Resuscitation dosages Flashcards
Bolus fluids in normal adult
1.5L
Cc/kg bolus fluids
20cc/kg
Bolus fluids in large adult
2L
Bolus fluids for 2Kg premie
40cc
Bolus fluids for 3.5kg newborn
70cc
Bolus fluids for 5kg 2month old
100cc
Maintenance fluids dose
4-2-1 cc/kg
Maintenance fluids for 70kg normal adult
125cc/hr
Maintenance fluids for 100kg large adult
150cc/hr
Maintenance fluids for 2kg premie
8cc/hr
Maintenence fluids for 3.5kg newborn
14cc/hr
Maintenance fluid for 5kg 2mo
20cc/hr
How many cc’s are 1 unit of PRBCs?
250cc’s
Bolus of PRBCs in normal 70kg adult
2units
Bolus of PRBCs in large 100kg adult
2 units
Bolus of PRBCs in 2 kg premie
20cc
Bolus of PRBCs in a 3.5 kg newborn
35cc
Bolus of PRBCs in a 5kg 2mo
50cc
CPR rate in adult
100 compressions
8 breaths
CPR rate in a 2 kg preemie or 5kg newborn
Compressions 120/min
Defibrillation in joules per kilogram in a cardiac arrest in an adult
2j/kg first shock then double it
Start with 1/2 that if biphasic used
Defibrillation dose in 2kg premie
4 joules
Defibrillation dose in 3.5 kg newborn
7 joules
Defibrillation dose in 5kg 2mo
10j
Dose and concentration of epinephrine in cardiac arrest
0.01mg/kg
1:10,000
1mg/10cc=1amp
PRBCs Bolus dose
10cc/kg
Amiodarone dose
5mg/kg slow IVP
Adult amiodarone dose
300mg
Procainamide dose
3mg/kg slow IVP
Max dose 15mg/kg
Cardiac arrest lidocaine dose
1mg/kg
Cardiac arrest atropine dose
0.02mg/kg
Adenosine dose
0.1mg/kg then double
CaCl dose (100mg/cc)
0.2cc/kg
Give it by amps in adults
1 amp = 10cc = 1000mg per amp
Narcan dose
0.1mg/kg up to 2mg/dose
D25W dose
2cc/kg
Bicarb dose 8.4% - 1mEq/cc
1mEq/kg (dilute for neonates)
RSI etomidate dose
0.3mg/kg
RSI Etomidate and succinylcholine dosages for normal - large adults
21-30 mg Etomidate
105-150 mg succinylcholine
RSI succinylcholine dose
1.5mg/kg
RSI versed dose
0.1mg/kg
RSI ketamine dose
2mg/kg
RSI atropine peds dose
0.02mg/kg
RSI Rocuronium dose
1mg/kg
RSI Vecuronium dose
0.1mg/kg
RSI Pavulon (pancuronium) dose
0.1mg/kg
RSI Propofol dose
2mg/kg
Moderate sedation Versed dose
0.05 mg/kg
Moderate sedation morphine dose
0.1 mg/kg
Moderate sedation fentanyl dose
1mcg/kg
Moderate sedation ketamine dose
1mg/kg
Moderate sedation propofol dose
0.5mg/kg IVP
20mcg/kg/min gtt
Moderate sedation ketofol dose
Ketamine + Propofol
0.5mg/kg each
ET tube size (cuffed)
(16+age)/4
Adult laryngoscope blade size
4
ETT cm to teeth
(12+age)/2
Adult ETT cm to teeth
22-24
LMA adult size
5
NG tube and foley size in adults
16-18
Adult chest tube size
36-38fr
Larger if Hemo or pyothorax
Adult suction catheter size
12fr
Transtracheal jet insufflation PSI adults
50psi
Vent setting: SIMV PEEP 4 FiO2 100% wean to <50%
Tidal Volume
5-7ml/kg tidal volume
Vent setting: SIMV PEEP 4 FiO2 100% wean to <50%
Rate in adults?
12 (slower if air trapping)
Vasopressin dose in cardiac arrest
40U x1
Vasopressin dose in GI bleed
0.2-0.4U/min
Vasopressin dose in shock
0.01-0.04U/min
Phenylephrine Bolus dose
50mcg Bolus
Phenylephrine drip dose
100mcg/min
Peds 0.1-0.5 mcg/kg/min
Norepinephrine & Epinephrine drip dose
1-4 mcg/min adults
0.1-1 mcg/kg/min peds
Dopamine & Dobutamine drip
2-20 mcg/kg/min
fosPhenytoin drip dose
10-20 mg PE/kg
Rate not to exceed 3 mg PE/kg/min
Bicarb drip dose
2 amps bicarb/1L D5W @ 200/hr
Goal = urine pH>7.5
Difficult airway Mneumonic
3-3-2 MOANS
Mask seal Mallampati Obese Obstruction Age No teeth Stiff neck & lungs
Difficult airway prep
Preoxygenate with 100%o2, position, adjuncts (suction, bougie, extraglottic device, surgical backup)
Vasodilator: nipride, NTG, nicardipine gtt dose
0.5-10 mcg/kg/min
Vasodilator: nesiritide drip dose
0.01mcg/kg/min
Diltiazem drip dose
Bolus: 0.25mg/kg Bolus (20mg)
Gtt: 5-15mg/hr
Labetalol dose
20mg IVP, then 40mg q10min, gtt 2-8mg/min
Alpha + Beta blocker
Esmolol dose
500mcg/kg load, then 50-300mcg/kg/min
Beta blocker
Vasotec dose
0.625 IVP
ACEi rapid afterload reducer for HTN emergency
4-2-1 rule for Maintenence fluids
FORMULA Calculated Using the "4-2-1" Rule: For 0-10kg: 4 mL/kg/hr For 10-20kg: + 2 mL/kg/hr For >20kg: + 1 mL/kg/hr
