35kg (10yr)

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
Defibrilation 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)
Premie 2kg (preemie)


References

  1. 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
  2. Unless otherwise noted, all pediatric dosing per AAP guidelines: AAP Committee on Drugs. Drugs for Pediatric Emergencies full text