Pediatric Dose Flashcards
Acetaminophen
Pedi dose
Febrile Seizures: 15 mg/kg. PR/IV/IO/PO.
Max dose = 650 mg
Activated charcoal:
Younger than 1 year old = 1 g / kg PO/NG
Older than 1 year = 25-100 g PO/NG
adenosine
Initial dose : 0.1 mg/kg rapid IV/IO push,
followed by 5-10 mL saline flush.
If rhythm does not convert,
Additional dose of 0.2 mg/kg rapid IV/IO push, followed by 5-10 mL saline flush
albuterol
Mild to moderate asthma, anaphylaxis, hyperkalemia:
If using an MDI with a spacer: 4-8 puffs as needed every 20 minutes.
If using a nebulizer: weight <20kg: 2.5 mg/dose.
Weight > 20 kg: 5 mg/dose
Repeat every 20 minutes.
Respiratory distress with signs bronchospasm:
5 mg via nebulizer or 6 puffs via MDI. Repeat for continued respiratory distress. No maximum dose.
Amiodorone
V-Fib, pulseless V-tach: 5 mg/kg IV/IO push.
Poorly perfusing dysrhythmias (atrial or ventricular):
5 mg/kg IV/IO drip over 20-60 minutes
Maximum total single dose: 300 mg
Maximum total cumulative dose (24 hours): 15 mg/kg OR 2.2 g in patients greater than 1-3 years of age
atropine sulfate —
Symptomatic bradycardia pedi dose
Symptomatic bradycardia:
0.02 mg/kg IV/IO.
Maximum single dose: 0.5 mg
Maximum total dose: 1 mg (under 13 years old)
or 3 mg (over 13 years old).
If administering via ETT: 0.04 - 0.06 mg/kg.
atropine sulfate - pedi
ACH poisoning dose
:
ACH Poisoning:
younger than 12 years:
First dose of 0.05 mg/kg.
Repeat and double the dose every 5 minutes until symptoms resolve.
12 years and older:
First dose 1 mg/kg IV/IO.
Repeat and double the dose every 5 mins until symptoms resolve.
Atropine sulfate - pedi
RSI dose
RSI:
0.01 - 0.02 mg/kg IV/IO
or 0.02 mg/kg IM.
Maximum IV/IO dose: 0.5 mg
No maximum IM dose
Calcium chloride
Calcium channel blocker OD/ hyperkalemia/hypocalcemia:
20 mg/kg slow IV/IO push.
Maximum dose: 1000 mg. Repeat as needed
Calcium gluconate
Calcium channel blocker OD/hyperkalemia/hypocalcemia:
60 mg/kg slow Iv/IO push over 10 minutes. Repeat as needed.
dexamethasone
(Dexamethasone is not for pedi prophylaxis)
AMS, HACE: 0.15 mg/kg IM/slow I / PO every 6 hours
Croup: 0.6 mg/kg IM/ slow IV/IO/PO
Asthma: 0.6 mg/kg Im/slow I /IO every 24 hours. Maximum single dose: 16 mg
dextrose
Pediatric:
0.5 - 1 g/kg of D10 or D25 slow IV/IO push.
Repeat PRN
Neonates, Infants:
0.2 g/kg of D10 IV/IO,
followed by 5 mL/kg/hr of D10 IV/IO infusion.
diazepam
Seizure dose
Seizures:
0.1 ng/kg slow IV/IO.
Maximum: 4 mg
No repeat dose
diazepam
Shivering (hyperthermia)
Shivering (hyperthermia):
0.1 mg/kg IV/IO
Maximum single dose: 2.5 mg
Maximum total dose: 5 mg
May repeat once.
If administering PR: 0.5 mg/kg.
Maximum single dose: 10 mg
May repeat once.
Maximum total dose: 20 mg
diazepam
chemical restraint
Chemical restraint:
0.05 - 0.1 mg/kg IV
Maximum single dose: 5 mg
If administering IM: 0.1 - 0.2 mg/kg.
Maximum single dose: 10 mg
No repeat dose
diphenhydramine
allergic reaction, anaphylaxis
Allergic reaction, anaphylaxis:
1 mg/kg. IV/IM/PO
Maximum dose: 50 mg
diphenhydramine
Nausea/vomiting
Nausea/vomiting:
> 2 years and weight greater than 12 kg: 0.1 mg/kg IV
Maximum dose: 25 mg
diphenhydramine
Dystonic reaction/extrapyramidal symptoms
Dystonic reaction/extrapyramidal symptoms:
1-1.25 mg/kg IV/IO/IM.
Maximum single dose: 25 mg
diphenhydramine
chemical restraint
Chemical restraint:
1 mg/kg Im/IV/PO
Maximum dose: 25 mg
epinephrine
Anaphylaxis
Anaphylaxis:
Weight less than 25 kg: 0.15 mg 1:1000 IM
Weight 25 kg or grrater: 0.3 mg 1:1000 IM
Repeat dose every 5-15 minutes as needed
epinephrine
Respiratory distress with wheezing, stridor (from anaphylaxis)
Respiratory distress with wheezing, stridor (from anaphylaxis):
5 mg (5mL) of 1:1000 nebulized
epinephrine:
Cardiovascular collapse (from anaphylaxis):
Cardiovascular collapse (from anaphylaxis):
0.5 mcg/kg/min of 1:1000 IV infusion despite repeated IM anaphylaxis doses (0.3 mg IM) AND 60 mL/kg isotonic fluid boluses
epinephrine:
Profound bradycardia with hemodynamic instability
(pediatric dose)
Profound bradycardia with hemodynamic instability:
0.1 mcg/kg. IV/IO push of 1:100,000 every 3-5 minutes.
Max single dose: 10 mcg titrated to MAP > 65 mmHg
epinephrine:
Cardiac arrest:
Cardiac arrest:
0.01 mg/kg of 1:10,000 IV/IO push.
Maximum dose: 1 mg
If administered via ETT: 0.1 mg/kg every 3-5 minutes until IV/IO access is established
epinephrine:
Bradycardia (neonate dose)
Bradycardia: (neonate dose)
0.01-0.03 mg/kg of 1:10,000 IV/IO, followed by 0.5 mL NS flush.
If administered via ETT: 0.05 - 0.1 mg/kg 1:10,000 and repeat every 3-5 minutes as long as heart rate remains under 60 bpm
etomidate
0.2 - 0.4 mg/kg IV/IO over 30-60 seconds.
Maximum dose: 20 mg
fentanyl citrate
Moderate pain: 1 mcg/kg IM/IN
Severe pain: 1 mcg/kg IV/IO
furosemide
1 mg/kg slow IV/IO
glucagon
Hypoglycemia
Hypoglycemia:
Greater than 20kg or older than 5 years:
1 mg IM/IN.
Less than 20 kg or younger than 5 years:
0.5 mg Im/IN
glucagon
Calcium channel blocker, beta blocker OD
Calcium channel blocker, beta blocker OD:
Greater than 25 kg: 1 mg slow IV push.
Repeat in 5-10 minutes
Less than 25 kg: 0.5 mg slow IV push every 5 minutes.
No maximum dose
Glucose, oral
0.5 - 1g/kg PO
Maximum dose: 25 g
haloperidol
6-12 years: 0.15 mg/kg IM.
Maximum dose: 3 mg
Do not use in patients younger than 6 years old
hydromorphone
0.015 mg/kg IM/IV/IO.
Maximum initial dose: 2 mg
Maximum cumulative dose: 4 mg
hydroxycobalin
70 mg/kg IV at a rate of 10-15 mL/min
Maximum single dose: 5 g
ibuprofen
febrile seizure:
Older than 6 months: 10 mg/kg PO
Maximum dose: 600 mg
Ipratropium bromide
0.5 mg nebulized.
May give up to 3 doses in conjunction with albuterol
ketamine
Procedural sedation:
1-2 mg/kg IV/IO push
Chemical restraint:
1 mg/kg or 3 mg/kg IM
ketorolac
(2-16 years)
Moderate pain: 1mg/kg Im
Maximum dose: 30 mg
Severe pain: 0.5 mg/kg IV
Maximum dose: 15 mg
Febrile seizures: 1mg/kg IV.
Maximum dose: 15 mg
lidocaine hydrochloride
All cardiac indications
All cardiac indications:
1 mg/kg IV/IO push.
If administering via ETT: 2-3 mg/kg.
Maintenance infusion: 20-50 mcg/kg/min.
If maintenance infusion is started more than 15 minutes after initial IV/IO push dose,
repeat 1 mg/kg IV/IO push
lidocaine hydrochloride
RSI
RSI: 1-2 mg/kg IV/IO
lorazepam
Seizures: 0.1 mg/kg slow Iv/IO push over 2 minutes. Max single dose: 4mg
Shivering (hyperthermia): 0.1 mg/kg IV/IM/IO.
Max single dose: 1 mg
Chemical Restraint: 0.05 mg:/kg IV/IM.
Max dose: 2 mg. Max IM dose: 4 mg
