Pediatric Medication Dosing Guide

Pediatric Doses

• Medication: Acetaminophen, concentration 1g/100ml, dose 15mg/kg, route: IV/IO. Alternative concentration: 160mg/5ml, dose: 10-15mg/kg via PO.
• Medication: Adenosine, concentration 3mg/1ml, dose 0.2mg/kg, route: IV/IO.
• Medication: Albuterol, concentration 2.5mg/3ml, dose 2.5mg via nebulizer.
• Medication: Amiodarone, concentration 50mg/1ml, dose 5mg/kg, routes IV/IO and IVPB.
• Medication: Atropine, concentration 1mg/10ml, dose 0.02mg/kg via IV/IO. Alternative concentration 0.4mg/1ml, dose 0.05mg/kg, routes IM.
• Medication: Calcium Chloride, concentration 1g/10ml, dose 20mg/kg, routes IV/IO and IVPB.
• Medication: Dextrose 10%, concentration 1g/10ml, dose 5ml/kg, route IV/IO.
• Medication: Dexamethasone, concentration unspecified, dose 0.6mg/kg max via IV/1O. Alternative dose 10mg.
• Medication: Diazepam, concentration 5mg/ml, dose 0.1-0.2mg/kg via IV/IM.
• Medication: Diphenhydramine, concentration 50mg/1ml, dose 2mg/kg via IM. Alternative concentration 50mg/1ml, dose 1mg/kg via IV/IO
• Medication: Dopamine, concentration 1600mcg/ml, dose 2-20mcg/kg/min IVPB.
• Medication: Epinephrine (1:1,000), concentration 1mg/1ml, dose 0.01mg/kg, route IM.
• Medication: Epinephrine (1:10,000), concentration 1mg/10ml, dose 0.01mg/kg, routes IV/IO.
• Medication: Epinephrine (1:100,000), concentration 0.01mg/ml, dose 1ml(push dose), route IV/IO.
• Medication: Fentanyl, concentration 100mcg/2ml, dose 1mcg/kg via IV/IO/IM/IN.
• Medication: Flumazenil, concentration 0.1mg/ml, dose 0.01mg/kg *max 0.2mg via IV.
• Medication: Furosemide, concentration 10mg/ml, dose 0.5-2.0mg/kg via IV.
• Medication: Glucagon, concentration 1mg/1ml, dose 0.5-1mg via IM. Alternative dose 50mcg/kg via IV/IO/IM.
• Glucose gel, 1 tube (15g), as tolerated orally.

Additional Pediatric Medications and Solutions (Page 2)

• Hypertonic Normal Saline (3% NS): 3-6ml/kg via IV/IO
• Hydromorphone: 2mg/ml, 0.015mg/kg, IV.
• Ipratropium Bromide: 0.5mg/2.5ml via nebulizer.
• Ketamine: 10mg/ml, 50mg/ml, 100mg/ml, doses 0.5-3.0mg/kg, routes IV/IM.
• Ketorolac: 30mg/1ml, dose 0.5mg/kg, routes IV/IO/IM.
• Lactated Ringers: 20mL/kg via IV/IO, in various volumes (50, 100, 250, 500mL, 1L).
• Lidocaine: 20mg/1ml. Doses 1mg/kg & 0.5mg/kg via IV/IO and 10 respectively.
• Lorazepam: 2mg/ml, dose 0.05-0.1mg/kg via IV
• Magnesium Sulfate: 1g/2ml, dose 50mg/kg, routes IV/IO and IVPB.
• Mannitol: 250mg/ml, dose 0.25-1g/kg, routes IV/IO.
• Methylprednisolone: 125mg/ml, dose 7.5mg/kg, via IV/IM.
• Midazolam: 5mg/1ml, dose 0.1mg/kg via IV/IO. Alternative dose 0.2mg/kg, route IM/IN.
• Morphine: 2mg/ml, 4mg/ml concentrations, dose 0.1mg/kg, IV.
• Naloxone: 1mg/1ml, dose 0.1mg/kg, routes IV/IO/IM/IN.
• Normal Saline: 20ml/kg via IV/IO, in various volumes (50, 100, 250, 500mL, 1L)
• Ondansetron: 2mg/1ml, dose 0.1mg/kg, route IV/IO/IM. Alternative, 4mg/tab via ODT (orally disintegrating tablet).
• Packed Red Blood Cells: 10-20ml/kg dose via IV/IO
• Plasma: 10-20ml/kg dose via IV/IO
• Platelets: 10-20ml/kg dose via IV/IO
• Racemic Epinephrine: 11.25/0.5ml, dose 0.25ml via nebulizer.

Additional Medications (Page 3)

• Rocuronium Bromide: 10mg/ml, dose 600mcg/kg via IV.
• Sodium Bicarbonate: 1mEq/1ml, dose 1mEq/kg via IV/IO.
• Succinylcholine: 20mg/ml, dose 1mg/kg, route IV.
• Vecuronium: 1mg/1ml, dose 0.1mg/kg, route IV.
• Whole Blood: 10-20ml/kg, via IV/IO