Pediatric Dosages (CPFR Drugs, Shorthand)

Question 1

Pediatric Dose: Acetaminophen (two dosages)

Answer 1

1. 15 mg/kg PO; 2. 15 mg/kg PR;

Question 2

Pediatric Dose: Afrin

Answer 2

1. < 6 y/o: None; > 6 y/o: 2-3 sprays in each nostril;

Question 3

Pediatric Dose: Albuterol - Anaphylaxis

Answer 3

1. 2.5 mg SVN; May repeat continuously; (Use Blow-By if < 5 y/o)

Question 4

Pediatric Dose: Albuterol - RAD

Answer 4

1. 2.5 mg (with 0.25 mg Atrovent) SVN; May repeat combo x1; May repeat albuterol (alone) continuously; (Use Blow-By if < 5 y/o)

Question 5

Pediatric Dose: Amiodarone - CPR

Answer 5

1. 5 mg/kg IV (max dose 300 mg); May repeat q 3+ min (max total 15 mg/kg);

Question 6

Pediatric Dose: Aspirin

Answer 6

1. Contact MBCH;

Question 7

Pediatric Dose: Atropine - Bradycardia (two dosages)

Answer 7

1. 0.02 mg/kg IV (min dose 0.1 mg, max child dose 0.5 mg, adolescent 1 mg); May repeat after 3+ min x1 (max child total 1 mg, adolescent 2 mg); 2. 0.05 mg/kg (in 5 mL NS) ET;

Question 8

Pediatric Dose: Atropine - Poisoning

Answer 8

1. < 12 y/o: 0.5 mg IV (1/2 preload); May repeat q 1 min (max 10 mg); ≥ 12 y/o: 1 mg IV (full preload); May repeat q 1 min (max total 10 mg);

Question 9

Pediatric Dose: Calcium Chloride 10%

Answer 9

1. 20 mg/kg IV over 5 min;

Question 10

Pediatric Dose: Cyanokit

Answer 10

1. 70 mg/kg IV Infusion over 15 min (add 200 mL NS w/ 10-drip admin set = 25 mg/mL; max dose 5 g);

Question 11

Pediatric Dose: Dextrose - 1. D10W 2. D25W 3. D50W

Answer 11

1. Neonate: 5 mL/kg D10W IV; *May repeat; 2. Infant-8 y/o: 2 mL/kg D25W IV; *May repeat; 3. ≥ 8 y/o: 1 mL/kg D50W IV; *May repeat; (*Repeat until dexi > 60 mg/dL)

Question 12

Pediatric Dose: Diazepam - Seizure (two dosages)

Answer 12

1. Trauma & Medical Causes: 0.2 mg/kg IV (max dose 10 mg); May repeat after 1+ min x1 (p. 57, 89);
2. Medical Causes: 0.5 mg/kg PR (max dose 20 mg); May repeat after 5+ min x1 (p. 89);

Note: “Administer rectal dose with 3 mL syringe (without needle) inserted as far as possible. May administer patient’s own Diastat when available”.

Major Memory System: A sheepish paramedic tugs a seizing toddler’s Hanes™ (20) aside and uses a turkey baster to squeeze bright green aioli (5) into his asshole (0.5).

Question 13

Pediatric Dose: Diazepam - Violent Patients/ExDs

Answer 13

1. Contact MBCH;

Question 14

Pediatric Dose: Diltiazem

Answer 14

1. Contact MBCH;

Question 15

Pediatric Dose: Diphenhydramine

Answer 15

1. 1-2 mg/kg IM/IV (max dose 50 mg); May repeat (max total 100 mg);

Question 16

Pediatric Dose: Dopamine

Answer 16

1. 2-20 mcg/kg/min IV Infusion (Premixed 1,600 mcg/mL bag w/ 60-drip admin set: Use Duggan Formula to achieve 5-6 mcg/kg/min);

Question 17

Pediatric Dose: Epi - Allergic Reaction

Answer 17

1. 0.01 mg/kg 1:1k IM (max dose 0.3 mg); May repeat after 5+ min x1 if airway involved and no improvement, or after 15+ min if other signs such as urticaria persist;

Question 18

Pediatric Dose: Epi - Anaphylaxis < 66 lbs / 30 kg (two dosages)

Answer 18

1. 0.15 mg 1:1k IM; May repeat; 2. 0.3 mg 1:10k IV; May repeat;

Question 19

Pediatric Dose: Epi - Asthma

Answer 19

1. 0.01 mg/kg 1:1k IM (max dose 0.3 mg);

Question 20

Pediatric Dose: Epi - Bradycardia / Hypotension (two dosages)

Answer 20

1. 0.01 mg/kg 1:10k IV (max dose 1 mg; flushed with 20 mL NS); May repeat q 3+ min; 2. 0.1 mg/kg 1:1k ET; May repeat q 3+ min;

Question 21

Pediatric Dose: Epi - Cardiac Arrest (two dosages)

Answer 21

1. 0.01 mg/kg 1:10k IV (max dose 1 mg; flushed with 20 mL NS); May repeat q 3+ min; 2. 0.1 mg/kg 1:1k ET; May repeat q 3+ min;

Question 22

Pediatric Dose: Epi - Upper Airway Edema Secondary to Obstruction / Angioedema / Epiglottitis (two dosages)

Answer 22

1. 0.01 mg/kg 1:1k IM (max dose 0.3 mg); 2. 0.01 mg/kg 1:10k IV (max dose 0.3 mg);

Question 23

Pediatric Dose: Etomidate - RSI

Answer 23

1. < 10 y/o: None; ≥ 10 y/o: 0.3 mg/kg IV over 30+ sec (max dose 20 mg);

Question 24

Pediatric Dose: Fentanyl - ACS Pain

Answer 24

1. Contact MBCH;

Question 25

Pediatric Dose: Fentanyl - Non-ACS Pain

Answer 25

1. 1-2 mcg/kg IM/IN/IV; May repeat q 5+ min (max total 100 mcg);

Question 26

Pediatric Dose: Fentanyl - Post-RSI

Answer 26

1. 1 mcg/kg IV; May repeat q 10 min;

Question 27

Pediatric Dose: Glucagon - Hypoglycemia

Answer 27

1. ≤ 20 kg: 0.5 mg IM; \> 20 kg: 1 mg IM;

Question 28

Pediatric Dose: Glucose

Answer 28

1. Titrate to effect Buccal/PO;

Question 29

Pediatric Dose: Ibuprofen

Answer 29

1. 6 mo-12 y/o: 10 mg/kg PO;

Question 30

Pediatric Dose: Ipratropium Bromide

Answer 30

1. 0.25 mg (with 2.5 mg albuterol) SVN; May repeat x1; (Use Blow-By if \< 5 y/o)

Question 31

Pediatric Dose: Ketamine - Pain

Answer 31

1. 0.2 mg/kg IM/IN/IV; May repeat q 10 min;

Question 32

Pediatric Dose: Ketamine - RSI-Induction (two dosages)

Answer 32

1. 2 mg/kg IV; 2. 4 mg/kg IM;

Question 33

Pediatric Dose: Ketamine - Sedation

Answer 33

1. Contact MBCH;

Question 34

Pediatric Dose: Lidocaine - IO Anesthesia

Answer 34

1. Contraindicated;

Question 35

Pediatric Dose: Lidocaine - Stable VT (two dosages)

Answer 35

1. 1 mg/kg IV; 2. 2-3 mg/kg (in 5 mL NS) ET;

Question 36

Pediatric Dose: Lidocaine - CPR (two dosages)

Answer 36

1. 1 mg/kg IV; 2. 2-3 mg/kg (in 5 mL NS) ET;

Question 37

Pediatric Dose: Mag Sulfate - Asthma

Answer 37

1. 50 mg/kg (in 10 mL NS) IV over 15 minutes (max dose 2 g);

Question 38

Pediatric Dose: Mag Sulfate - Pulseless TdP

Answer 38

1. 50 mg/kg (in 10 ml NS) IV (max dose 2 g);

Question 39

Pediatric Dose: Mag Sulfate - TdP w/ Pulse

Answer 39

1. 50 mg/kg (in 10 ml NS) IV over 15 minutes (max dose 2 g);

Question 40

Pediatric Dose: Methylprednisolone

Answer 40

1. 2 mg/kg IV (max dose 125 mg);

Question 41

Pediatric Dose: Midazolam - Anxiety/Sedation (three dosages)

Answer 41

1. 0.2 mg/kg IN; May repeat q 1+ min (max total 5 mg); 2. 0.2 mg/kg IM (max dose 5 mg); 3. 0.1 mg/kg IV over 2 min (max dose 2 mg); May repeat q 1+ min (max total 5 mg);

Question 42

Pediatric Dose: Midazolam - Excited Delerium

Answer 42

1. Contact MBCH;

Question 43

Pediatric Dose: Midazolam - Post-RSI

Answer 43

1. 0.1 mg/kg IV over 2 min (max dose 2 mg); May repeat q 10 min;

Question 44

Pediatric Dose: Midazolam - Seizure (three dosages)

Answer 44

1. 5 mg IM (for 13 - 40 kg patient); 2. 0.2 mg/kg IN; May repeat q 1+ min (max total 10 mg); 3. 0.1 mg/kg IV over 2 min (max dose 2 mg); May repeat q 1+ min (max total 5 mg);

Question 45

Pediatric Dose: Morphine - ACS Pain

Answer 45

1: 0.1 mg/kg IM/IV (max dose 10 mg); Contact MBCH for additional doses;

Question 46

Pediatric Dose: Morphine - Non-ACS Pain

Answer 46

1. 0.1 mg/kg IM/IV (max dose 10 mg); Contact MBCH for additional doses;

Question 47

Pediatric Dose: Naloxone

Answer 47

1. 0.1 mg/kg ET/IM/IN/IV (max dose 2 mg); May repeat q 2+ min (max total 10 mg);

Question 48

Pediatric Dose: Nitrous Oxide

Answer 48

1. Contact MBCH;

Question 49

Pediatric Dose: Ondansetron - 4-11 y/o (two dosages)

Answer 49

1. 4 mg ODT; 2. 0.15 mg/kg IV over 30+ sec (max dose 4 mg), then Contact MBCH;

Question 50

Pediatric Dose: Oxygen - 1. COPD 2. ROSC 3. General Emergency 4. Increasing ICP 5. CO Poisoning

Answer 50

1. 92-94% SpO2; 2. 94-99% (94% ideal) SpO2; 3. \> 94% SpO2; 4. ≥ 95% SpO2; 5. High Flow 100% O2;

Question 51

Pediatric Dose: Rocuronium

Answer 51

1. 1 mg/kg IV;

Question 52

Pediatric Dose: Sodium Bicarbonate 8.4%

Answer 52

1. Neonate - 5 kg: 1 mEq/kg 4.2% IV (dilute preload w/ equal amount NS to achieve 4.2%); \> 5 kg: 1 mEq/kg IV (max dose 50 mEq);

Question 53

Pediatric Dose: Sodium Chloride (Normal Saline) - 1. General 2. Burns 3. Anaphylactic/Vasogenic/Neurogenic Shock 4. HoTN of Unknown Etiology

Answer 53

1. 20 mL/kg IV Bolus; May repeat x3; 2. 1/2 Parkland Formula IV Infusion over 8 hrs; 3. 20 mL/kg IV Bolus; May repeat x2; 4. 20 mL/kg IV Bolus; May repeat x2;

Question 54

Pediatric Dose: Succinylcholine

Answer 54

1. 2 mg/kg IV;

Question 55

Pediatric Dose: Albuterol - CIS / Hyperkalemia / Anaphylaxis

Answer 55

2. 5 mg SVN; May repeat continuously;

Question 56

Pediatric Dose: Glucagon - Beta Blocker Overdose

Answer 56

1. Contact MBCH;

Question 57

Pediatric Dose: Glucagon - Epi-Refractory Anaphylaxis 2° to Beta Blockers

Answer 57

1. Contact MBCH;

Question 58

How can a D10W Push be created from D50W?

Answer 58

1. Replace 40 mL of a D50W preload with NS;

Question 59

What is the Parkland Formula?

Answer 59

1. 4 mL x kg x (% of 2nd & 3rd degree burns);

Question 60

Pediatric Dose: Ketamine - Post-RSI

Answer 60

1. 0.5 mg/kg IV; May repeat q 10 min;

Question 61

Pediatric Dose: Adenosine

Answer 61

1. 0.1 mg/kg Rapid IV Push (flushed rapidly with 5-10 mL NS; max dose 6 mg); May repeat after 1+ min with 0.2 mg/kg (max dose 12 mg);

Question 62

Pediatric Dose: Epi - Anaphylaxis ≥ 66 lbs / 30 kg (two dosages)

Answer 62

1. 0.3-0.5 mg 1:1k IM; May repeat; 2. 0.3 mg 1:10k IV; May repeat;

Question 63

Pediatric Dose: Epi - Croup

Answer 63

1. \< 6 y/o: 2 mL 1:1k Blow-By; ≥ 6 y/o: 3 mL 1:1k Blow-By;

Question 64

Pediatric Dose: Ondansetron - \> 11 y/o (two dosages)

Answer 64

1. 8 mg ODT; 2. 4 mg IV over 30+ sec, then Contact MBCH;

Question 65

Pediatric Dose: Xylocaine 2% Jelly

Answer 65

1. Apply moderate amount to external surfaces of endotracheal / nasogastric tubes prior to placement;

Question 66

Pediatric Dose: Diazepam - General (two routes)

Answer 66

1. 0.2 mg/kg IV (max dose 2 mg); May repeat q 1+ min (max total 10 mg) (p. O-29); 2. 0.5 mg/kg PR (max dose 20 mg); May repeat after 5 min x1 (p. O-29);