Pediatric Dosages (CPFR Drugs, Shorthand) Flashcards

1
Q

Pediatric Dose: Acetaminophen (two dosages)

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

Pediatric Dose: Afrin

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

Pediatric Dose: Albuterol - Anaphylaxis

A
  1. 2.5 mg SVN; May repeat continuously; (Use Blow-By if < 5 y/o)
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4
Q

Pediatric Dose: Albuterol - RAD

A
  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)
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5
Q

Pediatric Dose: Amiodarone - CPR

A
  1. 5 mg/kg IV (max dose 300 mg); May repeat q 3+ min (max total 15 mg/kg);
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6
Q

Pediatric Dose: Aspirin

A
  1. Contact MBCH;
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7
Q

Pediatric Dose: Atropine - Bradycardia (two dosages)

A
  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;
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8
Q

Pediatric Dose: Atropine - Poisoning

A
  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);
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9
Q

Pediatric Dose: Calcium Chloride 10%

A
  1. 20 mg/kg IV over 5 min;
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10
Q

Pediatric Dose: Cyanokit

A
  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);
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11
Q

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

A
  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)
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12
Q

Pediatric Dose: Diazepam - Seizure (two dosages)

A
  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).

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13
Q

Pediatric Dose: Diazepam - Violent Patients/ExDs

A
  1. Contact MBCH;
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14
Q

Pediatric Dose: Diltiazem

A
  1. Contact MBCH;
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15
Q

Pediatric Dose: Diphenhydramine

A
  1. 1-2 mg/kg IM/IV (max dose 50 mg); May repeat (max total 100 mg);
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16
Q

Pediatric Dose: Dopamine

A
  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);
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17
Q

Pediatric Dose: Epi - Allergic Reaction

A
  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;
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18
Q

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

A
  1. 0.15 mg 1:1k IM; May repeat; 2. 0.3 mg 1:10k IV; May repeat;
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19
Q

Pediatric Dose: Epi - Asthma

A
  1. 0.01 mg/kg 1:1k IM (max dose 0.3 mg);
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20
Q

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

A
  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;
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21
Q

Pediatric Dose: Epi - Cardiac Arrest (two dosages)

A
  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;
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22
Q

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

A
  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);
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23
Q

Pediatric Dose: Etomidate - RSI

A
  1. < 10 y/o: None; ≥ 10 y/o: 0.3 mg/kg IV over 30+ sec (max dose 20 mg);
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24
Q

Pediatric Dose: Fentanyl - ACS Pain

A
  1. Contact MBCH;
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25
Q

Pediatric Dose: Fentanyl - Non-ACS Pain

A
  1. 1-2 mcg/kg IM/IN/IV; May repeat q 5+ min (max total 100 mcg);
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26
Q

Pediatric Dose: Fentanyl - Post-RSI

A
  1. 1 mcg/kg IV; May repeat q 10 min;
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27
Q

Pediatric Dose: Glucagon - Hypoglycemia

A
  1. ≤ 20 kg: 0.5 mg IM; > 20 kg: 1 mg IM;
28
Q

Pediatric Dose: Glucose

A
  1. Titrate to effect Buccal/PO;
29
Q

Pediatric Dose: Ibuprofen

A
  1. 6 mo-12 y/o: 10 mg/kg PO;
30
Q

Pediatric Dose: Ipratropium Bromide

A
  1. 0.25 mg (with 2.5 mg albuterol) SVN; May repeat x1; (Use Blow-By if < 5 y/o)
31
Q

Pediatric Dose: Ketamine - Pain

A
  1. 0.2 mg/kg IM/IN/IV; May repeat q 10 min;
32
Q

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

A
  1. 2 mg/kg IV; 2. 4 mg/kg IM;
33
Q

Pediatric Dose: Ketamine - Sedation

A
  1. Contact MBCH;
34
Q

Pediatric Dose: Lidocaine - IO Anesthesia

A
  1. Contraindicated;
35
Q

Pediatric Dose: Lidocaine - Stable VT (two dosages)

A
  1. 1 mg/kg IV; 2. 2-3 mg/kg (in 5 mL NS) ET;
36
Q

Pediatric Dose: Lidocaine - CPR (two dosages)

A
  1. 1 mg/kg IV; 2. 2-3 mg/kg (in 5 mL NS) ET;
37
Q

Pediatric Dose: Mag Sulfate - Asthma

A
  1. 50 mg/kg (in 10 mL NS) IV over 15 minutes (max dose 2 g);
38
Q

Pediatric Dose: Mag Sulfate - Pulseless TdP

A
  1. 50 mg/kg (in 10 ml NS) IV (max dose 2 g);
39
Q

Pediatric Dose: Mag Sulfate - TdP w/ Pulse

A
  1. 50 mg/kg (in 10 ml NS) IV over 15 minutes (max dose 2 g);
40
Q

Pediatric Dose: Methylprednisolone

A
  1. 2 mg/kg IV (max dose 125 mg);
41
Q

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

A
  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);
42
Q

Pediatric Dose: Midazolam - Excited Delerium

A
  1. Contact MBCH;
43
Q

Pediatric Dose: Midazolam - Post-RSI

A
  1. 0.1 mg/kg IV over 2 min (max dose 2 mg); May repeat q 10 min;
44
Q

Pediatric Dose: Midazolam - Seizure (three dosages)

A
  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);
45
Q

Pediatric Dose: Morphine - ACS Pain

A

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

46
Q

Pediatric Dose: Morphine - Non-ACS Pain

A
  1. 0.1 mg/kg IM/IV (max dose 10 mg); Contact MBCH for additional doses;
47
Q

Pediatric Dose: Naloxone

A
  1. 0.1 mg/kg ET/IM/IN/IV (max dose 2 mg); May repeat q 2+ min (max total 10 mg);
48
Q

Pediatric Dose: Nitrous Oxide

A
  1. Contact MBCH;
49
Q

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

A
  1. 4 mg ODT; 2. 0.15 mg/kg IV over 30+ sec (max dose 4 mg), then Contact MBCH;
50
Q

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

A
  1. 92-94% SpO2; 2. 94-99% (94% ideal) SpO2; 3. > 94% SpO2; 4. ≥ 95% SpO2; 5. High Flow 100% O2;
51
Q

Pediatric Dose: Rocuronium

A
  1. 1 mg/kg IV;
52
Q

Pediatric Dose: Sodium Bicarbonate 8.4%

A
  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);
53
Q

Pediatric Dose: Sodium Chloride (Normal Saline) -

  1. General
  2. Burns
  3. Anaphylactic/Vasogenic/Neurogenic Shock
  4. HoTN of Unknown Etiology
A
  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;
54
Q

Pediatric Dose: Succinylcholine

A
  1. 2 mg/kg IV;
55
Q

Pediatric Dose: Albuterol - CIS / Hyperkalemia / Anaphylaxis

A
  1. 5 mg SVN; May repeat continuously;
56
Q

Pediatric Dose: Glucagon - Beta Blocker Overdose

A
  1. Contact MBCH;
57
Q

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

A
  1. Contact MBCH;
58
Q

How can a D10W Push be created from D50W?

A
  1. Replace 40 mL of a D50W preload with NS;
59
Q

What is the Parkland Formula?

A
  1. 4 mL x kg x (% of 2nd & 3rd degree burns);
60
Q

Pediatric Dose: Ketamine - Post-RSI

A
  1. 0.5 mg/kg IV; May repeat q 10 min;
61
Q

Pediatric Dose: Adenosine

A
  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);
62
Q

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

A
  1. 0.3-0.5 mg 1:1k IM; May repeat; 2. 0.3 mg 1:10k IV; May repeat;
63
Q

Pediatric Dose: Epi - Croup

A
  1. < 6 y/o: 2 mL 1:1k Blow-By; ≥ 6 y/o: 3 mL 1:1k Blow-By;
64
Q

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

A
  1. 8 mg ODT; 2. 4 mg IV over 30+ sec, then Contact MBCH;
65
Q

Pediatric Dose: Xylocaine 2% Jelly

A
  1. Apply moderate amount to external surfaces of endotracheal / nasogastric tubes prior to placement;
66
Q

Pediatric Dose: Diazepam - General (two routes)

A
  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);