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Pedi Doses Flashcards

1
Q

Solu-Medrol) Adult Dose:
Pediatric Dose:
Adverse Effects:

A

= 125-250 mg IV/IO
= 2 mg/kg IV/IO to a max of 60 mg
= Increases BGL , Effects delayed & usually not seen prehospital care

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2
Q

Naloxone (Narcan) Adult Doses:
Pedi Dose:

A

= 0.4-2mg SIV (just enough for resp/ drive)
= 0.1 mg/kg up to 2 mg IV/IO/IM/IN

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3
Q

Racemic Epi ) Dynamics:
Indications:
Contra:
Dose:

A

= Nonselective ß sympathetic agonist
=Croup
=Hypersensitivity
=0.25-0.75 mL of a 2.25% solution diluted in 3mL of NS

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4
Q

Adenosine) admin/ed best via:
Other efficient ways:

A

= RIVP flush w/ 3-way stop-cock
= Drawn up w/ 20/50mL flush ,Using IV Drip bag

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5
Q

Albuterol Pedi Dose

A

1.25 - 2.5 mg / 1.5 - 3 mL SVN /15 - 20 mins PRN

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6
Q

Amiodarone Pedi Dosing

A
  • VF/pVT: 5 mg/kg IV/IO (Max 15 mg/kg in 24 hrs)
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7
Q

Atropine Pedi Dosing

A

PSNS Tone increase: 0.02 mg/kg IV/IO
(Min: 0.1mg & Max: 0.5 mg per dose) Cumulative max: 1mg child 3mg adolescent
Organophosphate OD: 0.02-0.05 mg/kg (or higher) IVP/IO

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8
Q

Atropine) Pedi PSNS dosing min & max:
Cumulative max:

A

= Min: 0.1mg & Max: 0.5 mg per dose
= 1mg child & 3mg adolescent

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9
Q

Atropine Ped Organophosphate OD:

A

0.02-0.05 mg/kg (or higher) IVP/IO

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10
Q

Atropine Pediatric PSNS Tone increase dose:

A

= 0.02 mg/kg IV/O (Min: 0.1mg & Max: 0.5 mg per dosing)

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11
Q

Charcoal dose

A

1G/Kg

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12
Q

Croup Med dosing:

A

RaceEpi) 2.25% 0.5mL + 4mLs of NS Nebulized
Epi 1:1) 1mL w/ 4mL NS Nebulized
Epi 1:10) 5-10mLs of Epi (no dilution) Nebulized

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13
Q

Defib:

A

= 2j/kg & 4j/kg for defib max 10

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14
Q

Dexamethasone) pedidosing

A

0.5-0.6mg/kg up to 10mg

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15
Q

Dextrose dose:
2 months - 2 years

A

2 - 4 mL / kg of D25

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16
Q

Dextrose dose:
> 2 years

A

1 - 2 mL / kg of D50

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17
Q

Dextrose dose:
birth - 2 months

A

5 - 10 mL / kg of D10

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18
Q

Dextrose Pedi Dosing:

A
  • Neonate (<2 months): D10W, 5-10 mL/kg IV
  • Infant (2Mn-2Yrs): D25W, 2-4 mL/kg IV
  • Child (>2Yrs): D50W, 1-2 mL/kg IV
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19
Q

Dextrose Conversion) D50 to D25:
D50 to D10:

A

= Dilute by a factor of 2 (add equal Vol of fluid)
= Dilute by a factor of 5 (add 4x Vol of fluid)

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20
Q

Diazepam (Valium) pedi dose

A

0.1mg/kg in 2.5 mg increments slow IV
(max 5mg)
0.2 mg/kg rectal dose (max 10 mg)

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21
Q

Diphenhydramine pedi dose:

A

1-2 mg/kg slow IV/IO or IM (Max 50mg)

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22
Q

Diphenhydramine/Benadryl) Pedi dose:
Side note:

A

=1-2 mg/kg slow IV/IO or IM (Max 50mg)
= if altered, try to hold off on admin b/c sedative

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23
Q

Epi 1:1) Pedi SVN

A

= 1mL w/ 4mL NS

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24
Q

EPI 1:1) Pedi Asthma Dose:

A

=0.01mg/kg IM w/ max dose 0.3mgIM

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25
Q

Epinephrine 1:10) SVN

A

= 5-10mLs w/o NS dilution

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26
Q

Epinephrine 1:10) Admin via:
Infusion
MM trick

A

= IV
= 0.1-1 mcg/kg/min infusion by Mixing 1mg of Epi 1:10 into 1L IV bag
= 0.1mL

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27
Q

Epi 1:10 Pediatric Dosing:
Epi 1:1 Pediatric Dosing:

A
  • Cardiac Arrest: 0.01 mg/kg IV/O every 3-5 min
  • Anaphylaxis: 0.01 mg/kg IM (Max 0.3 mg)
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28
Q

Estimate pedi weight:

A

(age X 3) +7=Kg <New>
(age +4) x2=Kg <Old></Old></New>

29
Q

Etomidate peds dose:
Dose Limit & Max

A

= 0.2 - 0.4 mg / kg
= 1 dose max 20mg

30
Q

fluid replacement after perfusion rule:
4 2 1rule/ formula :

A

= normovolemia Used for every hr after to maintain
4ml/kg 1st 10kg
2m/Kg 2nd 10kg
1ml/kG 3rd

31
Q

Pedi Uncuffed ETT form:
Pedi Cuffed ETT form:

A

= (Age in years ÷ 4) + 4.
= (Age in years ÷ 4) + 3.5

32
Q

Hydroxocobalamin/ Cyanokit) pedi) dose

A

70mg/kg /15Mins (max 5Gs)

33
Q

hypoglycemia for neonate:

A

= <45BGL neonate

34
Q

hypoglycemia Rx for infant:

A

= <60BGL infant

35
Q

Pedi Defibrillation

A

Initial shock 2 J/kg, then 4 J/kg

36
Q

Ipratropium (Atrovent) pedi dose:

A

asthma: 250-500 mcg/1.25-2.5 mL via SV

37
Q

Ipratropium (Atrovent) pedi dose:

A

asthma: 250-500 mcg/1.25-2.5 mL via SV

38
Q

Ipratropium (Atrovent) peds dose

A

250-500mcg / 1.25 - 2.5 mL

39
Q

Pedi Fluid doses) Hypovolemia& Distributive:
Cardiogenic Shock:
Poisoning CCB/BB:
DKA with Compensated Shock:

A

= 20 mL/kg / 5-10Mins PRN 3x
= 5-10 mL/kg / 10-20Mins PRN 3x
= 5-10 mL/kg / 10-20Mins PRN 3x
= 10-20 mL/kg / 60-120 Minutes 3x

40
Q

Ketamine / Ketalar) Adult & Pedi Pain Doses:

Dissociation/Induction:

A

= 0.2 mg/kg IV /1-2 mins w/ max single dose 20mg or 0.5 mg/kg IN/IM
= 1-2 mg/kg IV, Onset: 30-60secs, Duration: 10-20 min

41
Q

Ketamine peds dose for SFI / RSI
SFI/RSI onset duration

A

= 1 - 2 mg / kg
=onset: 30-60 secs duration: 10-20 min

42
Q

Ketamine) pedis) dosing:

A

= Same as adults RSI(1-2mg/kg) & Pain (0.2mg/kg)

43
Q

Mag-Sulfate Pedi dose

A

Resp: 25-50 mg/kg IV/O (max 2Gs)/ 15-30 mins (infusion)

44
Q

Midazolam / Versed) Adult Active Seizures:

Pedi Active seizures:

A

= 0.1mg/kg 2mg increments IV(Max 5mg)
5mg IM/IN
= 0.1mg/kg 2 mg increments IV (Max 5 mg) 0.2mg/kg IN/IM

45
Q

NorEpi pedi dose

A

0.1-2 mcg/kg/min IV/IO infusion

46
Q

Pedi Weight Formula:

A

(Age in years × 3) + 7 = Weight in kg

47
Q

Pediatric Bradycardia Treatment

A
  • If hypoxic → Oxygen & ventilation
  • If unstable → Epinephrine 0.01 mg/kg IV/IO
  • Atropine (0.02 mg/kg) if vagal cause suspected
48
Q

Pediatric CPR Compression Depth & Rate

A
  • Depth: 1/3 to 1/2 of chest AP diameter
  • Rate: 100-120/min
  • Ratios: 30:2 (1 rescuer), 15:2 (2 rescuers), 3:1 (newborns)
49
Q

Lidocaine Pedi Dosing

A
  • Initial Dose: 1 mg/kg IV/IO
  • Maintenance: 20-50 mcg/kg/min
50
Q

Adenosine Pedi Dosing

A
  • 1st dose: 0.1 mg/kg (max 6 mg)
  • 2nd dose: 0.2 mg/kg (max 12 mg)
51
Q

Amiodarone Pedi for VF/pVT

A
  • 5 mg/kg IV/IO - Max 15 mg/kg per 24 hrs
52
Q

Ped Epi 1:10 dose:
Pedi Epi 1:1 dose

A
  • Cardiac Arrest: 0.01 mg/kg IV/IO (1:10,000) - Anaphylaxis: 0.01 mg/kg IM (1:1,000)
53
Q

Cardioversion Dosing

A
  • SVT/VT w/ Pulse: Start @ 0.5-1 J/kg, increase to 2 J/kg if needed
54
Q

Pediatric Weight Estimation Formulas

A
  • Old: (Age + 4) × 2 = kg
  • New: (Age × 3) + 7 = kg
55
Q

Racemic Epi) Class:
Indication:
Dose:

A

= Nonselective ß sympathetic agonist
=Croup
= .25-.75 mL of 2.25% solution diluted in 3
mL NS

56
Q

Solu-Medrol Pedi indications
Dose

A

=Bronchial asthma, COPD, Anaphylaxis
= 2 mg/kg IV/IO (max of 60 mg)

57
Q

Tylenol

A

Dose: 105mg

58
Q

Vecuronium) Pediatric Dose:
TTP:
DOP: 30-60 minutes

A

= 0.1-0.3 mg/kg IV/IO
= 1-3 minutes
= 30-60 minutes

59
Q

Amiodarone for a conscious pediatric patient in ventricular tachycardia?

A

5 mg/kg IV over 20 minutes

60
Q

Amiodarone for a pediatric patient in ventricular fibrillation?

A

5 mg/kg IV push

61
Q

Atropine for a pediatric patient suspected of organophosphate exposure?

A

0.02-0.05 mg/kg

62
Q

Epinephrine 1:1,000 for Pedi Pt with a severe allergic reaction?

A

0.01 mg/kg IM with a max dose of 0.3 mg

63
Q

Epi 1:10 for Pedi PT in cardiac arrest/Bradycardia

A

0.01 mg/kg

64
Q

Lidocaine dose for a pediatric patient in VT

65
Q

Adenosine 1st dose for Pedi w/ symptomatic & stable SVT?

66
Q

1st line med Rx for Pedi Bradycardia

A

Epi 1:10,000

67
Q

Most effective initial treatment for bradycardia in the newborn?

68
Q

Lidocaine Pedi maintenance dose of Lidocaine?

A

20-50 mcg/kg/min

69
Q

Pedi Cardiovert:

A

= 0.5j/kg & 1j/kg to max 2J/kg

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