Ped Doses

Question 1

What’s the dose for Adenosine

Answer 1

• 0.1 mg/kg IV/IO rapid push (max 6 mg). second dose 0.2 mg/kg V/IO rapid push (max 12 mg)

Question 2

What’s the dose for Albuterol

Answer 2

Nebulizer: 2.5 mg/dose (wt <20 kg) or 5 mg/dose (wt >20 kg) via inhalation q
20 minutes PRN

Question 3

What’s the dose for Amiodarone with pulses

Answer 3

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)

Question 4

What’s the Amiodarone dose for pulseless arrest/VF VT?

Answer 4

• 5 mg/kg IV/IO bolus (max 300 mg), repeat to daily max 15 mg/kg (2.2 g in adolescents)

Question 5

What is the dose for Atropine sulfate
For bradycardia(symptomatic)

Answer 5

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

Question 6

What is the dose for Atropine sulfate for toxins/overdose(organophosphate, carbamate)

Answer 6

<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

Question 7

What is the dose for Calcium chloride 10% for Hypocalcemia, hyperkalemia, hypermagnesemia, calcium channel blocker overdose

Answer 7

20 mg/kg (0.2 mL/kg) IV/IO slow push during arrest, repeat PRN

Question 8

What is the dose for Dextrose (glucose)

Answer 8

0.5 to 1 g/kg IV/IO (D25W 2 to 4 mL/kg; D10W 5 to 10 mL/kg)

Question 9

What’s the dose for epinephrine for pulseless arrest(bradycardia) (symptomatic)

Answer 9

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)

Question 10

What is the dose for epinephrine for hypotensive shock

Answer 10

0.1 to 1 mcg/kg per minute IV/IO infusion (consider higher doses if needed)

Question 11

What is the dose for epinephrine for Anaphylaxis

Answer 11

• 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

Question 12

What is the dose for epinephrine for asthma

Answer 12

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)

Question 13

What is the dose for epinephrine for croup

Answer 13

0.25 to 0.5 mL racerio solution (2.25%) mixed in 3 mL. NS via inhalation

Question 14

What’s the dose of Etomidate to sedate or rsi

Answer 14

• 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

Question 15

What is the dose for atrovent/Ipratroplum
bromide for asthma

Answer 15

• 250 to 500 mcg via inhalation a 20 minutes PRN x 3 doses

Question 16

What is the dose for lidocaine for VF/pulseless VT, wide-complex tachycardia (with pulses)

Answer 16

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

Question 17

What is the dose for Magnesium sulfate for

Answer 17

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

Question 18

What is the dose for Naloxone(narcan) for Narcotic (opiate) reversal

Answer 18

• 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

Question 19

What is the dose for Nitroglycerin for Heart failure, cardiogenic shock

Answer 19

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

Question 20

What is the dose for Norepinephrine for Hypotensive (usually distributive) shock (ie, low SVR and fluid refractory)

Answer 20

0.05 to 2 mcg/kg per minute IV/IO infusion; titrate to desired effect

Question 21

What’s the does for Sodium bicarbonate for Metabolic acidosis (severe), hyperkalemia

Answer 21

1 mEq/kg IV/0 slow bolus

Question 22

What’s the dose for Sodium bicarbonate for Sodium channel blocker overdose (eg, tricyclic antidepressant)

Answer 22

• 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

Question 23

What’s the dose for Vasopressin for Catecholamine-resistant hypotension

Answer 23

• 0.0002 to 0.002 unit/kg per minute (0.2 to 2 milliunits/kg per minute) continuous infusion