Peds Doses

Question 1

Adenosine

Answer 1

0.1mg/kg rapid IVP, followed by a rapid flush of 10mL of NS, max dose 6mg

If no conversion after 1-2 minutes, may repeat 1 time 0.2mg/kg followed by a rapid flush of 10mL NS, max dose 12mg

Question 2

Albuterol

Answer 2

Cardiac Dysrhythmia/Crush
5mg via neb, repeat continuously until hospital arrival

Crush Syndrome (5 mins prior to extrication)
5mg via neb, repeat immediately x1

Respiratory Distress (wheezing)
<1 yr of age 2.5mg via neb
>1 yr of age 5mg via neb
Repeat x2 prn, max 3 total doses PTB

Question 3

Amiodarone

Answer 3

5mg/kg IV/IO dose, max total dose 300mg

Question 4

Atropine

Answer 4

Symptomatic Brady
0.02mg/kg IV/IO may repeat x1 in 5 mins

OPP
0.05mg/kg IV/IM may be repeated q 5 mins, max total dose 5mg

Question 5

Calcium Chloride

Answer 5

Cardiac Dysrhythmia/Crush
20mg/kg slow IVP/IOP, repeat x1 for persistent ECG abnormalities

CCBT
20mg/kg slow IVP over 60 seconds

Question 6

Dextrose

Answer 6

< 24kg 5mL/kg IV in 1mL/kg increments, reassess for clinical improvement after q every 1mL/kg. Administer slow IVP. May repeat as needed, max total dose 5mL/kg. Recheck glucose PRN after 3mL/kg infused.

> 24kg administer 125mL IVPB and reassess, continue infusion as needed w/ max dose of 5mL/kg

Question 7

Diphenhydramine

Answer 7

1mg/kg slow IVP x1. If unable to obtain venous access, 1mg/kg deep IM

Question 8

Epinephrine 0.1mg/mL

Answer 8

Cardiac Arrest
0.01mg/kg IV/IO, may repeat q 5 mins, max single dose 1mg, and max total dose 3mg

Symptomatic Brady
0.01mg/kg slow IVP/IOP

Shock/Hypotension (including hypo after ROSC)
Mix 9mL NS w/ 1mL Epi (0.1mg/mL) IV formulation in a 10mL syringe. Administer (0.01mg/mL) q 1-5 mins as needed to maintain SBP>70mmHg

Question 9

Epinephrine 1mg/mL

Answer 9

Anaphylaxis
0.01mg/kg IM in the lateral thigh, may repeat q 10 mins x2 PRN for persistent symptoms, max total 3 doses

Resp Dis/Bronchospasm
0.01mg/kg IM in the lateral thigh

Airway Swelling
0.01mg/kg IM repeat q 10 mins PRN x2, max 3 total doses PTB

Stridor from Croup/Tracheitis
<1 yr old 2.5mL via neb
>1 yr old 5mL via neb
Repeat x1 in 10 mins PRN, max 2 total doses PTB

Question 10

Glucagon

Answer 10

<1 yr old 0.5mL IM, may repeat x1 in 20 mins PRN

> 1 yr old 1mL IM, may repeat x1 in 20 mins PRN

Question 11

Lidocaine 2%

Answer 11

0.5mg/kg slow IOP over 2 mins, may repeat second dose at half the initial dose x1 PRN

Question 12

Midazolam

Answer 12

Ag Del
0.1mg/kg IM/IV, repeat dosing q 5 mins PRN per Base order

Sedation
0.1mg/kg IM/IV/IO, repeat x1 in 2 mins PRN, max 2 doses PTB, max single dose 5mg

Seizure - Active

0. 1mg/kg IM/IV/IO, repeat x1 in 2 mins PRN, max 2 doses, max single dose 5mg
1. 2mg/kg IN, repeat x1 in 2 mins PRN, max 2 doses PTB, max single dose 5mg

Question 13

Morphine

Answer 13

0.1mg/kg slow IVP/IOP/IM, repeat in 5 mins x1, max 2 total doses PTB
Contact Base for additional to max 4 total doses

Question 14

Naloxone

Answer 14

0.1mg/kg IM/IN/IV, max dose all routes 8mg, titrate to adequate respiratory rate and tidal volume

Question 15

Ondansetron

Answer 15

4mg ODT, only for 4 yrs and older

Question 16

Sodium Bicarbonate

Answer 16

1mEq/kg slow IVP, for crush injury repeat x1 for persistent ECG abnormalities