Dosing

Question 1

Peds IVF (maintenance and bolus)

Answer 1

4 mL / kg x 10 kg
2 mL / kg x next 10 kg
1 mL / kg for remaining kg

Bolus - 20 cc/kg (up to 3 - then call PICU)

Question 2

Norepinephrine Drip

Answer 2

4-7 mcg / min

Titrate to MAP > 65

Question 3

Epinephrine Drip

Answer 3

3-5 mcg/min

Question 4

Phenylephrine Drip

Answer 4

30-50 mcg/min

Question 5

Vasopressin

Answer 5

.03 units/min

Question 6

Steroids in Asthma Exacerbation

Answer 6

125 mg IV salumedrol

Question 7

Epi in Code

Answer 7

1 mg of 1:10,000 q 3-5 min

Question 8

Amiodarone in Code

Answer 8

300 mg over 10 min

Question 9

Lidocaine in Code

Answer 9

1.5 mg / kg q 5-10 min

Question 10

Adenosine

Answer 10

6 mg peripheral (push w/ flush and lift arm)
… 12 mg if that doesn’t work

3 mg in central line

Question 11

Atropine

Answer 11

1 mg q 3 -5 min (up to 3 mg max)

Question 12

Fluid Replacement in Burns

Answer 12

Parkland Formula:

%SA x Wt (kg) x 4

1/2 over 8 hrs
1/2 over next 16 hrs

Question 13

Acetaminophen

Answer 13

650 - 1000 mg q 6 hrs

Question 14

Ibuprofen

Answer 14

400-600 mg q 8 hr

Question 15

IV Tordol

Answer 15

15-30 mg IV

Question 16

Zofran

Answer 16

4 mg IV or IM

Question 17

Reglan

Answer 17

METOCLOPRAMIDE

5-10 mg PO or IV

Question 18

Compazine

Answer 18

10 mg PO IM IV

Question 19

Phenergan

Answer 19

PROMETHAZINE

12.5 - 50 mg PO IV

Question 20

Lidocaine

Bupivicaine

Procaine

Answer 20

Lido - 4.5 mg / kg max
Lido + epi - 7 mg/kg max

Bup - 2 mg / kg max
Bup + epi - 3 mg / kg max

Procaine - 7 mg /kg max
Procaine + epi - 9 mg/kg max

Question 21

Glucose Repletion in Peds

Answer 21

Hawaii 5-0 Rule (dextrose x dose = 50)

D5 - 10 cc/kg
D10 - 5cc/kg
D25 - 2 cc/kg
D50 - 1cc/kg

Question 22

Narcan

Answer 22

Comes in .4 mg in 1 mL viles

Dilute w/ 9 cc’s NS –> .04 mg/cc

Give 1 cc –> 2 cc –> 4 ccc –> STOP

Question 23

Status Meds

Answer 23

1 - lorazepam 1-2 mg IV (up to 10 mg)

2- phenytoin 20-30 mg/kg @ 50 mg/min
OR fosphenytoin 20-30 mg/kg @ 150 mg/min

3 - phenobarb 20 mg/kg
OR valproic acid 20-40 mg/kg

4 - intubate w/ rocuronium