Week One Medications Pediatric Dosage

Question 1

activated charcoal
(Pediatric dosage)

Answer 1

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

Question 2

atropine sulfate
(Pediatric dosage: symptomatic bradycardia)

Answer 2

Symptomatic bradycardia:
0.02 mg/kg IV/IO.
Maximum single dose: 0.5 mg
Maximum total dose:
1 mg (children under 13 years)
3 mg (children over 13 years)
If administering via ETT: 0.04 - 0.06 mg/kg

Question 3

atropine sulfate
(Pediatric dosage: ACH Poisoning)

Answer 3

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 IV/IO
Repeat and double the dose every 5
minutes until symptoms resolve

Question 4

atropine sulfate:
(Pediatric dosage: RSI)

Answer 4

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 5

dextrose:
(Pediatric dosage)

Answer 5

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 6

diphenhydramine hydrochloride
(Pediatric dosage: Nausea/vomiting)

Answer 6

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

Question 7

diphenhydramine hydrochloride
(Pediatric dosage: Dystonic reaction/extrapyramidal symptoms)

Answer 7

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

Question 8

diphenhydramine hydrochloride
(Pediatric dosage: Chemical restraint)

Answer 8

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

Question 9

epinephrine
(Pediatric dosage: Cardiac Arrest)

Answer 9

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 10

glucagon
(Pediatric dosage: Hypoglycemia)

Answer 10

Hypoglycemia:
Greater than 20 kg or older than 5 years:
1 mg IM/IN
Less than 20 kg or younger than 5 years:
0.5 mg IM/IN.
No repeat dose.

Question 11

glucagon
(Pediatric dosage: Calcium Channel Blocker, beta blocker OD)

Answer 11

Calcium Channel Blocker, Beta Blocker OD:
Greater than 25 kg:
1 mg slow IV push every 5 minutes.
Less than 25 kg:
0.5 mg slow IV push every 5 minutes.
No maximum dose.