25kg (8yr)
Critical Care Quick Reference Group
| Weight | 25 kg |
| Age | 8 years |
| Broselow Color | Orange |
Normal Vital Signs
| Heart Rate | 70 - 110 bpm |
| Respiratory Rate | 18 - 22 rpm |
| Systolic BP | 80-110 mmHg |
Intubation
| Medication | Dose | Calculation |
| Pretreatment | ||
|---|---|---|
| Lidocaine | 38 mg | 1.5 mg/kg[1] |
| Fentanyl | 25 mcg | 1 mcg/kg |
| RSI | ||
| Etomidate | 7.5 mg | 0.3 mg/kg |
| Succinylcholine | 38 mg | 1.5 mg/kg |
| Midazolam (Versed) | 2 mg | 0.1 mg/kg (max 2 mg per dose) |
| Ketamine | 50 mg | 2 mg/kg |
| Vecuronium | 2.5 mg | 0.1 mg/kg |
| Rocuronium | 25 mg | 1 mg/kg |
| Equipment | ||
| ET Tube (cuffed) | 5 ±0.5 | age/4+3 |
| Blade | 3-4 | Miller or MAC |
| cm to teeth | 15 | 3 x ETT size |
Pulseless Arrest
| Medication | Dose | Calculation |
| Defibrillation | 50 J | 2 J/kg (max 200) |
| Epinephrine (1:10,000) | 0.25 mg | 0.01 mg/kg (max 1 mg) |
| Amiodarone load (without pulse) | 125 mg | 5 mg/kg (max 300) |
| Lidocaine | 25 mg | 1 mg/kg |
| Lidocaine Infusion | 1250 mcg/min | 50 mcg/kg/min |
| Magnesium sulfate | 1250 mg | 50 mg/kg (max 2000 mg) |
| CalCl (100mg/mL) | 500 | 20 mg/kg (max 1000 mg) |
| Sodium Bicarbonate (8.4%) | 25mL | 1 mL/kg (max 50 mL) |
Cardiac with Pulse
| Medication | Dose | Calculation |
| Adenosine | 2.5 mg | 0.1 mg/kg (max 6 mg) |
| Adenosine Repeat | 5 mg | 0.2 mg/kg (max 12 mg) |
| Amiodarone load (with pulse) | 125 mg | 5 mg/kg |
| Amiodarone 2nd/3rd dose | repeat loading dose up to total 3 times | 15 mg/kg max |
| Atropine | 0.5 mg | 0.02 mg/kg (max 1 mg) |
| Cardioversion First Shock | 25 J | 1 J/kg |
| Cardioversion Second Shock | 50 J | 2 J/kg |
| Procainamide | 375 mg | 15 mg/kg (max 1500 mg) |
| Diltiazem | 6.25 mg | 0.25 mg/kg |
| Esmolol | 2500 mcg/min | 100 mcg/kg/min |
| Magnesium sulfate | 1250 mg | 50 mg/kg |
| Nitroglycerin drip | 1.25 mcg | 0.05 mcg/kg/min |
| Glucagon | 0.63 mg | 0.025 mg/kg |
Hypoglycemia
| Medication | Dose | Calculation |
| D25W | 50 mL | 2 mL/kg |
| D10 W | 62.5 mL | 2.5 mL/kg |
| Glucagon | 0.63 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) | 1.3 mg | 0.05 mg/kg (max 2 mg per dose) |
| Morphine | 2.5 mg | 0.1 mg/kg |
| Fenatnyl | 25 mcg | 1 mcg/kg |
| Ketamine | 25 mg | 1 mg/kg |
| Midazolam (Versed) | 2 mg | 0.1 mg/kg (max 2 mg per dose) |
| Propofol IV (initial) | 25 mg | 1 mg/kg |
| Propofol (drip) | 1250 mcg | 50 mcg/kg/min |
Seizure and CNS
| Medication | Dose | Calculation |
| Lorazepam (Ativan) | 1.3 mg | 0.05 mg/kg (max 2 mg per dose) |
| Fosphenytoin (PE = phenytoin equivalent) | 500 PE | 20 PE/kg |
| Phenytoin (Dilantin) | 500 mg | 20 mg/kg |
| Phenobarbitol | 250 mg | 10 mg/kg |
| Diazepam (Valium) rectal | 2.5 mg | 0.1 mg/kg every 2 min |
| Levetiracetam (Keppra) | 500 mg | 20 mg/kg |
| Mannitol | 25 g | 1 g/kg |
| Hypoglycemia | IV dextrose | see glucose table |
References
- ↑ 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 | 500mL | |
| PRBCs (1u=250mL) | 1 unit | |
| Chest tube (fr) | 28 | |
| Central line | 4-5F (IJ/subclavian)
5-8F (femoral) | |
| NG tube (fr) | 12 |
Equipment
| Medication | Dose | Calculation |
| Chest tube (fr) | 28 | |
| Central line | 4-5F (IJ/subclavian)
5-8F (femoral) | |
| NG tube (fr) | 12 |
Fluids
| Medication | Dose | Calculation |
| Normal saline 0.9% bolus | 500mL | 20 mL/kg |
| Maintenance | 65mL/hr | 4-2-1 Rule |
| PRBCs (1u=250mL) | 1 unit |
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) | ||||