Pedia medicatopns.pdf

PEDIATRIC VITALSIGNS + EQUIPMENT SIZES PEDIATRIC EMERGENCY DRUGS – reference CHEONET OUTREACH ANTICONVULSANTS AGE SBP(HR) RR Wt ETT BLADE CHEST NG/ ART LINE Epinephrine 0...

PEDIATRIC VITALSIGNS + EQUIPMENT SIZES PEDIATRIC EMERGENCY DRUGS – reference CHEONET OUTREACH ANTICONVULSANTS AGE SBP(HR) RR Wt ETT BLADE CHEST NG/ ART LINE Epinephrine 0.1 mg/ml Cardiac Arrest, Bradycardia, PEA Lorazepam IV: 0.05-0.1 mg/kg (max = 4 mg), PR: 0.1 mg/kg (kg) (cuff) TUBE FOLEY (gauge) (1:10,000) IV, IO: 0.01 mg/kg (0.1 mL/kg) Midazolam IV: 0.15 mg/kg then 50 mcg/kg/h infusion (Fr) (Fr) Newborn Resuscitation Diazepam IV: 0.05-0.3mg /kg (max 5yrs = 10mg) Prem 55(160) 30-60 < 1 2.5 0 8 5 24 IV: 0.01 mg/kg (0.1 mL/kg) Phenobarbital IV: 10-20 mg/kg over 60 min (max = 800 mg) Prem 60(160) 30-60 1-2 3.0 0 8-10 5 24 ETT: 0.03 mg/kg (0.3 mL/kg) Phenytoin IV: 20 mg/kg over 20-60 min (max =1000 mg) Prem 62(160) 30-60 2-3 3.0 0-1 10 5 24 Hypotension Fosphenytoin IV: 20 mg PE/kg over 30 min (max 1000 mgPE) *** dose, Newborn 65(150) 30-60 3.5 3.0- 0-1 10-12 5-6 24 IV: 1 mcg/kg Concentration, and infusion rates are expressed as 3.5 Epinephrine 1 mg/ml (1:1000) Anaphylaxis:IM: 0.01 mg/kg q15min x 2, then q4h phenytoin sodium equivalents (PE): 75 mg/ml Adenosine IV: 0.1 mg/kg 1st dose; max = 6 mg fosphenytoin = 50 mg PE/ml 6m 95(140) 30-60 7 3.5 1 12-16 6 22 IV: 0.2 mg/kg 2nd dose; max = 12 mg 1y 95(125) 24-40 10 4.0 1 16-20 8 22 Amiodarone IV, IO: 5 mg/kg rapid bolus (for VT/VF arrest) 2-3 y 100(110) 24-40 12- 4.5 1.5-2 16-20 8 22 If perfusing rhythm over 30-60 min BRONCHODILATORS (Asthma exacerbation) 14 Infusion: 5-15 mcg/kg/min Epinephrine (1 mg/ml) < 5 kg 0.5 mg/kg/dose; > 5 kg 2.5-5 mg/dose 4-6 y 100(100) 22-34 16- 5.0 1.5-2 20-28 10 22 Atropine IV, IO: 0.02 mg/kg nebulized (dilute to 2.5 or 3 ml in NS for smaller 20 Dextrose 50% IV: 0.5 g/kg (1 mL/kg) doses) 6-8 y 105(90) 18-30 22- 5.5- 2 24-32 10 22 Dextrose 25% IV: 0.25 g/kg (1 mL/kg) (neonates) Hydrocortisone succinate IV: 4-6 mg/kg q4-6h for status asthmaticus 27 6.0 Intralipid (fat emulsion 20%) IV: 1mL/kg over 1min then 0.25 mL/kg/min (max 3 Ipratropium (250 mcg/mL) 250-500 mcg by nebulizer q 20min x 3 10-12 y 115(80) 18-30 30- 6.0- 2-3 28-32 10-12 22 mL/kg) Inhaler: 4-8 puffs 40 6.5 Lidocaine (2%) IV, IO: 1 mg/kg Magnesium sulfate IV: 25-50 mg/kg over 10-20 min 16 y 115(75) 12-16 >50 6.5- 2-3 32-42 >12 20 Magnesium sulfate IV: 25-50 mg/kg over 15-30 min (max 2 gm) Methylprednisolone IV: 1-2 mg/kg (max 250mg) for asthma 7.0 Naloxone IV, IM: 0.1 mg/kg (newborn resuscitation) Prednisone/Prednisolone PO: 1-2 mg/kg/day (max = 60 mg) PALS Hypotension: 1 yr 1-2 mg/kg; IM: 2.5-4 mg/kg Dexmedetomidine Loading dose: 0.5mcg/kg, Infusion: 0.2-0.7mcg/kg/hr KGH Phone Numbers HDH Phone Numbers Ketamine IV 0.5-1 mg/kg then 0.25-0.5 mg/kg as needed To connect from HDH 83 - To connect from KGH 52 - Lorazepam PO/SL: 0.05 mg/kg/dose (max = 2 mg) ANTI-PRURITICS Department of Anesthesiology 7827 OR 2525 IV: 0.01-0.05 mg/kg Diphenhydramine (Benadryl) IV, PO: 0.5-1 mg/kg (max = 50 mg) Anesthesia Library 2435 Day Surgery 2510 Midazolam PO: 0.5 mg/kg (max = 20 mg) Ondansetron IV: 0.1 mg/kg/dose (max 4 mg) OR Front Desk 7820 Recovery Room 2515 IV: 0.05-0.1 mg/kg (max = 2 mg) Naloxone IV: 0.25-2 mcg/kg/hr OR Manager (Anesthesiology) 7071 Pre-admission 2134 Propofol IV: 1-2 mg/kg then 0.5-1 mg/kg as needed Anesthesia Resident Oncall 7080 PAC Brock 1 2131 Induction of Anesthesia Anesthesia Buddy Call Phone 7097 COPC 3152 Etomidate IV: 0.2-0.3mg/kg ANTIBIOTICS- Surgical Prophylaxis (Intra-op Re-Dosing) Recovery Room (PACU) 4395 EPACU 2422 / 2423 Ketamine IV: 1-2 mg/kg; IM: 3-5 mg/kg See Spectrum app for up to date dosing OR Nurse Manager 7070 Emergency 2329 Propofol IV: 2.5-5 mg/kg Ampicillin IV: 50 mg/kg, max 2gm (q6h) SDAC 3452 ICU 2458 Infusion: 50-300 mcg/kg/min Cefazolin IV: 30 mg/kg, max 2gm (q4h) Obstetrics 2315 OR Nurse Manager 2444 Clindamycin IV: 20 mg/kg, max 600mg (q6h) NICU 2320 Phase 2 3206 Tobramycin IV: 7.5 mg/kg, max 360mg (no intra-op re-dosing) Pediatrics 2352 Anesthesia Tech 2509 ANALGESIA Anesthesia Assistant 613-328-7481 Metronidazole IV: 10 mg/kg, max 500mg (q12h) Fentanyl IV: 0.5-2 mcg/kg (PACU 0.5mcg/kg), IV: 0.5-2 mcg/kg/hr infusion Vancomycin IV: 15 mg/kg, max 1gm (q6h) ICU 7811 Ketorolac IV: 0.5mg/kg q 6hrs (max 30mg), caution