Pediatric Drug Dosages Flashcards
Adenosine Triphosphate
0.1 mg/kg (max. 6 mg) rapid IVP immediately followed by 5 ml NS flush. Repeat in 2 minutes, at 0.2 mg/kg (max. 12 mg) rapid IVP followed by 5 ml NS flush PRN.
Albuterol
If less than 1 year or less than 10 kg: add 1.25 mg of Albuterol mixed in 1.5 ml of NS (0.083%) to nebulizer and flow oxygen at 3 liters/min.
Amiodarone Hydrochloride (VT with a pulse and SVT)
5 mg/kg in 50 ml D5W / IV/IO over 20 minutes.
Amiodarone Hydrochloride (VF and pulseless VT)
5 mg/kg IV/IO push.
Atropine
0.02 mg/kg IV or ET (minimum dose is 0.1 mg and maximum single dose is 0.5 mg child, 1 mg adolescent).
Calcium Chloride 10%
20 mg/kg slowly, over 10 min. PRN.
For calcium channel blocker overdose and hyperkalemia: 20 mg/kg IV, slowly.
Dextrose 50% and 25%
Pediatric:(If Less than 8 years of age) 2-4 ml/kg slow IV of a 25% solution.
Newborn:4 ml/kg IV of d12.5% solution (dilute D50 4:1 with NS).
Diphenhydramine Hydrochloride
1 mg/kg (maximum 50 mg).
(Dilute with 9 ml NS to Equal 50 mg / 10 ml).
Not to exceed 300 mg per day.
Epinephrine 1:1000
0.01 mg/kg up to 0.3 mg IM. Epinephrine (1:1000) is also given in a dosage of 0.1 mg/kg ET (max. 2 mg) as a cardiac agent.
Epinephrine 1:10,000
0.01 mg/kg, (0.1 ml/kg IV or IO), repeat every 3-5 minutes.
Use Epinephrine (1:1000) 0.1 mg/kg (max. 2 ml) any time it is given ET.
Fentanyl
0.5 mcg/kg (maximum of 25mcg (SLOW IV); repeat once after 5 minutes as needed (max of 50 mcg total dose) or IN 1.5mcg/kg (max 100mcg)
Glucagon
For patients less than 20kg- 0.02mg/kg IM (Not as effective in children).
For patients over 20kgs - 1mg IM
Magnesium Sulfate
Pediatric Asthma 20-50 mg/kg in 50/100ml of D5W/NS over 10-20 min
Naloxone Hydrochloride
0.1 mg/kg IV, IM, IO, ET or SC.
May repeat with 0.1 mg/kg if no improvement is noted.
Sodium Bicarbonate 8.4% and 4.2%
Pediatric: 1 mEg/kg IV (8.4%). Repeat with 0.5 mEq/kq q 10 minutes.
Infant: 1 mEq/kg IV (4.2%) slowly. May repeat in 10 minutes.
