Pain and Sedation

Question 1

Adult Dilaudid dose

Answer 1

0.5-1mg IV, 1-2mg IM
Q20 min

Question 2

Pediatric Dilaudid dose

Answer 2

<6 mos: 5mcg/kg
>6 mos: 15mcg/kg

Question 3

How to administer pediatric Dilaudid

Question 4

Adult fentanyl dose

Answer 4

1-2mcg/kg (50-150mcg) IV/IM/IN

Question 5

Pediatric fentanyl dose

Answer 5

1-2 mcg/kg

Question 6

Fentanyl infusion dosing Adult

Answer 6

200mcg/100ml OR 500mcg/250ml
After initial bolus: 1mcg/kg/hr.
Then bolus 1 MCG/KG and increase in fusion by 1 MCG/KG/HR. Max bolus 100, max infusion 3 MCG/KG/HR (200 MCG)

Question 7

Fentanyl infusion, dosing, pediatric

Answer 7

0.5 mcg/kg/hr after initial IV bolus After 5 – 10 minutes bolus 0.5 mcg/kg and increase infusion by 0.5 mcg/kg/hr. Repeat bolus and infusion titration q 5 – 10 min PRN to a max of 3 mcg/kg/hr.

Question 8

Adult morphine dosing

Answer 8

2 – 5 mg IV; 5 – 10 mg IM.
Q15min PRN

Question 9

Pediatric, morphine dosing

Answer 9

0.1 – 0.2 mg/kg IV/IM
Q15Min PRN

Question 10

Ketamine dose for pain medication, adjunct

Answer 10

Adult and pediatric:
Bolus dose: 0.2 mg/kg slow IV push
May repeat q 30 minutes PRN

Question 11

Adult Ativan dose for sedation

Answer 11

1-4 mg Q45min

Question 12

Pediatric Ativan for sedation

Answer 12

0.05-0.1 mg/kg IV OR IM

Question 13

Adult Versed for sedation

Answer 13

2–5mgIVorIM
Intubated patients: approximately 0.05 mg/kg – max dose 5 mg.
Non-intubated patients: Use lower end of dosage range unless patient condition dictates higher doses. Use with caution in frail, elderly or debilitated patients - consider starting dose of 1 mg
0.3 mg/kg IN (max dose 10 mg),

Question 14

Pediatric Versed for sedation

Answer 14

0.05 – 0.1 mg/kg IV or IM.
0.3 mg/kg IN (max dose 10 mg)

Question 15

Adult Versed drip

Answer 15

10mg in 100ml OR 20mg in 100ml
<100kg: 2mg/hr after bolus
>100kg: 4mg/hr after bolus
If sedation inadequate after 5 – 10 minutes, bolus 2 mg and increase infusion by 1 mg/hr. Repeat bolus and increase infusion q 5 – 10 min PRN, not to exceed an infusion rate of 10 mg/hr

Question 16

Pediatric Versed drip

Answer 16

50 mcg/kg/hr after initial IV bolus.
If sedation inadequate after 5 – 10 minutes, bolus 50 mcg/kg and increase infusion by 10 mcg/kg/hr. Repeat bolus and increase infusion q 5 – 10 min PRN, not to exceed an infusion rate of 100 mcg/kg/hr

Question 17

Ketamine dose for continued sedation

Answer 17

1mg/kg (if induction dose not given.)
Than 0.5mg q15.

Question 18

Adult and pediatric Ketamine drip

Answer 18

0.5 mg/kg/hr
If sedation inadequate after 10 minutes, bolus 0.5 mg/kg and increase infusion by 0.5 mg/kg/hr. Repeat bolus and increase infusion q 10 minutes PRN to a max rate of 4 mg/kg/hr

Question 19

IM Ketamine for agitation/combative

Answer 19

4mg/kg

Question 20

Propofol drip Adult

Answer 20

(continue from sending facility)
Minimum rate 25mcg/kg/min (if needed to increase, bolus 10-20mg and titrate up to 25mcg/kg/min.)
Bolus with 10 – 20 mg and increase drip rate by 10 mcg/kg/min q 5 min, not to exceed 75 mcg/kg/min

Question 21

Propofol drip pediatric

Answer 21

Minimum rate 25mcg/kg/min
Bolus with 0.5 mg/kg (max 20 mg), and increase drip rate by 10 mcg/kg/min q 5 min, not to exceed 75 mcg/kg/min.