Template:CCQuickRef

Critical Care Quick Reference Group

kg
Age 10yr
Broselow Color Green

Normal Vital Signs

Heart Rate 75
Respiratory Rate 18
Systolic BP >90

Intubation

Medication Dose Calculation
Pretreatment
Lidocaine 52.5mg 1-1.5mg/kg
Fentanyl 35 1-3 mcg/kg
Atropine 0.5mg 0.02 mg/kg
RSI
Etomidate Expression error: Unexpected * operator. 0.3 mg/kg
Succinylcholine 50mg 1 - 1.5mg/kg
Midazolam (Versed) 3.5mg 0.1mg/kg
Ketamine 70mg 1.5mg/kg
Vecuronium 3.5mg 0.2 mg/kg
Rocuronium 35mg 1.2 mg/kg
Equipment
ET Tube 6c ETSize
Blade 3 NA
cm to teeth 18 ETT size x 3

Pulseless Arrest

Medication Dose Calculation
Defibrilation First 70J 2 J/kg
Defibrilation Second 140J 4 J/kg
Epinephrine (1:10,000) 3.5mL 0.01 mg/kg
Amiodarone load (without pulse) 175mg

5 mg/kg max up to 15 mg/kg (300 mg)

Lidocaine 35mg 1 mg/kg
Lidocaine Infusion 700 mcg/kg/min 20-50 mcg/kg/min
Magnesium sulfate 1750mg 50 mg/kg
CalCl (100mg/mL) 700mg 20 mg/kg

Cardiac with Pulse

Medication Dose 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

Medication Dose Calculation
D50W 50mL (1 amp) 2ml/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) 1.75mg
Morphine 3.5mg
Fenatnyl 35mcg
Ketamine 35mg
Midazolam (Versed) 1.75mg

Seizure and CNS

Medication Dose 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

Medication Dose Calculation
Normal saline 0.9% bolus 700mL
PRBCs (1u=250mL) 1 unit
Chest tube (fr) 32
Central line 4-5F (IJ/subclavian)

5-8F (femoral)

NG tube (fr) 16

Equipment

Medication Dose Calculation
ET Tube 6c
Blade 3
cm to teeth 19
Chest tube (fr) 32
Central line 4-5F (IJ/subclavian)

5-8F (femoral)

NG tube (fr) 16

Fluids

Medication Dose Calculation
Normal saline 0.9% bolus 700mL 20 mL/kg
Maintenance 75mL/hr 4-2-1 Rule
PRBCs (1u=250mL) 1 unit