70kg (ADULT)

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Critical Care Quick Reference Group

Weight 70 kg
Age adult
Broselow Color NA

Normal Vital Signs

Heart Rate 60 - 100 bmp
Respiratory Rate 10 - 20 rpm
Systolic BP 90 - 140 mmHg
SaO2 ≥95%[1]


Intubation

Medication Dose Calculation
Pretreatment
Lidocaine 105 mg 1.5 mg/kg[2]
Fentanyl 70 mcg 1 mcg/kg
RSI
Etomidate 21 mg 0.3 mg/kg
Succinylcholine 105 mg 1.5 mg/kg
Midazolam (Versed) 2 mg 0.1 mg/kg
(max 2 mg per dose)
Ketamine 140 mg 2 mg/kg
Vecuronium 7 mg 0.1 mg/kg
Rocuronium 70 mg 1 mg/kg
Equipment
ET Tube (cuffed) 8 ±0.5 age/4+3
Blade 3-4 Miller or MAC
cm to teeth 23 3 x ETT size

Pulseless Arrest

Medication Dose Calculation
Defibrilation 200 J 2 J/kg
(max 200)
Epinephrine (1:10,000) 0.7 mg 0.01 mg/kg
(max 1 mg)
Amiodarone load (without pulse) 300 mg 5 mg/kg
(max 300)
Lidocaine 70 mg 1 mg/kg
Lidocaine Infusion 3500 mcg/min 50 mcg/kg/min
Magnesium sulfate 2000 mg 50 mg/kg
(max 2000 mg)
CalCl (100mg/mL) 1000 mg 20 mg/kg
(max 1000 mg)
Sodium Bicarbonate (8.4%) 50 mL 1 mL/kg
(max 50 mL)

Cardiac with Pulse

Medication Dose Calculation
Adenosine 6 mg 0.1 mg/kg
(max 6 mg)
Adenosine Repeat 12 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 1 mg 0.02 mg/kg
(max 1 mg)
Cardioversion (sync) 100J, 200J, 300J, 360J Increase Joules with each cardioversion
Procainamide 1050 mg 15 mg/kg
(max 1500 mg)
Diltiazem 17.5 mg 0.25 mg/kg
Esmolol 7000 mcg/min 100 mcg/kg/min
Magnesium sulfate 2000 mg 50 mg/kg
Nitroglycerin drip 3.5 mcg 0.05 mcg/kg/min
Glucagon 1.75 mg 0.025 mg/kg

Hypoglycemia

Medication Dose Calculation
D50W 50 mL (1 amp) 1 mL/kg
D25W 140 mL 2 mL/kg
D10 W 175 mL 2.5 mL/kg
Glucagon 1.75 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) 2 mg 0.05 mg/kg
(max 2 mg per dose)
Morphine 7 mg 0.1 mg/kg
Fenatnyl 70 mcg 1 mcg/kg
Ketamine 70 mg 1 mg/kg
Midazolam (Versed) 2 mg 0.1 mg/kg
(max 2 mg per dose)
Propofol IV (initial) 70 mg 1 mg/kg
Propofol (drip) 3500 mcg 50 mcg/kg/min

Seizure and CNS

Medication Dose Calculation
Lorazepam (Ativan) 2 mg 0.05 mg/kg
(max 2 mg per dose)
Fosphenytoin (PE = phenytoin equivalent) 1400 PE 20 PE/kg
Phenytoin (Dilantin) 1400 mg 20 mg/kg
Phenobarbitol 700 mg 10 mg/kg
Diazepam (Valium) rectal 7 mg 0.1 mg/kg every 2 min
Levetiracetam (Keppra) 1400 mg 20 mg/kg
Mannitol 70 g 1 g/kg
Hypoglycemia IV dextrose see glucose table

Other Equipment

Chest tube (fr) 40
Central line
NG tube (fr) 18

Fluids

Normal saline 0.9% bolus 1.5L
Maintenance 110cc/hr
PRBCs (1u=250cc) 1 unit

See Also

Quick Reference Groups[3]

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. ATS/ACCP Statement on cardiopulmonary exercise testing. American Thoracic Society, American College of Chest Physicians. Am J Respir Crit Care Med. 2003;167(2):211. PMID 12524257
  2. 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
  3. Unless otherwise noted, all pediatric dosing per AAP guidelines: AAP Committee on Drugs. Drugs for Pediatric Emergencies full text