Dosing Flashcards
Peds IVF (maintenance and bolus)
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)
Norepinephrine Drip
4-7 mcg / min
Titrate to MAP > 65
Epinephrine Drip
3-5 mcg/min
Phenylephrine Drip
30-50 mcg/min
Vasopressin
.03 units/min
Steroids in Asthma Exacerbation
125 mg IV salumedrol
Epi in Code
1 mg of 1:10,000 q 3-5 min
Amiodarone in Code
300 mg over 10 min
Lidocaine in Code
1.5 mg / kg q 5-10 min
Adenosine
6 mg peripheral (push w/ flush and lift arm)
… 12 mg if that doesn’t work
3 mg in central line
Atropine
1 mg q 3 -5 min (up to 3 mg max)
Fluid Replacement in Burns
Parkland Formula:
%SA x Wt (kg) x 4
1/2 over 8 hrs
1/2 over next 16 hrs
Acetaminophen
650 - 1000 mg q 6 hrs
Ibuprofen
400-600 mg q 8 hr
IV Tordol
15-30 mg IV
Zofran
4 mg IV or IM
Reglan
METOCLOPRAMIDE
5-10 mg PO or IV
Compazine
10 mg PO IM IV
Phenergan
PROMETHAZINE
12.5 - 50 mg PO IV
Lidocaine
Bupivicaine
Procaine
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
Glucose Repletion in Peds
Hawaii 5-0 Rule (dextrose x dose = 50)
D5 - 10 cc/kg
D10 - 5cc/kg
D25 - 2 cc/kg
D50 - 1cc/kg
Narcan
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
Status Meds
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
