Ped Doses Flashcards
What’s the dose for Adenosine
• 0.1 mg/kg IV/IO rapid push (max 6 mg). second dose 0.2 mg/kg V/IO rapid push (max 12 mg)
What’s the dose for Albuterol
Nebulizer: 2.5 mg/dose (wt <20 kg) or 5 mg/dose (wt >20 kg) via inhalation q
20 minutes PRN
What’s the dose for Amiodarone with pulses
5 mg/kg IV/IO load over 20 to 60 minutes (max 300 mg), repeat to daily max 15 mg/kg (2.2 g in adolescents)
What’s the Amiodarone dose for pulseless arrest/VF VT?
• 5 mg/kg IV/IO bolus (max 300 mg), repeat to daily max 15 mg/kg (2.2 g in adolescents)
What is the dose for Atropine sulfate
For bradycardia(symptomatic)
0.02 mg/kg IV/IO (max single dose 0.5 mg), may repeat dose once in 3 to 5 minutes, max total dose child 1 mg, max total dose adolescent 3 mg
• 0.04 to 0.06 mg/kg ET
What is the dose for Atropine sulfate for toxins/overdose(organophosphate, carbamate)
<12 years: 0.05 mg/kg IV/IO Initially; then repeated and doubling the dose every 5 minutes until muscarinic symptoms reverse
• ≥12 years: 1 mg IV/IO initially; then repeated and doubling the dose every 5 minutes until muscarinic symptoms reverse
What is the dose for Calcium chloride 10% for Hypocalcemia, hyperkalemia, hypermagnesemia, calcium channel blocker overdose
20 mg/kg (0.2 mL/kg) IV/IO slow push during arrest, repeat PRN
What is the dose for Dextrose (glucose)
0.5 to 1 g/kg IV/IO (D25W 2 to 4 mL/kg; D10W 5 to 10 mL/kg)
What’s the dose for epinephrine for pulseless arrest(bradycardia) (symptomatic)
0.01 mg/kg (0.1 mL/kg of the 0.1 mg/mL concentration) V/0 a 3 to 5 minutes (max single dose 1 mg)
What is the dose for epinephrine for hypotensive shock
0.1 to 1 mcg/kg per minute IV/IO infusion (consider higher doses if needed)
What is the dose for epinephrine for Anaphylaxis
• IM autoinjector 0,3 mg (for patient weighing ≥30 kg) or IM junior autoinjector
0.15 mg (for patient weighing 10 to 30 kg)
• 0.01 mg/kg (0.01 mL/kg of the 1 mg/mL concentration) IM a 15 minutes PRN (max single dose 0.3 mg)
• 0,01 mg/kg (0.1 mL/kg of the 0.1 mg/mL concentration) V/O a 3 to 5 minutes (max single dose 1 mg) if hypotensive
• 0.1 to 1 mcg/kg per minute V/O infusion if hypotension persists despite fuids and IM injection
What is the dose for epinephrine for asthma
0.01 mg/kg (0.01 mL/kg of the 1 mg/mL concentration) subcutaneously a
15 minutes (max 0.3 mg or 0.3 mL)
What is the dose for epinephrine for croup
0.25 to 0.5 mL racerio solution (2.25%) mixed in 3 mL. NS via inhalation
What’s the dose of Etomidate to sedate or rsi
• 0.2 to 04 mg/kg IV/IO infused over 30 to 60 seconds (max 20 mg) vill produce rapid sedation that lasts for 10 to 15 minutes
What is the dose for atrovent/Ipratroplum
bromide for asthma
• 250 to 500 mcg via inhalation a 20 minutes PRN x 3 doses
What is the dose for lidocaine for VF/pulseless VT, wide-complex tachycardia (with pulses)
1 mg/kg IV/IO bolus
• Maintenance. 20 to 50 mcg/kg per minute IV/IO infusion (repeat bolus dose if infusion initiated > 15 minutes after initial bolus)
• 2 to 3 mg/kg ET
What is the dose for Magnesium sulfate for
Asthma (refractory status asthmaticus), torsades de pointes, hypomagnesemia
• 25 to 50 mg/kg IV/IO bolus (max 2 g) (pulseless VT) or over 10 to 20 minutes
(VT with pulses) or slow infusion over 15 to 30 minutes
What is the dose for Naloxone(narcan) for Narcotic (opiate) reversal
• Total reversal required (for narcotic toxicity secondary to overdose): 0.1 mg/kg
IVO/IM/subcutaneous bolus q 2 minutes PRN (max 2 mg)
• Total reversal not required (eg, for respiratory depression associated with therapeutic narcotic use): 1 to 5 mcg/kg IV/O/IM/subcutaneously; titrate to desired effect
• Maintain reversal: 0.002 to 0.16 mg/kg per hour IV/IO infusion
What is the dose for Nitroglycerin for Heart failure, cardiogenic shock
Initiate at 0.25 to 0.5 mcg/kg per minute IV/O infusion; titrate by 1 mcg/kg per minute a 15 to 20 minutes as tolerated. Typical dose range 1 to 5 mcg/kg per minute (max 10 mcg/kg per minute)
• In adolescents, start with 5 to 10 mcg per minute (not per kilogram per minute) and increase to max 200 mcg per minute
What is the dose for Norepinephrine for Hypotensive (usually distributive) shock (ie, low SVR and fluid refractory)
0.05 to 2 mcg/kg per minute IV/IO infusion; titrate to desired effect
What’s the does for Sodium bicarbonate for Metabolic acidosis (severe), hyperkalemia
1 mEq/kg IV/0 slow bolus
What’s the dose for Sodium bicarbonate for Sodium channel blocker overdose (eg, tricyclic antidepressant)
• 1 to 2 mEq/kg V/O bolus until serum pH is >7.45 (7.50 to 7.55 for severe poisoning) followed by IV/IO infusion of 150 mEq NaHCO,/L solution titrated to maintain alkalosis
What’s the dose for Vasopressin for Catecholamine-resistant hypotension
• 0.0002 to 0.002 unit/kg per minute (0.2 to 2 milliunits/kg per minute) continuous infusion
