <br> (max {{#var:lorazepammax}} mg per dose) | ||
|- | |- | ||
| [[Morphine]]||{{#expr:{{#var:weight}}*{{#var:morphine}} }} mg ||{{#var:morphine}} mg/kg | | [[Morphine]]||{{#expr:{{#var:weight}}*{{#var:morphine}} }} mg ||{{#var:morphine}} mg/kg | ||
Line 142: | Line 151: | ||
| [[Ketamine]]||{{#expr:{{#var:weight}}*{{#var:ketaminedrip}} }} mg || {{#var:ketaminedrip}} mg/kg | | [[Ketamine]]||{{#expr:{{#var:weight}}*{{#var:ketaminedrip}} }} mg || {{#var:ketaminedrip}} mg/kg | ||
|- | |- | ||
| [[Midazolam]] (Versed) || {{#ifexpr: | | [[Midazolam]] (Versed)|| {{#ifexpr: {{#expr:{{#var:weight}}*{{#var:midazolam}} round 1 }} > {{#var:midazolammax}} | {{#var:midazolammax}} | {{#expr:{{#var:weight}}*{{#var:midazolam}} round 1 }} }} mg || {{#var:midazolam}} mg/kg <br> (max {{#var:midazolammax}} mg per dose) | ||
|- | |- | ||
| [[Propofol]] IV (initial) || {{#expr:{{#var:weight}}*{{#var:propofoliv}} }} mg || {{#var:propofoliv}} mg/kg | | [[Propofol]] IV (initial) || {{#expr:{{#var:weight}}*{{#var:propofoliv}} }} mg || {{#var:propofoliv}} mg/kg | ||
Line 155: | Line 164: | ||
| align="center" style="background:#f0f0f0;"|'''Calculation''' | | align="center" style="background:#f0f0f0;"|'''Calculation''' | ||
|- | |- | ||
| [[Lorazepam]] (Ativan)|| {{#ifexpr: {{#expr:{{#var:weight}}*{{#var:lorazepamdrip}} round 1 }} > {{#var:lorazepammax}} | {{#var:lorazepammax}} | | [[Lorazepam]] (Ativan)|| {{#ifexpr: {{#expr:{{#var:weight}}*{{#var:lorazepamdrip}} round 1 }} > {{#var:lorazepammax}} | {{#var:lorazepammax}} | {{#expr:{{#var:weight}}*{{#var:lorazepamdrip}} round 1 }} }} mg || {{#var:lorazepamdrip}} mg/kg <br> (max {{#var:lorazepammax}} mg per dose) | ||
|- | |- | ||
| [[Fosphenytoin]] (PE = phenytoin equivalent) || {{#expr:{{#var:weight}}*{{#var:fosphenytoin}} }} PE|| {{#var:fosphenytoin}} PE/kg | | [[Fosphenytoin]] (PE = phenytoin equivalent) || {{#expr:{{#var:weight}}*{{#var:fosphenytoin}} }} PE|| {{#var:fosphenytoin}} PE/kg | ||
Line 167: | Line 176: | ||
| [[Levetiracetam]] (Keppra)|| {{#expr:{{#var:weight}}*{{#var:keppra}} round 2 }} mg || {{#var:keppra}} mg/kg | | [[Levetiracetam]] (Keppra)|| {{#expr:{{#var:weight}}*{{#var:keppra}} round 2 }} mg || {{#var:keppra}} mg/kg | ||
|- | |- | ||
| [[Mannitol]] || {{#expr:{{#var:weight}}*{{#var:mannitol}} }} g || {{#var:mannitol}} | | [[Mannitol]] || {{#expr:{{#var:weight}}*{{#var:mannitol}} }} g || {{#var:mannitol}} g/kg | ||
|- | |- | ||
| [[Hypoglycemia]]|| IV dextrose || see glucose table | | [[Hypoglycemia]]|| IV dextrose || see glucose table | ||
|} | |} | ||
[[Category:Trauma]] [[Category:Pediatrics]][[Category:Critical Care]] |
Revision as of 15:59, 22 March 2016
Intubation
Medication | Dose | Calculation |
Pretreatment | ||
---|---|---|
Lidocaine | Expression error: Unexpected * operator. mg | 1.5 mg/kg[1] |
Fentanyl | Expression error: Unexpected * operator. mcg | 1 mcg/kg
Expression error: Unexpected < operator. |
RSI | ||
Etomidate | Expression error: Unexpected * operator. mg | 0.3 mg/kg |
Succinylcholine | Expression error: Unexpected * operator. mg | 1.5 mg/kg |
Midazolam (Versed) | Expression error: Unexpected < operator. mg | 0.1 mg/kg (max 2 mg per dose) |
Ketamine | Expression error: Unexpected * operator. mg | 2 mg/kg |
Vecuronium | Expression error: Unexpected * operator. mg | 0.1 mg/kg |
Rocuronium | Expression error: Unexpected * operator. mg | 1 mg/kg |
Equipment | ||
ET Tube (cuffed) | Expression error: Unexpected < operator. ±0.5 | age/4+3
Expression error: Unexpected < operator. |
Blade | Expression error: Unexpected < operator. Expression error: Unexpected = operator. Expression error: Unexpected = operator. Expression error: Unexpected = operator. Expression error: Unexpected = operator. Expression error: Unexpected > operator. | Miller or MAC |
cm to teeth | Expression error: Unexpected < operator. | 3 x ETT size |
Pulseless Arrest
Medication | Dose | Calculation |
Defibrilation | Expression error: Unexpected < operator. | 2 J/kg (max 200) |
Epinephrine (1:10,000) | Expression error: Unexpected < operator. mg | 0.01 mg/kg (max 1 mg) |
Amiodarone load (without pulse) | Expression error: Unexpected < operator. mg | 5 mg/kg (max 300) |
Lidocaine | Expression error: Unexpected * operator. mg | 1 mg/kg |
Lidocaine Infusion | Expression error: Unexpected * operator. mcg/min | 50 mcg/kg/min |
Magnesium sulfate | Expression error: Unexpected < operator. mg | 50 mg/kg (max 2000 mg) |
CalCl (100mg/mL) | Expression error: Unexpected < operator. | 20 mg/kg (max 1000 mg) |
Sodium Bicarbonate (8.4%) | Expression error: Unexpected < operator. | 1 mL/kg (max 50 mL) |
Cardiac with Pulse
Medication | Dose | Calculation | |||
Adenosine | Expression error: Unexpected < operator. mg | 0.1 mg/kg (max 6 mg) | |||
Adenosine Repeat | Expression error: Unexpected < operator. mg | 0.2 mg/kg (max 12 mg) | |||
Amiodarone load (with pulse) | Expression error: Unexpected < operator. mg | 5 mg/kg | |||
Amiodarone 2nd/3rd dose | repeat loading dose up to total 3 times | 15 mg/kg max | |||
Atropine | Expression error: Unexpected < operator. mg | 0.02 mg/kg (max 1 mg) Expression error: Unexpected < operator. Expression error: Unexpected > operator. |
Procainamide | Expression error: Unexpected < operator. | 15 mg/kg (max 1500 mg) |
Diltiazem | Expression error: Unexpected * operator. mg | 0.25 mg/kg | |||
Esmolol | Expression error: Unexpected * operator. mcg/min | 100 mcg/kg/min | |||
Magnesium sulfate | Expression error: Unexpected < operator. mg | 50 mg/kg | |||
Nitroglycerin drip | Expression error: Unexpected * operator. mcg | 0.05 mcg/kg/min | |||
Glucagon | Expression error: Unexpected * operator. mg | 0.025 mg/kg |
Hypoglycemia
Medication | Dose | Calculation
Expression error: Unexpected > operator. Expression error: Unexpected > operator. |
D10 W | Expression error: Unexpected * operator. mL | 2.5 mL/kg |
Glucagon | Expression error: Unexpected * operator. 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) | Expression error: Unexpected < operator. mg | 0.05 mg/kg (max 2 mg per dose) |
Morphine | Expression error: Unexpected * operator. mg | 0.1 mg/kg |
Fenatnyl | Expression error: Unexpected * operator. mcg | 1 mcg/kg |
Ketamine | Expression error: Unexpected * operator. mg | 1 mg/kg |
Midazolam (Versed) | Expression error: Unexpected < operator. mg | 0.1 mg/kg (max 2 mg per dose) |
Propofol IV (initial) | Expression error: Unexpected * operator. mg | 1 mg/kg |
Propofol (drip) | Expression error: Unexpected * operator. mcg | 50 mcg/kg/min |
Seizure and CNS
Medication | Dose | Calculation |
Lorazepam (Ativan) | Expression error: Unexpected < operator. mg | 0.05 mg/kg (max 2 mg per dose) |
Fosphenytoin (PE = phenytoin equivalent) | Expression error: Unexpected * operator. PE | 20 PE/kg |
Phenytoin (Dilantin) | Expression error: Unexpected * operator. mg | 20 mg/kg |
Phenobarbitol | Expression error: Unexpected * operator. mg | 10 mg/kg |
Diazepam (Valium) rectal | Expression error: Unexpected * operator. mg | 0.1 mg/kg every 2 min |
Levetiracetam (Keppra) | Expression error: Unexpected * operator. mg | 20 mg/kg |
Mannitol | Expression error: Unexpected * operator. g | 1 g/kg |
Hypoglycemia | IV dextrose | see glucose table |
- ↑ 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