Pedi Doses Flashcards by Connor Hancock

Solu-Medrol) Adult Dose:
Pediatric Dose:
Adverse Effects:

= 125-250 mg IV/IO
= 2 mg/kg IV/IO to a max of 60 mg
= Increases BGL , Effects delayed & usually not seen prehospital care

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Naloxone (Narcan) Adult Doses:
Pedi Dose:

= 0.4-2mg SIV (just enough for resp/ drive)
= 0.1 mg/kg up to 2 mg IV/IO/IM/IN

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Racemic Epi ) Dynamics:
Indications:
Contra:
Dose:

= Nonselective ß sympathetic agonist
=Croup
=Hypersensitivity
=0.25-0.75 mL of a 2.25% solution diluted in 3mL of NS

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Adenosine) admin/ed best via:
Other efficient ways:

= RIVP flush w/ 3-way stop-cock
= Drawn up w/ 20/50mL flush ,Using IV Drip bag

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Albuterol Pedi Dose

1.25 - 2.5 mg / 1.5 - 3 mL SVN /15 - 20 mins PRN

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Amiodarone Pedi Dosing

VF/pVT: 5 mg/kg IV/IO (Max 15 mg/kg in 24 hrs)

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Atropine Pedi Dosing

PSNS Tone increase: 0.02 mg/kg IV/IO
(Min: 0.1mg & Max: 0.5 mg per dose) Cumulative max: 1mg child 3mg adolescent
Organophosphate OD: 0.02-0.05 mg/kg (or higher) IVP/IO

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Atropine) Pedi PSNS dosing min & max:
Cumulative max:

= Min: 0.1mg & Max: 0.5 mg per dose
= 1mg child & 3mg adolescent

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Atropine Ped Organophosphate OD:

0.02-0.05 mg/kg (or higher) IVP/IO

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Atropine Pediatric PSNS Tone increase dose:

= 0.02 mg/kg IV/O (Min: 0.1mg & Max: 0.5 mg per dosing)

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Charcoal dose

1G/Kg

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Croup Med dosing:

RaceEpi) 2.25% 0.5mL + 4mLs of NS Nebulized
Epi 1:1) 1mL w/ 4mL NS Nebulized
Epi 1:10) 5-10mLs of Epi (no dilution) Nebulized

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Defib:

= 2j/kg & 4j/kg for defib max 10

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Dexamethasone) pedidosing

0.5-0.6mg/kg up to 10mg

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Dextrose dose:
2 months - 2 years

2 - 4 mL / kg of D25

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Dextrose dose:
> 2 years

1 - 2 mL / kg of D50

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Dextrose dose:
birth - 2 months

5 - 10 mL / kg of D10

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Dextrose Pedi Dosing:

Neonate (<2 months): D10W, 5-10 mL/kg IV
Infant (2Mn-2Yrs): D25W, 2-4 mL/kg IV
Child (>2Yrs): D50W, 1-2 mL/kg IV

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Dextrose Conversion) D50 to D25:
D50 to D10:

= Dilute by a factor of 2 (add equal Vol of fluid)
= Dilute by a factor of 5 (add 4x Vol of fluid)

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Diazepam (Valium) pedi dose

0.1mg/kg in 2.5 mg increments slow IV
(max 5mg)
0.2 mg/kg rectal dose (max 10 mg)

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Diphenhydramine pedi dose:

1-2 mg/kg slow IV/IO or IM (Max 50mg)

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Diphenhydramine/Benadryl) Pedi dose:
Side note:

=1-2 mg/kg slow IV/IO or IM (Max 50mg)
= if altered, try to hold off on admin b/c sedative

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Epi 1:1) Pedi SVN

= 1mL w/ 4mL NS

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EPI 1:1) Pedi Asthma Dose:

=0.01mg/kg IM w/ max dose 0.3mgIM

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Epinephrine 1:10) SVN

= 5-10mLs w/o NS dilution

Epinephrine 1:10) Admin via: Infusion MM trick

= IV = 0.1-1 mcg/kg/min infusion by Mixing 1mg of Epi 1:10 into 1L IV bag = 0.1mL

Epi 1:10 Pediatric Dosing: Epi 1:1 Pediatric Dosing:

- Cardiac Arrest: 0.01 mg/kg IV/O every 3-5 min - Anaphylaxis: 0.01 mg/kg IM (Max 0.3 mg)

Estimate pedi weight:

(age X 3) +7=Kg (age +4) x2=Kg

Etomidate peds dose: Dose Limit & Max

= 0.2 - 0.4 mg / kg = 1 dose max 20mg

fluid replacement after perfusion rule: 4 2 1rule/ formula :

= normovolemia Used for every hr after to maintain 4ml/kg 1st 10kg 2m/Kg 2nd 10kg 1ml/kG 3rd

Pedi Uncuffed ETT form: Pedi Cuffed ETT form:

= (Age in years ÷ 4) + 4. = (Age in years ÷ 4) + 3.5

Hydroxocobalamin/ Cyanokit) pedi) dose

70mg/kg /15Mins (max 5Gs)

hypoglycemia for neonate:

= <45BGL neonate

hypoglycemia Rx for infant:

= <60BGL infant

Pedi Defibrillation

Initial shock 2 J/kg, then 4 J/kg

Ipratropium (Atrovent) pedi dose:

asthma: 250-500 mcg/1.25-2.5 mL via SV

Ipratropium (Atrovent) pedi dose:

asthma: 250-500 mcg/1.25-2.5 mL via SV

Ipratropium (Atrovent) peds dose

250-500mcg / 1.25 - 2.5 mL

Pedi Fluid doses) Hypovolemia& Distributive: Cardiogenic Shock: Poisoning CCB/BB: DKA with Compensated Shock:

= 20 mL/kg / 5-10Mins PRN 3x = 5-10 mL/kg / 10-20Mins PRN 3x = 5-10 mL/kg / 10-20Mins PRN 3x = 10-20 mL/kg / 60-120 Minutes 3x

Ketamine / Ketalar) Adult & Pedi Pain Doses: Dissociation/Induction:

= 0.2 mg/kg IV /1-2 mins w/ max single dose 20mg or 0.5 mg/kg IN/IM = 1-2 mg/kg IV, Onset: 30-60secs, Duration: 10-20 min

Ketamine peds dose for SFI / RSI SFI/RSI onset duration

= 1 - 2 mg / kg =onset: 30-60 secs duration: 10-20 min

Ketamine) pedis) dosing:

= Same as adults RSI(1-2mg/kg) & Pain (0.2mg/kg)

Mag-Sulfate Pedi dose

Resp: 25-50 mg/kg IV/O (max 2Gs)/ 15-30 mins (infusion)

Midazolam / Versed) Adult Active Seizures: Pedi Active seizures:

= 0.1mg/kg 2mg increments IV(Max 5mg) 5mg IM/IN = 0.1mg/kg 2 mg increments IV (Max 5 mg) 0.2mg/kg IN/IM

NorEpi pedi dose

0.1-2 mcg/kg/min IV/IO infusion

Pedi Weight Formula:

(Age in years × 3) + 7 = Weight in kg

Pediatric Bradycardia Treatment

- If hypoxic → Oxygen & ventilation - If unstable → Epinephrine 0.01 mg/kg IV/IO - Atropine (0.02 mg/kg) if vagal cause suspected

Pediatric CPR Compression Depth & Rate

- Depth: 1/3 to 1/2 of chest AP diameter - Rate: 100-120/min - Ratios: 30:2 (1 rescuer), 15:2 (2 rescuers), 3:1 (newborns)

Lidocaine Pedi Dosing

- Initial Dose: 1 mg/kg IV/IO - Maintenance: 20-50 mcg/kg/min

Adenosine Pedi Dosing

- 1st dose: 0.1 mg/kg (max 6 mg) - 2nd dose: 0.2 mg/kg (max 12 mg)

Amiodarone Pedi for VF/pVT

- 5 mg/kg IV/IO - Max 15 mg/kg per 24 hrs

Ped Epi 1:10 dose: Pedi Epi 1:1 dose

- Cardiac Arrest: 0.01 mg/kg IV/IO (1:10,000) - Anaphylaxis: 0.01 mg/kg IM (1:1,000)

Cardioversion Dosing

- SVT/VT w/ Pulse: Start @ 0.5-1 J/kg, increase to 2 J/kg if needed

Pediatric Weight Estimation Formulas

- Old: (Age + 4) × 2 = kg - New: (Age × 3) + 7 = kg

Racemic Epi) Class: Indication: Dose:

= Nonselective ß sympathetic agonist =Croup = .25-.75 mL of 2.25% solution diluted in 3 mL NS

Solu-Medrol Pedi indications Dose

=Bronchial asthma, COPD, Anaphylaxis = 2 mg/kg IV/IO (max of 60 mg)

Tylenol

Dose: 105mg

Vecuronium) Pediatric Dose: TTP: DOP: 30-60 minutes

= 0.1-0.3 mg/kg IV/IO = 1-3 minutes = 30-60 minutes

Amiodarone for a conscious pediatric patient in ventricular tachycardia?

5 mg/kg IV over 20 minutes

Amiodarone for a pediatric patient in ventricular fibrillation?

5 mg/kg IV push

Atropine for a pediatric patient suspected of organophosphate exposure?

0.02-0.05 mg/kg

Epinephrine 1:1,000 for Pedi Pt with a severe allergic reaction?

0.01 mg/kg IM with a max dose of 0.3 mg

Epi 1:10 for Pedi PT in cardiac arrest/Bradycardia

0.01 mg/kg

Lidocaine dose for a pediatric patient in VT

1 mg/kg

Adenosine 1st dose for Pedi w/ symptomatic & stable SVT?

0.1 mg/kg

1st line med Rx for Pedi Bradycardia

Epi 1:10,000

Most effective initial treatment for bradycardia in the newborn?

Oxygen.

Lidocaine Pedi maintenance dose of Lidocaine?

20-50 mcg/kg/min

Pedi Cardiovert:

= 0.5j/kg & 1j/kg to max 2J/kg

Pedi Doses Flashcards

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