Pedi Doses Flashcards

1
Q

Acetaminophen ) pedi dose

A

PO: 15 mg/kg

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2
Q

Adenosine Pedi Dosing

A
  • 1st dose: 0.1 mg/kg (max 6 mg)
  • 2nd dose: 0.2 mg/kg (max 12 mg)
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3
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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4
Q

Albuterol Pedi Dose

A

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

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5
Q

Amiodarone Pedi Dosing

A

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

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6
Q

Amiodarone Pedi for VF/pVT maintanence

A

= 5 mg/kg over 20-60 mins (Max 15 mg/kg per 24 hrs)

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7
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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8
Q

Atropine Pedi doses) PSNS Tone increase:

Minimum & Max loading dose :

A

= 0.02 mg/kg IV w/ Cumulative max: 1mg child 3mg adolescent
= Min: 0.1mg & Max: 0.5 mg per dose)

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9
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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10
Q

Atropine Pediatric Organophosphate OD dose:

A

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

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11
Q

Ca-Cl) Pedi dose

A

= 20 mg/kg (0.2 mL/kg) SIVP

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12
Q

Charcoal dose

A

1G/Kg

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13
Q

Cardioversion Dosing

A
  • SVT/VT w/ Pulse: Start @ 0.5-1 J/kg, increase to 2 J/kg if needed
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14
Q

Pedi Cardiovert:

A

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

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15
Q

Pedi Defib:

A

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

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16
Q

Pedi Defibrillation

A

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

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17
Q

Dexamethasone) pedidosing

A

0.5-0.6mg/kg up to 10mg

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18
Q

Dextrose dose:
2 months - 2 years

A

2 - 4 mL / kg of D25

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19
Q

Dextrose dose:
> 2 years

A

1 - 2 mL / kg of D50

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20
Q

Dextrose dose:
birth - 2 months

A

5 - 10 mL / kg of D10

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21
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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22
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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23
Q

Diazepam Rectal Dose

A

0.2 mg/kg (Max single dose of 10 mg).

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24
Q

hypoglycemia Rx for infant:

A

= <60BGL infant

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25
hypoglycemia for neonate:
= <45BGL neonate
26
Neonatal Hypoglycemia Treatment
Dextrose 10% (D10) at 5-10 mL/kg IV bolus
27
Diphenhydramine/Benadryl) Pedi dose: Side note:
=1-2 mg/kg slow IV/IO or IM (Max 50mg) = if altered, try to hold off on admin b/c sedative
28
Diazepam (Valium) pedi dose
0.1mg/kg in 2.5 mg increments slow IV (max 5mg) 0.2 mg/kg rectal dose (max 10 mg)
29
Diphenhydramine/benadryl) pedi dose:
1-2 mg/kg slow IV/IO or IM (Max 50mg)
30
DOBUTamine) pedi dose:
= 2-20mcg/kg
31
DOPamine) pedi dose:
= 2-20mcg/kg
32
Croup Med dosing:
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
33
Epi 1:1) Pedi SVN
= 1mL w/ 4mL NS
34
Racemic Epi ) Dynamics: Indications: Contra: Dose:
= Nonselective ß sympathetic agonist =Croup =Hypersensitivity =0.25-0.75 mL of a 2.25% solution diluted in 3mL of NS
35
EPI 1:1) Pedi Asthma Dose:
=0.01mg/kg IM w/ max dose 0.3mgIM
36
Epinephrine 1:10) SVN
= 5-10mLs w/o NS dilution
37
Ped Epi 1:10 dose: Pedi Epi 1:1 dose
- Cardiac Arrest: 0.01 mg/kg IV/IO (1:10,000) - Anaphylaxis: 0.01 mg/kg IM (1:1,000)
38
Epinephrine 1:10) Admin via: Infusion MM trick
= IV = 0.1-1 mcg/kg/min infusion by Mixing 1mg of Epi 1:10 into 1L IV bag = 0.1mL
39
Epi 1:10 Pediatric Dosing: Epi 1:1 Pediatric Dosing:
- Cardiac Arrest: 0.01 mg/kg IV/O every 3-5 min - Anaphylaxis: 0.01 mg/kg IM (Max 0.3 mg)
40
Etomidate peds dose: Onset: Duration: Dose Limit & Max
= 0.2-0.4 mg/kg (limit to 1 dose) = within 30 seconds = 5-10 minutes = 1 dose max 20mg
41
Fentanyl Pediatric Dose: per nostril max:
= 1 mcg/kg to max 100 mcg (IV/IO/IM/IN) – may repeat PRN in 5-10minutes = Max of 1 mL per nostril if administered IN
42
Flumazenil / Razocon
= 0.01 mg/kg IV/IO q15 seconds. = Max up to 0.05 mg/kg total dose.
43
Glucagon Pediatric Dose for Hypoglycemia (>20 kg)
1 mg IM/IN.
44
Glucagon Pediatric Dose for Hypoglycemia (<20 kg)
0.5 mg IM/IN.
45
Glucagon Pediatric Dose for suspected Beta Block OD
0.05 – 0.15 mg/kg IV/IO, followed by 0.05-0.1 mg/kg per hour IV/IO infusion.
46
Hydroxocobalamin/ Cyanokit) Pedi dose
70mg/kg /15Mins (max 5Gs)
47
Nalaxone/Narcan) Pedi Dose:
= 0.4-2mg SIV (just enough for resp/ drive) = 0.1 mg/kg up to 2 mg IV/IO/IM/IN
48
Ipratropium (Atrovent) peds dose
250-500mcg / 1.25 - 2.5 mL
49
Ketamine Pediatric Induction Dose
1-2 mg/kg. Onset: 30-60 seconds, Duration: 10-20 minutes.
50
Ketamine / Ketalar) Adult & Pedi Pain Doses: Dissociation/Induction:
= 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
51
Ketamine) Pedis dosing:
= Same as adults RSI(1-2mg/kg) & Pain (0.2mg/kg)
52
Ketamine peds dose for SFI / RSI SFI/RSI onset duration
= 1 - 2 mg / kg =onset: 30-60 secs duration: 10-20 min
53
Lidocaine Pedi Dosing
- Initial Dose: 1 mg/kg IV/IO - Maintenance: 20-50 mcg/kg/min
54
Mag-Sulfate) Pedi dose
Resp: 25-50 mg/kg IV/O (max 2Gs)/ 15-30 mins (infusion)
55
Midazolam / Versed) Adult Active Seizures: Pedi Active seizures:
= 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
56
NorEpi pedi dose
0.1-2 mcg/kg/min IV/IO infusion
57
Solu-Medrol) Pedi Dose: Adverse Effects:
= 2 mg/kg IV/IO to a max of 60 mg = Increases BGL , Effects delayed & usually not seen prehospital care
58
Solu-Medrol Pedi indications Dose
=Bronchial asthma, COPD, Anaphylaxis = 2 mg/kg IV/IO (max of 60 mg)
59
Lidocaine dose for a pediatric patient in VT
1 mg/kg
60
Ketamine Pediatric Pain Management Dose
0.2 mg/kg IV over 1-2 minutes (max single dose of 20 mg), 0.5 mg/kg IN/IM.
61
Levalbuterol (Xopenex) Pediatric Dose
0.63 mg/3 mL.
62
Lidocaine Arrest from VF/pVT & VT with a pulse Pediatric Dose
Initial: 1 mg/kg IV/IO. Maintenance: 20-50 mcg/kg/min.
63
Lorazepam Pediatric Dose
0.05 – 0.1 mg/kg IV/IO over 2– 5 minutes (Max single dose of 4 mg).
64
Mag Sulfate Pediatric Dose for Bronchodilation
25-50 mg/kg IV/IO (max of 2 grams) over 15-30 minutes (Infusion).
65
Mag Sulfate Pediatric Dose for TdP with a pulse
25-50 mg/kg IV/IO (max of 2 grams) over 10-20 minutes (Infusion).
66
Mag Sulfate Pediatric Dose for TdP (Cardiac Arrest)
25-50 mg/kg IV/IO bolus (max of 2 grams).
67
Midazolam Pediatric Dose for Active seizures
0.1 mg/kg in 2 mg increments IV/IO (Max single dose 5 mg).
68
Midazolam Pediatric Dose for Induction Agent (RSI)
0.1-0.3 mg/kg (Max 10 mg). Onset: 2-5 minutes, Duration: 15-30 minutes.
69
Midazolam Pediatric Dose for ET Tube Bucking
0.05 mg/kg slow IV/IO over 1– 2 minutes (maintain SBP)– stop once bucking has resolved.
70
Morphine Pediatric Dose
0.1 mg/kg IV/IO (slow) or IM up to 10 mg.
71
Narcan Pediatric Dose
0.1 mg/kg up to 2 mg IV/IO/IM/IN.
72
Norepinephrine Pediatric Dose
0.05 – 2 mcg/kg/min IV/IO infusion.
73
Ondansetron Pediatric Dose
0.1 mg/kg IV (slow), IM, PO (max of 8 mg).
74
Racemic Epi Pediatric Dose
0.25-0.75 mL of a 2.25% solution diluted in 3 mL of NS.
75
Rocuronium Pediatric Dose
0.6-1.2 mg/kg. TTP: 30-60 seconds, DOP: 30-60 minutes.
76
Solu-Medrol Pediatric Dose
2 mg/kg IV/IO to a max of 60 mg.
77
Succinylcholine Pediatric Dose
1-1.5 mg/kg. TTP: 45-60 seconds, DOP: 4-6 minutes.
78
Na-Bicarb
= Suspected acidosis: 1 mEq/kg, Hyperkalemia: 50 mEq IV bolus.
79
Vecuronium) Pedi Dose: TTP: DOP:
= 0.1-0.3 mg/kg IV/IO = 1-3 minutes = 30-60 minutes
80
Vecuronium Pediatric Dose
0.1-0.3 mg/kg IV/IO. TTP: 1-3 minutes, DOP: 30-60 minutes.