Diferencia entre revisiones de «2kg (preemie)»

(Created page with "==Critical Care Quick Reference Group== {| class="wikitable" |- | kg||2kg |- | Age||preemie |- | Broselow Color||preemie |- |} ==Normal Vital Signs== {| class="wi...")
 
 
(No se muestran 21 ediciones intermedias de 2 usuarios)
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{{#vardefine:weight|2}}{{#vardefine:age|0}}
==[[Critical Care Quick Reference]] Group==
==[[Critical Care Quick Reference]] Group==
{| class="wikitable"
{| class="wikitable"
|-
|-
| kg||2kg
| Weight||{{#var:weight}} kg
|-
|-
| Age||preemie
| Age||Newborn
|-
|-style="background:lightgrey"
| [[Broselow Color]]||preemie
| [[Broselow Color]]||Grey
|-
|-
|}
|}
Línea 13: Línea 14:
{| class="wikitable"
{| class="wikitable"
|-
|-
| Heart Rate||140
| Heart Rate||100-160 bpm
|-
|-
| Respiratory Rate||40
| Respiratory Rate||40-60 rpm
|-
|-
| Systolic BP||>60
| Systolic BP|| 50-90 mmHg
|-
|}
 
==[[Intubation]]==
{| class="wikitable"
|-
| '''Pretreatment'''||
|-
| [[Lidocaine]]||3mg
|-
| [[Fentanyl]]||NA
|-
| [[Atropine]]||0.1mg
|-
| '''[[RSI]]'''||
|-
| [[Etomidate]]||0.6mg
|-
| [[Succinylcholine]]||3mg
|-
| [[Midazolam]] (Versed)||0.2mg
|-
| [[Ketamine]]||4mg
|-
| [[Vecuronium]]||0.2mg
|-
| [[Rocuronium]]||2mg
|-
| '''Equipment'''||
|-
| ET Tube||2.5
|-
| Blade||0s
|-
| cm to teeth||8
|-
|}
 
==[[Pulseless Arrest]]==
{| class="wikitable"
|-
| [[Defibrilation]]||4J
|-
| [[Epinephrine]] (1:10,000)||0.2mL
|-
| [[Amiodarone]] load (without pulse)||10mg
|-
| [[Amiodarone]] drip||may repeat loading dose for a total of up to 3 times
|-
| [[Lidocaine]]||2mg
|-
| [[Magnesium]]||100
|-
| [[CalCl]] (100mg/mL)||40mg
|-
| [[Hypoglycemia]]||20mL of D10W
|-
|}
 
==[[Cardiac with Pulse]]==
{| class="wikitable"
|-
| [[Adenosine]]||0.2mg
|-
| [[Amiodarone]] load (with pulse)||10mg
|-
| [[Amiodarone]] drip||may repeat loading dose for a total of up to 3 times
|-
| [[Atropine]]||0.1mg
|-
| [[Cardioversion]] ||
|-
| [[Procainamide]] (max)||20mg
|-
| [[Diltiazem]]||
|-
| [[Esmolol ]]||
|-
| [[Magnessium]]||
|-
| [[Metoprolol ]]||
|-
| [[Nitroglycerine]] drip||
|-
| [[Glucagon]]||
|-
|}
 
==Pressors==
{| class="wikitable"
|-
| [[Levophed]]/NE (8mg in 500mL D5W)||
|-
| [[Dopamine]] (400mg in 250 D5W)||
|-
| [[Dobutamine]] (250mg in 250 mg D5W)||
|-
| [[Epinephrine]]  (1mg in 250 D5W)||
|-
|}
 
==Sedation==
{| class="wikitable"
|-
| [[Lorazepam]] (Ativan)||0.1mg
|-
| [[Morphine]]||0.2mg
|-
| [[Fenatnyl]]||2mcg
|-
| [[Ketamine]]||2mg
|-
| [[Midazolam]] (Versed)||0.1mg
|-
|}
 
==[[Seizure]] and CNS==
{| class="wikitable"
|-
| [[Lorazepam]] (Ativan)||0.1mg
|-
| [[Fosphenytoin]] (PE=Phenytoin equivalent)||36 PE
|-
| [[Phenytoin]] (Dilantin)||36mg
|-
| [[Phenobarbitol]]||20mg
|-
| [[Diazepam]] (Valium) rectal||1mg
|-
| [[Mannitol]]||2g
|-
| [[Hypoglycemia]]||4mL
|-
| [[Naloxone]] (Narcan)||0.02mg
|-
|-
|}
|}
{{CCQuickRef}}


==Trauma==
==Trauma==
{| class="wikitable"
{| class="wikitable"
| align="center" style="background:#f0f0f0;"|'''Medication'''
| align="center" style="background:#f0f0f0;"|'''Dose'''
| align="center" style="background:#f0f0f0;"|'''Calculation'''
|-
|-
| Normal saline 0.9% bolus||40mL
| Normal saline 0.9% bolus||40mL||20mL/kg
|-
|-
| PRBCs (1u=250mL)||20mL
| PRBCs (1u=250mL)||20mL
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==Equipment==
==Equipment==
{| class="wikitable"
{| class="wikitable"
|-
| align="center" style="background:#f0f0f0;"|'''Medication'''
| ET Tube||2.5
| align="center" style="background:#f0f0f0;"|'''Dose'''
|-
| align="center" style="background:#f0f0f0;"|'''Calculation'''
| Blade||0s
|-
| cm to teeth||8
|-
|-
| [[Chest tube]] (fr)||8
| [[Chest tube]] (fr)||8
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==[[Fluids]]==
==[[Fluids]]==
{| class="wikitable"
{| class="wikitable"
| align="center" style="background:#f0f0f0;"|'''Medication'''
| align="center" style="background:#f0f0f0;"|'''Dose'''
| align="center" style="background:#f0f0f0;"|'''Calculation'''
|-
|-
| Normal saline 0.9% bolus||40mL
| Normal saline 0.9% bolus||40mL||20mL/kg
|-
|-
| Maintenance||8mL/hr
| Maintenance||8mL/hr||[[4-2-1 Rule‎]]
|-
|-
| PRBCs (1u=250mL)||20mL
| PRBCs (1u=250mL)||20mL
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==See Also==
==See Also==
{{Critical care main}}
{{Critical care main}}
==References==
<references/>


[[Category:Quick Ref]]
[[Category:Quick Ref]]

Revisión actual - 02:24 9 may 2016

Critical Care Quick Reference Group

Weight 2 kg
Age Newborn
Broselow Color Grey

Normal Vital Signs

Heart Rate 100-160 bpm
Respiratory Rate 40-60 rpm
Systolic BP 50-90 mmHg



Intubation

Medication Dose Calculation
Pretreatment
Lidocaine 3 mg 1.5 mg/kg[1]
Fentanyl 2 mcg 1 mcg/kg
Atropine 0.04 mg 0.02 mg/kg
RSI
Etomidate 0.6 mg 0.3 mg/kg
Succinylcholine 3 mg 1.5 mg/kg
Midazolam (Versed) 0.2 mg 0.1 mg/kg
(max 2 mg per dose)
Ketamine 4 mg 2 mg/kg
Vecuronium 0.2 mg 0.1 mg/kg
Rocuronium 2 mg 1 mg/kg
Equipment
ET Tube (cuffed) 3 ±0.5 age/4+3
ET Tube (uncuffed)4 ±0.5age/4+4
Blade 1 Miller or MAC
cm to teeth 9 3 x ETT size


Pulseless Arrest

Medication Dose Calculation
Defibrillation 4 J 2 J/kg
(max 200)
Epinephrine (1:10,000) 0.02 mg 0.01 mg/kg
(max 1 mg)
Amiodarone load (without pulse) 10 mg 5 mg/kg
(max 300)
Lidocaine 2 mg 1 mg/kg
Lidocaine Infusion 100 mcg/min 50 mcg/kg/min
Magnesium sulfate 100 mg 50 mg/kg
(max 2000 mg)
CalCl (100mg/mL) 40 20 mg/kg
(max 1000 mg)
Sodium Bicarbonate (8.4%) 2mL 1 mL/kg
(max 50 mL)


Cardiac with Pulse

Medication Dose Calculation
Adenosine 0.2 mg 0.1 mg/kg
(max 6 mg)
Adenosine Repeat 0.4 mg 0.2 mg/kg
(max 12 mg)
Amiodarone load (with pulse) 10 mg 5 mg/kg
Amiodarone 2nd/3rd dose repeat loading dose up to total 3 times 15 mg/kg max
Atropine 0.04 mg 0.02 mg/kg
(max 1 mg)
Cardioversion First Shock 2 J 1 J/kg
Cardioversion Second Shock 4 J 2 J/kg
Procainamide 30 mg 15 mg/kg
(max 1500 mg)
Diltiazem 0.5 mg 0.25 mg/kg
Esmolol 200 mcg/min 100 mcg/kg/min
Magnesium sulfate 100 mg 50 mg/kg
Nitroglycerin drip 0.1 mcg 0.05 mcg/kg/min
Glucagon 0.05 mg 0.025 mg/kg


Hypoglycemia

Medication Dose Calculation


D10 W 5 mL 2.5 mL/kg
Glucagon 0.05 mg 0.025 mg/kg


Vasopressors

Medication IV Dose (mcg/kg/min) Standard Concentration Final Concentration
Norepinephrine (Levophed) 0.01-2 mcg/kg/min 8 mg in 500 mL D5W 16 mcg/mL
Dopamine 2-20 mcg/kg/min 400 mg in 250 mL D5W 1,600 mcg/mL
Dobutamine 2-20 mcg/kg/min 250 mg in 250 mL D5W 1,000 mcg/mL
Epinephrine 0.01-1 mcg/kg/min 1 mg in 250 mL D5W 4 mcg/mL


Sedation

Medication Dose Calculation
Lorazepam (Ativan) 0.1 mg 0.05 mg/kg
(max 2 mg per dose)
Morphine 0.2 mg 0.1 mg/kg
Fenatnyl 2 mcg 1 mcg/kg
Ketamine 2 mg 1 mg/kg
Midazolam (Versed) 0.2 mg 0.1 mg/kg
(max 2 mg per dose)
Propofol IV (initial) 2 mg 1 mg/kg
Propofol (drip) 100 mcg 50 mcg/kg/min


Seizure and CNS

Medication Dose Calculation
Lorazepam (Ativan) 0.1 mg 0.05 mg/kg
(max 2 mg per dose)
Fosphenytoin (PE = phenytoin equivalent) 40 PE 20 PE/kg
Phenytoin (Dilantin) 40 mg 20 mg/kg
Phenobarbitol 20 mg 10 mg/kg
Diazepam (Valium) rectal 0.2 mg 0.1 mg/kg every 2 min
Levetiracetam (Keppra) 40 mg 20 mg/kg
Mannitol 2 g 1 g/kg
Hypoglycemia IV dextrose see glucose table

References

  1. ↑ Robinson N, Clancy M. Emerg Med J. 2001 Nov; 18(6): 453–457. In patients with head injury undergoing rapid sequence intubation, does pretreatment with intravenous lignocaine/lidocaine lead to an improved neurological outcome? A review of the literature doi:10.1136/emj.18.6.453 PMCID:PMC1725712

Trauma

Medication Dose Calculation
Normal saline 0.9% bolus 40mL 20mL/kg
PRBCs (1u=250mL) 20mL
Chest tube (fr) 8
Central line
NG tube (fr) 5

Equipment

Medication Dose Calculation
Chest tube (fr) 8
Central line
NG tube (fr) 5

Fluids

Medication Dose Calculation
Normal saline 0.9% bolus 40mL 20mL/kg
Maintenance 8mL/hr 4-2-1 Rule‎
PRBCs (1u=250mL) 20mL

See Also

Quick Reference Groups[1]

Adult
Category Weight
Large adult 100kg
ADULT 70kg
Small adult 50kg
Pediatric
Broslow Color Weight (Age)
Green 35kg (10yr)
Orange 25kg (8yr)
Blue 20kg (6yr)
White 15kg (4yr)
Yellow 12kg (2yr)
Purple 10kg (1yr)
Red 8kg (6mo)
Pink 6kg (4mo)
Gray 5kg (2mo)
3.5kg (newborn)
Preemie 2kg (preemie)

References

  1. ↑ Unless otherwise noted, all pediatric dosing per AAP guidelines: AAP Committee on Drugs. Drugs for Pediatric Emergencies full text

References

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