Diferencia entre revisiones de «35kg (10yr)»

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(Replaced content with "{{#vardefine:weight|35}} {{#vardefine:etomidatedoseint|0.3}} {{#vardefine:atropinedose|0.2}} {{CCQuickRef}} ==See Also== {{Critical care main}} Category:Quick Ref")
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{{#vardefine:weight|35}}  
{{#vardefine:weight|35}}  
==[[Critical Care Quick Reference]] Group==
{{#vardefine:etomidatedoseint|0.3}}
{| class="wikitable"
{{#vardefine:atropinedose|0.2}}
|-
| kg||{{#var:weight}}
|-
| Age||10yr
|-style="background:lightgreen"
| [[Broselow Color]]||Green
|-
|}


==Normal [[Vital Signs]]==
{| class="wikitable"
|-
| Heart Rate||75
|-
| Respiratory Rate||18
|-
| Systolic BP||>90
|-
|}


==[[Intubation]]==
{{CCQuickRef}}
{| class="wikitable"
| align="center" style="background:#f0f0f0;"|'''Medication'''
| align="center" style="background:#f0f0f0;"|'''Dose'''
| align="center" style="background:#f0f0f0;"|'''Calculation'''
|-
! scope="row" colspan="3"| '''Pretreatment'''
|-
| [[Lidocaine]]||52.5mg||1-1.5mg/kg
|-
| [[Fentanyl]]||{{#expr: 35*1 }}||1-3 mcg/kg
|-
| [[Atropine]]||0.5mg|| 0.02 mg/kg
|-
! scope="row" colspan="3"|'''RSI'''
|-
| [[Etomidate]] ||10.5mg|| {{#var:etomidatedoseint}}
|-
| [[Succinylcholine]] ||50mg|| {{SuccinylcholineDose}}
|-
| [[Midazolam]] (Versed) ||3.5mg|| {{MidazolamDose}}
|-
| [[Ketamine]] ||70mg|| {{KetamineDose}}
|-
| [[Vecuronium]] ||3.5mg|| {{VecuroniumDose}}
|-
| [[Rocuronium]]||35mg||{{RocuroniumDose}}
|-
! scope="row" colspan="3"|'''Equipment'''
|-
| ET Tube||6c ||ETSize
|-
| Blade||3 ||NA
|-
| cm to teeth||18||{{ETTteeth}}
|-
|}
 
==[[Pediatric pulseless arrest|Pulseless Arrest]]==
{| class="wikitable"
| align="center" style="background:#f0f0f0;"|'''Medication'''
| align="center" style="background:#f0f0f0;"|'''Dose'''
| align="center" style="background:#f0f0f0;"|'''Calculation'''
|-
| [[Defibrilation]] First||70J || {{DefibFirstDose}}
|-
| [[Defibrilation]] Second || 140J || {{DefibSecondDose}}
|-
| [[Epinephrine]] (1:10,000)|| 3.5mL || {{EpiCardiacDose}}
|-
| [[Amiodarone]] load (without pulse)||175mg || {{AmiodaroneDose}}
|-
| [[Lidocaine]]||35mg ||{{LidocaineDose}}
|-
| [[Lidocaine]] Infusion || 700 mcg/kg/min || {{LidocaineInfusionDose}}
|-
| [[Magnesium sulfate]]||1750mg||50 mg/kg
|-
| [[CalCl]] (100mg/mL)||700mg||20 mg/kg
|-
|}
 
==[[PALS (Main)|Cardiac with Pulse]]==
{| class="wikitable"
| align="center" style="background:#f0f0f0;"|'''Medication'''
| align="center" style="background:#f0f0f0;"|'''Dose'''
| align="center" style="background:#f0f0f0;"|'''Calculation'''
|-
| [[Adenosine]]||3.5mg
|-
| [[Amiodarone]] load (with pulse)||150mg
|-
| [[Amiodarone]] drip||may repeat loading dose for a total of up to 3 times
|-
| [[Atropine]]||0.7mg
|-
| [[Cardioversion]] ||
|-
| [[Procainamide]] (max)||350mg
|-
| [[Diltiazem]]||
|-
| [[Esmolol ]]||
|-
| [[Magnesium sulfate]]||1750mg||50 mg/kg
|-
| [[Metoprolol ]]||
|-
| [[Nitroglycerine]] drip||
|-
| [[Glucagon]]||
|-
|}
 
==[[Hypoglycemia]]==
{| class="wikitable"
| align="center" style="background:#f0f0f0;"|'''Medication'''
| align="center" style="background:#f0f0f0;"|'''Dose'''
| align="center" style="background:#f0f0f0;"|'''Calculation'''
|-
| [[D50W]] || 50mL (1 amp) || 2ml/kg
|-
|}
==[[Vasopressors]]==
{{Vasopressor critical care table}}
 
==Sedation==
{| class="wikitable"
| align="center" style="background:#f0f0f0;"|'''Medication'''
| align="center" style="background:#f0f0f0;"|'''Dose'''
| align="center" style="background:#f0f0f0;"|'''Calculation'''
|-
| [[Lorazepam]] (Ativan)||1.75mg
|-
| [[Morphine]]||3.5mg
|-
| [[Fenatnyl]]||35mcg
|-
| [[Ketamine]]||35mg
|-
| [[Midazolam]] (Versed)||1.75mg
|-
|}
 
==[[Seizure]] and CNS==
{| class="wikitable"
| align="center" style="background:#f0f0f0;"|'''Medication'''
| align="center" style="background:#f0f0f0;"|'''Dose'''
| align="center" style="background:#f0f0f0;"|'''Calculation'''
|-
| [[Lorazepam]] (Ativan)||1.75mg
|-
| [[Fosphenytoin]] (PE=Phenytoin equivalent)||630 PE
|-
| [[Phenytoin]] (Dilantin)||630mg
|-
| [[Phenobarbitol]]||350mg
|-
| [[Diazepam]] (Valium) rectal||10mg
|-
| [[Mannitol]]||35g
|-
| [[Hypoglycemia]]||70mL
|-
| [[Naloxone]] (Narcan)||0.35mg
|-
|}
 
==Trauma==
{| 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||700mL
|-
| PRBCs (1u=250mL)||1 unit
|-
| [[Chest tube]] (fr)||32
|-
| [[Pediatric central line|Central line]]||4-5F ([[Central line: internal jugular|IJ]]/[[Central line: subclavian|subclavian]])
5-8F ([[Central line: femoral|femoral]])
|-
| NG tube (fr)||16
|-
|}
 
==Equipment==
{| class="wikitable"
| align="center" style="background:#f0f0f0;"|'''Medication'''
| align="center" style="background:#f0f0f0;"|'''Dose'''
| align="center" style="background:#f0f0f0;"|'''Calculation'''
|-
| ET Tube||6c
|-
| Blade||3
|-
| cm to teeth||19
|-
| [[Chest tube]] (fr)||32
|-
| [[Pediatric central line|Central line]]||4-5F ([[Central line: internal jugular|IJ]]/[[Central line: subclavian|subclavian]])
5-8F ([[Central line: femoral|femoral]])
|-
| NG tube (fr)||16
|-
|}
 
==[[Fluids]]==
{| 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||700mL||20 mL/kg
|-
| Maintenance||75mL/hr||[[4-2-1 Rule]]
|-
| PRBCs (1u=250mL)||1 unit
|}


==See Also==
==See Also==

Revisión del 19:54 29 mar 2015





Intubation

Medication Dose Calculation
Pretreatment
Lidocaine 53 mg 1.5 mg/kg[1]
Fentanyl 35 mcg 1 mcg/kg

Expression error: Unexpected < operator.

RSI
Etomidate 10.5 mg 0.3 mg/kg
Succinylcholine 53 mg 1.5 mg/kg
Midazolam (Versed) 2 mg 0.1 mg/kg
(max 2 mg per dose)
Ketamine 70 mg 2 mg/kg
Vecuronium 3.5 mg 0.1 mg/kg
Rocuronium 35 mg 1 mg/kg
Equipment
ET Tube (cuffed) Expression error: Unexpected < operator. ±0.5 age/4+3

Expression error: Unexpected < operator.

Blade Expression error: Unexpected < operator. Expression error: Unexpected = operator. Expression error: Unexpected = operator. Expression error: Unexpected = operator. Expression error: Unexpected = operator. Expression error: Unexpected > operator. Miller or MAC
cm to teeth Expression error: Unexpected < operator. 3 x ETT size


Pulseless Arrest

Medication Dose Calculation
Defibrillation Expression error: Unexpected < operator. 2 J/kg
(max 200)
Epinephrine (1:10,000) 0.35 mg 0.01 mg/kg
(max 1 mg)
Amiodarone load (without pulse) 175 mg 5 mg/kg
(max 300)
Lidocaine 35 mg 1 mg/kg
Lidocaine Infusion 1750 mcg/min 50 mcg/kg/min
Magnesium sulfate 1750 mg 50 mg/kg
(max 2000 mg)
CalCl (100mg/mL) 700 20 mg/kg
(max 1000 mg)
Sodium Bicarbonate (8.4%) 35mL 1 mL/kg
(max 50 mL)


Cardiac with Pulse

Medication Dose Calculation
Adenosine 3.5 mg 0.1 mg/kg
(max 6 mg)
Adenosine Repeat 7 mg 0.2 mg/kg
(max 12 mg)
Amiodarone load (with pulse) 150 mg 5 mg/kg
Amiodarone 2nd/3rd dose repeat loading dose up to total 3 times 15 mg/kg max
Atropine 0.7 mg 0.02 mg/kg
(max 1 mg)

Expression error: Unexpected < operator. Expression error: Unexpected > operator.

Procainamide 525 mg 15 mg/kg
(max 1500 mg)
Diltiazem 8.75 mg 0.25 mg/kg
Esmolol 3500 mcg/min 100 mcg/kg/min
Magnesium sulfate 1750 mg 50 mg/kg
Nitroglycerin drip 1.75 mcg 0.05 mcg/kg/min
Glucagon 0.88 mg 0.025 mg/kg


Hypoglycemia

Medication Dose Calculation

Expression error: Unexpected > operator. Expression error: Unexpected > operator.

D10 W 87.5 mL 2.5 mL/kg
Glucagon 0.88 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) 1.8 mg 0.05 mg/kg
(max 2 mg per dose)
Morphine 3.5 mg 0.1 mg/kg
Fenatnyl 35 mcg 1 mcg/kg
Ketamine 35 mg 1 mg/kg
Midazolam (Versed) 2 mg 0.1 mg/kg
(max 2 mg per dose)
Propofol IV (initial) 35 mg 1 mg/kg
Propofol (drip) 1750 mcg 50 mcg/kg/min


Seizure and CNS

Medication Dose Calculation
Lorazepam (Ativan) 1.8 mg 0.05 mg/kg
(max 2 mg per dose)
Fosphenytoin (PE = phenytoin equivalent) 700 PE 20 PE/kg
Phenytoin (Dilantin) 700 mg 20 mg/kg
Phenobarbitol 350 mg 10 mg/kg
Diazepam (Valium) rectal 3.5 mg 0.1 mg/kg every 2 min
Levetiracetam (Keppra) 700 mg 20 mg/kg
Mannitol 35 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

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