Peds Dose Flashcards
Acetaminophen / APAP
Trade name: Tylenol
- 10 to 15 mg/kg every 4 to 6 hours
- Maximum >75 mg/kg daily
Acetylsalicylic acid / ASA
Trade name: Aspirin
N/A
Activated charcoal
Trade name: Actidose, EZ-Char, Liqui-Char
0.5 to 1.0 gm/kg
Adenosine
Trade name: Adenocard
0.1 mg/kg (up to 6.0 mg) RAPID bolus over 1 to 3 seconds followed by
5 to10 mL normal saline flush
* If no response to the initial bolus after 1 to 2 minutes, administer 0.2 mg/kg
(up to 12 mg) RAPID bolus over 1 to 3 seconds followed by 5.0 to 10 mL
normal saline flush
Albuterol sulfate
Trade name: Proventil, Ventolin
2.5 mg in 3.0 mL
Amiodarone
Trade name: Cordarone
V-fib 5.0 mg/kg
* May repeat the dosage every 5 minutes twice
* Maximum dosage 300 mg
* V-tach 5.0 mg/kg over 20 minutes
* May repeat the dosage twice
Atropine sulfate
Hemodynamically significant bradycardia: 0.02 mg/kg
* May repeat the dosage every 3 to 5 minutes to maximum dosage 1.0 mg in
children and 2.0 mg in adolescents
- Organophosphate poisoning/carbamate poisoning/nerve agent
exposure: 0.03 to 0.05 mg/kg every 10 to 20 minutes
Bumetanide
Trade name: Bumex
N/A
Calcium chloride
0.2 to 0.25 mL/kg 10% solution
Calcium gluconate 2.5% topical gel
Assist the patient to wash the affected area and massage the gel into the skin
Calcium gluconate
Hyperkalemia: 30 mg/kg
Dexamethasone
Trade name: Decadron
- 0.25 to 0.6 mg/kg
- Maximum dosage 16 mg
Dextrose 50%
IV/IO/infusion: 0.5 to 1.0 gm/kg D10 solution over 20 minutes
Diazepam
Trade name: Valium
- IV/IO: 0.1 to 0.3 mg/kg
- IM: 0.1 to 2.0 mg/kg
- Rectal: 0.2 to 0.5 mg/kg
Diltiazem
N/A
Diphenhydramine
Trade name: Benadryl
1.0 to 1.25 mg/kg
Dopamine
Trade name: Intropin
2.0 to 20 mcg/kg/minute
Epinephrine
Trade name: Adrenalin
- Cardiac arrest: 0.01 mg/kg (1:10,000) IV/IO
May repeat the dosage every 3 to 5 minutes during resuscitation - Cardiac arrest: 0.1 mg/kg (1:1,000) ET diluted in 3.0 to 5.0 mL normal saline
May repeat the dosage every 3 to 5 minutes during resuscitation - Hemodynamically significant bradycardia: 0.01 mg/kg (1:10,000) IV/IO
- Hemodynamically significant bradycardia: 0.1 mg/kg (1:1,000) ET diluted
in 3.0 to 5.0 mL normal saline until IV/IO access - Bronchospasm associated with asthma/allergic reaction/anaphylaxis: 0.01 mg/kg (1:1,000) IM
o EpiPen Jr. ® auto-injector 0.15 mg IM
Etomidate
Trade name: Amidate
Older than 10 years: 0.2 to 0.4 mg/kg over 30 to 60 seconds
Maximum dosage 20 mg
Fentanyl
Trade name: Duragesic, Sublimaze
1 to 2 mcg/kg
Maximum dosage 50 mcg
Furosemide
Trade name: Lasix
1 mg/kg
Glucagon
Trade name: GlucaGen
5 years or younger or less than 44 pounds (20 kg): 0.5 mg
5 years or older or more than 44 pounds (20 kg): 1.0 mg
May repeat the dosage in 7 to 10 minutes
Hydroxocobalamin
Trade name: CyanoKit
100 mg/kg over 15 minutes
ibuprofen
Trade name: Motrin, Advil
10 mg/kg (up to 400 mg) every 4 to 6 hours
ipratropium bromide
Trade name: Atrovent
500 mcg (0.5 mg) in 2.5 mL normal saline
may repeat the dose
Ketamine
Trade name: Ketalar
N/A
Lidocaine
Trade name: Xylocaine
VF and pulseless VT: 1.0 mg/kg
* May repeat the dosage 1.0 mg/kg one time in 3 to 5 minutes during
resuscitation
Ventricular dysrhythmias with a pulse: 1.0 mg/kg
* May repeat the dosage in 5 to 10 minutes
* Maximum dosage 3.0 mg/kg
Maintenance infusion: 20 to 50 mcg/kg/minute
* ET: 2.0 to 2.5 times the bolus dosage diluted in 3.0 to 5.0 mL normal saline
Lorazepam
Trade name: Ativan
Seizure IV/IO/IM: 0.05 to 0.1 mg/kg over 2 minutes
Maximum dosage 4.0 mg
Magnesium sulfate
Reactive airway conditions infusion: 25 to 50 mg/kg 10% solution infused
over 15 to 30 minutes
* Maximum dosage 2.0 gm
Methylprednisolone
Trade name: Solu-Medrol
2.0 to 4.0 mg/kg
Midazolam
Trade name: Versed
Seizure IV/IO: 0.05 to 0.1 mg/kg
Seizure IM: 0.2 mg/kg
Maximum dosage: 10 mg
Procedural sedation IV/IO: 0.05 to 0.5 mg/kg
Maximum dosage 0.1 mg/kg
Morphine sulfate
Trade name: MS-Contin, Oramorph, Kadian
0.1 to 0.2 mg/kg
Naloxone
Trade name: Narcan
0.1 mg/kg (up to 2.0 mg per dosage)
* May repeat the dosage every 2 minutes
* ET: 2.0 to 4.0 mg diluted in 3.0 to 5.0 mL normal saline
* Intra-nasal (IN): 1.0 mg sprayed in each nostril
* May repeat the dosage every 2 minutes
Nitroglycerin
N/A
Nitrous oxide 50%
Self-administered and self-regulated inhalation by the patient
Norepinephrine
Trade name: Levophed
Infusion: 0.05 to 0.2 mcg/kg/minute, titrated to effect
Ondansetron
Trade name: Zofran
4 to 14 years oral/IV/IO: 4.0 mg
* Maximum dosage 4.0 mg
Oral glucose
Trade name: Glutose, Insta-Glucose
5.0 to 50 gm
* May repeat the dosage
Oxytocin
Trade name: Pitocin
N/A
Phenylephrine nasal spray 0.5%
Trade name: Neo-Synephrine
N/A
Pralidoxime chloride (2-Pam)
Trade name: Protopam
N/A
Proparacaine ophthalmic solution 0.5%
Trade name: Alcaine
1 to 2 drops
Racemic epinephrine
Trade name: MicroNefrin, S2
4 years or younger: croup, bronchiolitis, and bronchospasm associated with asthma: 0.25 mL of 2.25% inhalation solution mixed in 3.0
mL normal saline or 0.5 mL/kg of 1.0 mg/1.0 mL epinephrine (1:1,000) mixed in 3.0 mL normal saline
* Maximum dose: 2.5 mL
* Children 4 years or older: croup, bronchiolitis, and bronchospasm
associated with asthma: up to 0.5 mL of 2.25% inhalation solution mixed in 3.0 mL normal saline or 0.5 mL/kg of 1.0 mg/1.0 mL epinephrine (1:1,000) mixed in 3.0 mL normal saline
* Maximum dose: 5.0 mL
Rocuronium
Trade name: Zemuron
0.6 to 1.2 mg/kg
sodium bicarbonate 7.5 – 8.4%
1.0 mEq/kg
* May repeat dosage 0.5 mEq/kg every 10 minutes
Succinylcholine
Trade name: Anectine
1.0 to 2.0 mg/kg
* May repeat the dosage once in 2 to 3 minutes
Tetracaine
Trade name:Altacaine
N/A
Thiamine (vitamin B1)
Trade name: Betalin
10 to 25 mg
Vasopressin
Trade name: Pitressin
N/A
Verapamil
Trade name: Isoptin, Calan
N/A
