Pediatric Dose

Question 1

Acetaminophen

Pedi dose

Answer 1

Febrile Seizures: 15 mg/kg. PR/IV/IO/PO.
Max dose = 650 mg

Question 2

Activated charcoal:

Answer 2

Younger than 1 year old = 1 g / kg PO/NG
Older than 1 year = 25-100 g PO/NG

Question 3

adenosine

Answer 3

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

Question 4

albuterol

Answer 4

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.

Question 5

Amiodorone

Answer 5

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

Question 6

atropine sulfate —

Symptomatic bradycardia pedi dose

Answer 6

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.

Question 7

atropine sulfate - pedi

ACH poisoning dose
:

Answer 7

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.

Question 8

Atropine sulfate - pedi

RSI dose

Answer 8

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

Question 9

Calcium chloride

Answer 9

Calcium channel blocker OD/ hyperkalemia/hypocalcemia:

20 mg/kg slow IV/IO push.
Maximum dose: 1000 mg. Repeat as needed

Question 10

Calcium gluconate

Answer 10

Calcium channel blocker OD/hyperkalemia/hypocalcemia:
60 mg/kg slow Iv/IO push over 10 minutes. Repeat as needed.

Question 11

dexamethasone

Answer 11

(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

Question 12

dextrose

Answer 12

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.

Question 13

diazepam

Seizure dose

Answer 13

Seizures:
0.1 ng/kg slow IV/IO.
Maximum: 4 mg
No repeat dose

Question 14

diazepam

Shivering (hyperthermia)

Answer 14

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

Question 15

diazepam

chemical restraint

Answer 15

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

Question 16

diphenhydramine

allergic reaction, anaphylaxis

Answer 16

Allergic reaction, anaphylaxis:
1 mg/kg. IV/IM/PO
Maximum dose: 50 mg

Question 17

diphenhydramine

Nausea/vomiting

Answer 17

Nausea/vomiting:
> 2 years and weight greater than 12 kg: 0.1 mg/kg IV
Maximum dose: 25 mg

Question 18

diphenhydramine

Dystonic reaction/extrapyramidal symptoms

Answer 18

Dystonic reaction/extrapyramidal symptoms:
1-1.25 mg/kg IV/IO/IM.
Maximum single dose: 25 mg

Question 19

diphenhydramine

chemical restraint

Answer 19

Chemical restraint:
1 mg/kg Im/IV/PO
Maximum dose: 25 mg

Question 20

epinephrine

Anaphylaxis

Answer 20

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

Question 21

epinephrine

Respiratory distress with wheezing, stridor (from anaphylaxis)

Answer 21

Respiratory distress with wheezing, stridor (from anaphylaxis):
5 mg (5mL) of 1:1000 nebulized

Question 22

epinephrine:

Cardiovascular collapse (from anaphylaxis):

Answer 22

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

Question 23

epinephrine:

Profound bradycardia with hemodynamic instability
(pediatric dose)

Answer 23

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

Question 24

epinephrine:

Cardiac arrest:

Answer 24

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

Question 25

epinephrine: Bradycardia (neonate dose)

Answer 25

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

Question 26

etomidate

Answer 26

0.2 - 0.4 mg/kg IV/IO over 30-60 seconds. Maximum dose: 20 mg

Question 27

fentanyl citrate

Answer 27

Moderate pain: 1 mcg/kg IM/IN Severe pain: 1 mcg/kg IV/IO

Question 28

furosemide

Answer 28

1 mg/kg slow IV/IO

Question 29

glucagon Hypoglycemia

Answer 29

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

Question 30

glucagon Calcium channel blocker, beta blocker OD

Answer 30

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

Question 31

Glucose, oral

Answer 31

0.5 - 1g/kg PO Maximum dose: 25 g

Question 32

haloperidol

Answer 32

6-12 years: 0.15 mg/kg IM. Maximum dose: 3 mg Do not use in patients younger than 6 years old

Question 33

hydromorphone

Answer 33

0.015 mg/kg IM/IV/IO. Maximum initial dose: 2 mg Maximum cumulative dose: 4 mg

Question 34

hydroxycobalin

Answer 34

70 mg/kg IV at a rate of 10-15 mL/min Maximum single dose: 5 g

Question 35

ibuprofen

Answer 35

febrile seizure: Older than 6 months: 10 mg/kg PO Maximum dose: 600 mg

Question 36

Ipratropium bromide

Answer 36

0.5 mg nebulized. May give up to 3 doses in conjunction with albuterol

Question 37

ketamine

Answer 37

Procedural sedation: 1-2 mg/kg IV/IO push Chemical restraint: 1 mg/kg or 3 mg/kg IM

Question 38

ketorolac

Answer 38

(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

Question 39

lidocaine hydrochloride All cardiac indications

Answer 39

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

Question 40

lidocaine hydrochloride RSI

Answer 40

RSI: 1-2 mg/kg IV/IO

Question 41

lorazepam

Answer 41

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