Room Setup 101 kg
Circut:
ETT:
7.5-8.5 Cuffed
Oral Airway:
100-120 mm
Blade:
Miller 2/3, Mac 3/4
 
Propofol:
20 mls @ (10 mg/ml)
Fentanyl:
2-5 mls @ (50 mcg/ml)
Lidocaine:
5 mls @ (20 mg/ml)
Precedex:
* 5-10 mls @ (4 mcg/kg)
Clonidine:
* 1 mls @ (100 mcg/ml)
 
Succinylcholine:
10 mls @ (20 mg/ml)
Rocuonium:
10 mls @ (10 mg/ml)
 
Zofran:
2 mls @ (2 mg/ml)
Dexamethasone:
2 mls @ (4mg/ml)
 
Atropine:
0.2 @ (1 mg/ml)
Glycopyrrolate:
2 mls @ (0.2 mg/ml)
Neostigmine:
4 mls @ (1 mg/ml)
Suggammadex:
* 2 mls @ (100 mcg/ml)
 
Ephedrine:
* 10 mls @ (5 mg/ml)
Neosynephrine:
* 10 mls @ (100 mcg/ml)
 
Key:
* = Optional
Diluted Solution
Vital Signs 101 kg
Weight:
101 kg
HR:
65-110 bpm
SBP:
95-110 mmHg
DBP:
60-75 mmHg
MAP:
72-87 mmHg
Hypotension:
<90 mmHg
RR:
20-25 rpm
Vt:
600-952 mls
NPO
Food/Formula:
6 hrs
Clears:
2 hrs
Airway 101 kg
ETT Uncuffed:
NA mm
ETT Cuffed:
7.5-8.5 mm
ETT Dist:
22-24 cm
NETT Dist:
25-27 cm
BB/DLT:
37-39-41 DLT
Blade:
Miller/Mac 2/3
LMA:
#5(♀), #6(♂)
LMAVol:
50 mls
Mask:
Adult/Large Adult
Oral Airway:
110-120 mm
NP Airway:
34-36 Fr
Suction Cath:
10-12 Fr
NG Tube:
16-18 Fr
Chest Tube:
36 Fr
Foley:
14-16 Fr
Pretreatments 101 kg
Atropine: Atropan ® 1mg/ml
0.02 mg/kg MAX: 2 mg
2.0 mls
 
Glycopyrrolate: Robinul ® 0.4mg/ml
0.01 mg/kg MAX: 1 mg
2.5 mls
 
Lidocaine 10 mg/ml:
1-2 mg/kg MAX: 4 mg
10-20 mls
 
Fentanyl 50 mcg/ml:
1-3 mcg/kg
2.0-6 mls
 
Midazolam PO 5 mg/ml:
0.2 mg/kg MAX: 5 mg
4 mls
 
Midazolam IN 5 mg/ml:
0.15 mg/kg MAX: 5 mg
1 mls
 
Dexmetomidine IV 10 mcg/ml:
0.05-0.2 mcg/kg
0.51-2.04 mls
 
PONV 101 kg
Dexamethasone 4 mg/ml
Dose: 12 mg
Amt: 0.12 mg/kg
Vol: 3.0 mls
 
Odansetron 2 mg/ml
Dose: 6.1 mg
Amt: 0.06 mg/kg
Vol: 3.0 mls
 
Dolasetron 12.5 mg/ml
Dose: 35 mg
Amt: 0.35 mg/kg
Vol: 2.8 mls
 
Granisetron 100 mcg/ml
Dose: 1,010 mcg
Amt: 10 mgc/kg
Vol: 10 mls
 
Famotidine 10 mg/ml
Dose: 25 mg
Amt: 0.25 mg/kg
Vol: 2.5 mls
 
Ranitidine 25 mg/ml
Dose: 50 mg
Amt: mg/kg
Vol: 2.0 mls
 
Sedation 101 kg
Midazolam IV 1 mg/ml
Dose: 0.02-0.10 mg/kg MAX: 10 mg
Amt: 2.0-10 mg
Vol: 2.0-10 mls
 
Midazolam PO 5 mg/ml
Dose: 0.02-0.05 mg/kg MAX: 20 mg
Amt: 2.0-5.1 mg
Vol: 0.40-1.0 mls
 
Midazolam IN 5 mg/ml
Dose: 0.099009900990099-0.10 mg/kg MAX: 10 mg
Amt: 10-10 mg
Vol: 2.0-2.0 mls
 
Propofol Bolus 10 mg/ml
Dose: 0.5-1 mg/kg MAX: mg
Amt: 51-101 mg
Vol: 5.1-10 mls
 
Propofol gtt 10 mg/ml
Dose: 25-75 mcg/kg/min
Amt: 2.5-7.6 mg/min
Vol: 15-45 mls/hr
 
Fentany IV 50 mcg/ml
Dose: 1-3 mcg/kg
Amt: 101-303 mcg
Vol: 2.0-6.1 mls
 
Fentanyl IN 50 mcg/ml
Dose: 0.5-2 mcg/kg
Amt: 51-202 mcg
Vol: 1.0-4.0 mls
 
Ketamine IV 50 mg/ml
Dose: 0.5-2 mg/kg
Amt: 51-202 mg
Vol: 1.0-4.0 mls
 
Ketamine IM 50 mg/ml
Dose: 3-6 mg/kg
Amt: 303-606 mg
Vol: 6.1-12 mls
 
Precedex IV 10 mcg/ml
Dose: 0.5-2 mcg/kg
Amt: 51-202 mcg
Vol: 5.1-20 mls
 
Precedex gtt 10 mcg/ml
Dose: 0.2-0.8 mcg/kg/hr
Amt: 20-81 mcg/hr
Vol: 2.0-8.1mls/hr
 
Precedex IN 10 mcg/ml
Dose: 0.5-2 mcg/kg
Amt: 51-202 mcg
Vol: 5.1-20 mls
 
Precedex PO 100 mcg/ml
Dose: 1-4 mcg/kg
Amt: 101-404 mcg
Vol: 1.0-4.0 mls
Benadryl IV 10 mg/ml
Dose: 1-4 mg/kg
Amt: 101-404 mg
Vol: 10-40 mls
 
Narcotics 101 kg
Fetanyl 50 mcg/ml
Dose: 0.5-2 mcg/kg
Amt: 51-202 mcg
Vol: 1.0-4.0 mls
 
Remifentanil 50 mcg/ml
Dose: 0.5-1 mcg/kg
Amt: 51-101 mcg
Vol: 1.0-2.0 mls
 
Remifentanil gtt 50 mcg/ml
Dose: 0.1-0.2 mcg/kg/min
Amt: 10-20 mcg/min
Vol: 12-24 mls/hr
 
Sufentanil 10 mcg/ml
Dose: 0.1-0.2 mcg/kg
Amt: 10-20 mcg
Vol: 1.0-2.0 mls
 
Morphine 1 mg/ml
Dose: 0.05-0.15 mg/kg
Amt: 5.1-15 mg
Vol: 5.1-15 mls
 
Morphine gtt 1 mg/ml
Dose: 0.01-0.03 mg/kg/min
Amt: 1.0-3.0 mg/min
Vol: 61-182 mls/hr
 
Dilaudid 2000 mcg/ml
Dose: 5-10 mcg/kg
Amt: 505-1,010 mcg
Vol: 0.25-0.51 mls
 
Dilaudid gtt 100 mcg/ml
Dose: 5-10 mcg/kg/hr
Amt: 505-1,010 mcg/hr
Vol: 5.1-10 mls/hr
 
Demerol 5 mg/ml
Dose: 0.2-0.5 mg/kg
Amt: 20-51 mg
Vol: 4.0-10 mls
 
Induction 101 kg
Propofol 10 mg/ml
Dose: 2-3 mg/kg
Amt: 202-303 mg
Vol: 20-30 mls
 
Propofol gtt 10 mg/ml
Dose: 50-150 mcg/kg/min
Amt: 5.1-15 mg/min
Vol: 30-91 mls/hr
 
Etomidate 2 mg/ml
Dose: 0.2-0.6 mg/kg
Amt: 20-61 mg
Vol: 10-30 mls
 
Midazolam 1 mg/ml
Dose: 0.15-0.3 mg/kg
Amt: 15-30 mg
Vol: 15-30 mls
 
Remifentanil 50 mcg/ml
Dose: 0.5-1 mcg/kg
Amt: 51-101 mcg
Vol: 1.0-2.0 mls
 
Remifentanil gtt 50 mcg/ml
Dose: 0.1-0.3 mcg/kg/min
Amt: 10-30 mcg/min
Vol: 12-36 mls/hr
 
Ketamine IV 10 mg/ml
Dose: 1-2 mg/kg
Amt: 101-202 mg
Vol: 10-20 mls
 
Ketamine IM 10 mg/ml
Dose: 3-21 mg/kg
Amt: 303-2,121 mg
Vol: 30-212 mls
 
Ketothol 10 mg/ml 1:1
Dose: 1-2 mg/kg
Amt: 101-202 mg
Vol: 10-20 mls
 
Thiopental 10 mg/ml
Dose: 3-4 mg/kg
Amt: 303-404 mg
Vol: 30-40 mls
 
Methohexital IV 10 mg/ml
Dose: 1-1.5 mg/kg
Amt: 101-152 mg
Vol: 10-15 mls
 
Methohexital IM 50 mg/ml
Dose: 6-10 mg/kg
Amt: 606-1,010 mg
Vol: 12-20 mls
 
Methohexital PR 10 mg/ml
Dose: 25 mg/kg
Amt: 2,525 mg
Vol: 253 mls
 
Neuromuscular Blockers 101 kg
Succinylcholine IV 20 mg/ml
Dose: 1-2 mg/kg
Amt: 101-202 mg
Vol: 5.1-10 mls
 
Succinylcholine IM 20 mg/ml
Dose: 2.5-4 mg/kg
Amt: 253-404 mg
Vol: 13-20 mls
 
Rocuronium LD 10 mg/ml
Dose: 0.6-1 mg/kg
Amt: 61-101 mg
Vol: 6.1-10 mls
 
Rocuronium MD 10 mg/ml
Dose: 0.1 mg/kg
Amt: 10 mg
Vol: 1.0 mls
 
Nimbex LD 2 mg/ml
Dose: 0.1-0.2 mg/kg
Amt: 10-20 mg
Vol: 5.1-10 mls
 
Nimbex MD 2 mg/ml
Dose: 0.03 mg/kg
Amt: 3.0 mg
Vol: 1.5 mls
 
Vecuronium LD 1 mg/ml
Dose: 0.08-0.1 mg/kg
Amt: 8.1-10 mg
Vol: 8.1-10 mls
 
Vecuronium MD 1 mg/ml
Dose: 0.01-0.015 mg/kg
Amt: 1.0-1.5 mg
Vol: 1.0-1.5 mls
 
Mivacurium LD 2 mg/ml
Dose: 0.2 mg/kg
Amt: 20 mg
Vol: 10 mls
 
Mivacurium MD 2 mg/ml
Dose: 0.1 mg/kg
Amt: 10 mg
Vol: 5.1 mls
 
Atracurium LD 10 mg/ml
Dose: 0.4-0.5 mg/kg
Amt: 40-51 mg
Vol: 4.0-5.1 mls
 
Atracurium MD 10 mg/ml
Dose: 0.08-0.1 mg/kg
Amt: 8.1-10 mg
Vol: 0.81-1.0 mls
 
Atracurium gtt 10 mg/ml
Dose: 2-15 mcg/kg/min
Amt: 12-91 mg/min
Vol: 1.2-9.1 mls/hr
 
Pancuronium LD1 mg/ml
Dose: 0.04-0.1 mg/kg
Amt: 4.0-10 mg
Vol: 4.0-10 mls
 
Pancuronium MD 1 mg/ml
Dose: 0.01 mg/kg
Amt: 1.0 mg
Vol: 1.0 mls
 
Reversals 101 kg
Atropine 1000 mcg/ml
Atropine: Atropan ®
Dose: 10-20 mcg/kg
Amt: 1,010-2,020 mcg
Vol: 1.0-2.0 mls
 
Glycopyrrolate 200 mcg/ml
Dose: 6-9 mcg/kg
Amt: 606-909 mcg
Vol: 3.0-4.5 mls
 
Naloxone OD 0.4 mg/ml
Dose: 0.01-0.02 mg/kg
Amt: 1.0-2.0 mg
Vol: 2.5-5.1 mls
 
Naloxone 0.4mg/ml
Dose: 0.01 mg/kg
Amt: 1.0 mg
Vol: 2.5 mls
 
Nubain 10mg/ml
Dose: 0.07 mg/kg
Amt: 7.1 mg
Vol: 0.71 mls
 
Flumazenil 0.1mg/ml
Dose: 0.01 mg/kg
Amt: 1.0 mg
Vol: 10 mls
 
Neostigmine 1mg/ml
Dose: 0.03960396039604 mg/kg
Amt: 4 mg
Vol: 4 mls
 
Pyridostigmine 5 mg/ml
Dose: 0.05-0.25 mg/kg
Amt: 5.1-25 mg
Vol: 1.0-5.1 mls
 
Edrophonium 10 mg/ml
Dose: 0.5-1.5 mg/kg
Amt: 51-152 mg
Vol: 5.1-15 mls
 
Sugammadex 100 mcg/ml
Dose: 2-4 mcg/kg
Amt: 202-404 mcg
Vol: 2.0-4.0 mls
 
Fluids & Blood 101 kg
Maintenance Fluid Rate: 141
Dose: 4:2:1 Rule
Amt: 141 mls/hr
 
Glucose: D5 (5 g Dextrose/100 mls)
Dose: 1-2 mg/kg/min
Amt: 121.2-242.4 mls/hr
 
NPO 10 hrs
Dose: 4:2:1 Rule
Amt: 1410 mls
 
Fluid Bolus
Dose: 20 mls/kg
Amt: 2020 mls
 
5% Albumin 5%
Dose: 5-10 mls/kg
Amt: 505-1010 mls
 
25% Albumin 25%
Dose: 4-8 mls/kg
Amt: 404-808 mls
 
Mannitol 12.5%
Dose: 2-8 mls/kg
Amt: 202-808 mls
 
Intralipid 20%
Dose: 1.5-3 mls/kg
Amt: 151.5-303 mls
 
Intralipid gtt 20%
Dose: 0.25 mls/kg/hr
Amt: 25.25 mls/hr
 
Estimated Blood Volume
Amt: 6565(♀) 7575(♂) mls
 
Alllowable Blood Loss
Effect: Lower Hct by 3-5%
Amt: 328.25(♀) 378.75(♂) mls
 
Transfusion Threshold
Dose: Hct to Tx
Amt: 21%
 
PRBC
Dose: 7-10 mls/kg
Amt: 707-1010 mls
Effect: Raise Hct 3-5%
 
FFP
Dose: 10-20 mls/kg
Amt: 1010-1515 mls
Effect: Increase Factors 10-15%
 
Cryoprecipitate
Dose: 10-20 mls/kg
Amt: 303 mls
Effect: Raise FBGN 100 mg/dl
 
Platelets
Dose: 10-15 mls/kg
Amt: 1010-1515 mls
Effect: Increase Plt 30-50K
 
Factor VIII 1 IU/ml
Dose: 10 IU/kg
Amt: 1010-1565.5 mls
Effect: Increase VIII 20-25 %
 
Factor IX 1 IU/ml
Dose: 20 IU/kg
Amt: 1010-1262.5 mls
Effect: Increase VIII 20-25 %
 
Factor VII 1000 mcg/ml
Dose: 90 mcg/kg before incision
Amt: 9.09 mg
Vol: 9.09mls q 2 hrs
 
Humate P Rx: VIII def 50 IU/ml
Dose: 40-60 IU/kg
Amt: 4040-6060 IU x 1
Vol: 80.8-121.2 mls
Then 40.4-60.6 mls q8h
 
Humate P Rx: VWF def 120 IU/ml
Dose: 40-80 IU/kg
Amt: 4040-8080 IU x 1
Vol: 33.7-67.3 mls
Then 33.7-50.5 mls q8h Type 2/3
33.7-50.5 mls q24h Type 1
 
PPC 25 units/ml
Dose: 25-50 units/kg for INR 2-6
Amt: 2525-5050 units
Vol: 101-202 mls
 
Antithrombin III 100 u/ml
Dose: 25-30 u/kg for INR 2-6
Amt: 2525-3030 u
Effect: Increase AT3 level 20-30%
 
Desmopressin 4 mcg/ml
Dose: 0.1-0.3 mcg/kg o 30 min
Amt: 10.1-30.3 mcg
Vol: 2.525-7.575 mls
 
Tranxemic Acid LD 100 mg/ml
Dose: 10-30 mg/kg/hr
Amt: 1010-3030 mg
Vol: 10.1-30.3 mls
 
Tranxemic Acid MD 10 mg/ml
Dose: 2-10 mg/kg/hr
Amt: 202-1010 mg
Vol: 50.5-101 mls/hr
 
Amicar Bolus 250 mg/ml
Dose: 100-200 mg/kg
Amt: 4,000-5,000 mg
Max Amt: 30000 mg/d
Vol: 16-20 mls
Max Vol: 120 mls/d
 
Amicar gtt 250 mg/ml
Dose: 33.3 mg/kg/hr
Amt: 1,000 mg
Max Amt: 1000 mg/h
Vol: 4.0 mls
Max Vol: 4.0 mls/h
 
Ventilator 101 kg
 
The Ventilator settings have not been vetted or checked.
 
Preferred Vent Method: VCV
RR: 12-16 br/min
Vt Dose: 6-8 mls/kg
Vt: 606-808 mls
 
VCV
FiO2: Titrate
IT: 1 secs
maxPlateau:
Paw:
Compliance:
Tp%: Inspiratory Pause 0-50% of IT
Pmax: 35 cmH2O
PEEP: 3-5 cmH2O
Pulmonary Medications 101 kg
Epinephrine 1 mcg/ml
Dose: 0.1 mcg/kg *Slowly!
Amt: 10 mcg
Vol: 10 mls
 
Epinephrine SQ 1 mg/ml
Dose: 0.0099009900990099 mg IM/SQ
Amt: 1.0 mg IM/SQ
Vol: 1.0 mls IM/SQ
 
Epinephrine Racemic 0.5 mg
Dose: 0.5 mg/3 mls nebulizer
Amt: 0.5 mg/ 3 mls
Vol: 3 mls Nebulized
 
Terbutaline 1 mg/ml
Dose: 0.5 mg SQ
Amt: 0.50 mg SQ
Vol: 0.50 mls SQ
 
Ipratropium 250-500 mcg/ 3 mls
Dose: 250-500 mcg/ 3 mls nebulizer x 3 max
Amt: 250-500 mcg/ 3 mls
Vol: 3 mls Nebulized
 
Albuterol 2.5-5.0 mg/ 3 mls
Dose: 2.5-5.0 mg/ 3 mls nebulizer
Amt: 2.5-5.0 mg/ 3 mls
Vol: 3 mls Nebulized
 
Hydrocortisone 50 mg/ml
Dose: 1 mg/kg
Amt: 101 mg
Vol: 2.0 mls
 
Methylprednisolone 125 mg/ml
Dose: 0.5-2 mg/kg (÷ into q6-q12)
Amt: 51-202 mg (÷ into q6-q12)
Vol: 0.40-1.6 mls (÷ into q6-q12)
 
Dexamethasone 1 mg/ml
Dose: 0.5-1 mg/kg
Amt: 51-102 mg
Vol: 51-102 mls
 
Ketamine 100 mg/ml
Dose: 0.5-1 mg/kg
Amt: 51-102 mg
Vol: 0.51-1.02 mls
 
Magnesium 500 mg/ml
Dose: 25-50 mg/kg
Amt: 2,525-4 mg
Vol: 5.1-10.2 mls (over 20 min)
 
CPR 101 kg
Defibrillation
Dose: 2-4 J/kg (Max 10 J)
Amt: 202-404 Joules
Vol: Start with 202 Joules
 
Cardioversion
Dose: 0.5-1 J/kg (Max 4 J)
Amt: 50.5-101Joules
Vol: Start with 50.5 Joules
 
Atropine: Atropan ®1 mg/ml
Dose: 0.02 mg/kg
Amt: 2.02 mg
Vol: 2.02 mls
Max Dose: 2 mg
 
Epinephrine IV/IO 1 mg/ml
Dose: 0.01 mg/kg
Amt: 1.01 mg
Vol: 1.01 mls
 
EpinephrineETT 1 mg/ml
Dose: 0.1 mg/kg
Amt:
Vol: 10.1 mls
 
Bicarbonate 1 meg/ml
Dose: 1 meg/kg
Amt: 101 meg
Vol: 101 mls
 
Adenosine 3 mg/ml
Dose: 6-12
Amt: 6-12
Vol: 2-4
Vol: MAX 12 mg
 
Enalapril 1.25 mg/ml
Dose: 0.05-0.1 mg/kg
Amt: 5.05-10.1 mg
Vol: 4.04-8.08 mls
 
Ephedrine 5 mg/ml
Dose: 5-10 mg (MAX 25)
Amt: 5-10 mg/hr (MAX 25)
Vol: 1-2 mls (MAX 5 mls)
 
Calcium 100 mg/ml
Dose: 2-3 mg/kg
Amt: 202-303 mg
Vol: 20-30 mls
 
Calcium Gluconate 100 mg/ml
Dose: 20-40 mg/kg
Amt: 1000-2000 mg
Vol: 10-20 mls
 
Dextrose 25 0.25 g/ml
Dose: 0.25-1 g/kg
Amt: 25.25-101 g
Vol: 101-404 mls
 
Dextrose 50 0.5 mg/ml
Dose: 0.25-1 g/kg
Amt: 25.25-101 g
Vol: 50.5-202 mls
 
Glucagon 1 mg/ml
Dose: 0.1 mg/kg, MAX 1 mg
Amt: 1 mg
Vol: 1 mls
 
Diltiazem 5 mg/ml
Dose: 0.25-0.35 mg/kg
Amt: 25.25-35.35 mg
Vol: 5.05-7.07 mls
 
Diltiazem gtt 1 mg/ml
Dose: 5-15 mg/hr
Amt: 5-15 mg/hr
Vol: 15-30 mls/hr
 
Hydralazine 20 mg/ml
Dose: 10-40 mg (MAX 49)
Amt: 10-40 mg/hr (MAX 40)
Vol: 0.5-2 mls (MAX 2 mls)
 
Labetalol 5 mg/ml
Dose: 0.25-2.970297029703 mg/kg
Amt: 25.25-300 mg
Vol: 5.05-60 mls
 
Lidocaine 10 mg/ml
Dose: 50-100 mg
Amt: 50-100 mg
Vol: 5-10 mls
 
Magnesium 500 mg/ml
Dose: 2-4 g over 10 min
Amt: 2-4g
Vol: Dilute into 50 mls
 
Sidenafil
Dose:
Amt:
Vol:
 
Aminophylline 25 mg/ml
Dose: LD: 606 mg, 0.5 mg/kg/hr
Amt: 50.5 mg/hr
Vol: 2.02 mls/hr
 
Propranolol TET 1 mg/ml
Dose: 1-5 mg
Amt: 1-5 mg
Vol: 1-5 mls
 
Propranolol Tachy 1 mg/ml
Dose: 1-5 mg
Amt: 1-5 mg
Vol: 1-5 mls
 
Propranolol 1 mg/ml
Dose: 1-5 mg
Amt: 1-5 mg
Vol: 1-5 mls
 
Tirosint 1 mcg/ml
Dose: 0.1-0.10 mcg/kg, MAX 10 mcg
Amt: 10.1-10 mcg
Vol: 10.1-10 mls
 
Inotropes 101 kg
Epinephrine 1X 4 mcg/ml
Dose: 0.1-1 mcg/kg/min
Amt: 10-101 mcg/min
Vol: 152-1,515 mls/hr
 
Epinephrine 2X 8 mcg/ml
Dose: 0.1-1 mcg/kg/min
Amt: 10-101 mcg/min
Vol: 76-758 mls/hr
 
Epinephrine 4X 16 mcg/ml
Dose: 0.1-1 mcg/kg/min
Amt: 10-101 mcg/min
Vol: 38-379 mls/hr
 
Epinephrine 8X 32 mcg/ml
Dose: 0.1-1 mcg/kg/min
Amt: 10-101 mcg/min
Vol: 19-189 mls/hr
 
Dopamine 1X 1600 mcg/ml
Dose: 2-20 mcg/kg/min
Amt: 202-2,020 mcg/min
Vol: 7.6-76 mls/hr
 
Dopamine 2X 3200 mcg/ml
Dose: 2-20 mcg/kg/min
Amt: 202-2,020 mcg/min
Vol: 3.8-38 mls/hr
 
Dopamine 4X 6400 mcg/ml
Dose: 2-20 mcg/kg/min
Amt: 202-2,020 mcg/min
Vol: 1.9-19 mls/hr
 
Dobutamine 1X 1600 mcg/ml
Dose: 2-20 mcg/kg/min
Amt: 202-2,020 mcg/min
Vol: 7.6-76 mls/hr
 
Dobutamine 2X 3200 mcg/ml
Dose: 2-20 mcg/kg/min
Amt: 202-2,020 mcg/min
Vol: 3.8-38 mls/hr
 
Dobutamine 4X 6400 mcg/ml
Dose: 2-20 mcg/kg/min
Amt: 202-2,020 mcg/min
Vol: 1.9-19 mls/hr
 
Isoproterenol 1X 4 mcg/ml
Dose: 0.025-0.2 mcg/kg/min
Amt: 2.5-20 mcg/min
Vol: 38-303 mls/hr
 
Isoproterenol 2X 8 mcg/ml
Dose: 0.025-0.2 mcg/kg/min
Amt: 2.5-20 mcg/min
Vol: 19-152 mls/hr
 
Milrinone 1X 200 mcg/ml
Dose: 0.25-0.75 mcg/kg/min
Amt: 25-76 mcg/min
Vol: 7.6-23 mls/hr
 
Milrinone 2X 400 mcg/ml
Dose: 0.25-0.75 mcg/kg/min
Amt: 25-76 mcg/min
Vol: 3.8-11 mls/hr
 
Vasoconstrictors 101 kg
Norepinephrine 1X 4 mcg/ml
Dose: 0.1-1 mcg/kg/min
Amt: 10-101 mcg/min
Vol: 152-1,515 mls/hr
 
Norepinephrine 2X 8 mcg/ml
Dose: 0.1-1 mcg/kg/min
Amt: 10-101 mcg/min
Vol: 76-758 mls/hr
 
Norepinephrine 4X 16 mcg/ml
Dose: 0.1-1 mcg/kg/min
Amt: 0.1-1 mcg/kg/min
Vol: 38-379 mls/hr
 
Norepinephrine 8X 32 mcg/ml
Dose: 0.1-1 mcg/kg/min
Amt: 10-101 mcg/min
Vol: 19-189 mls/hr
 
Norepinephrine 16X 64 mcg/ml
Dose: 0.1-1 mcg/kg/min
Amt: 10-101 mcg/min
Vol: 9.5-95 mls/hr
 
Phenylephrine 1X 40 mcg/ml
Dose: 0.1-1 mcg/kg/min
Amt: 10-101 mcg/min
Vol: 15-152 mls/hr
 
Phenylephrine 2X 80 mcg/ml
Dose: 0.1-1 mcg/kg/min
Amt: 10-101 mcg/min
Vol: 7.6-76 mls/hr
 
Phenylephrine 4X 160 mcg/ml
Dose: 0.1-1 mcg/kg/min
Amt: 10-101 mcg/min
Vol: 3.8-38 mls/hr
 
Phenylephrine 8X 320 mcg/ml
Dose: 0.1-1 mcg/kg/min
Amt: 10-101 mcg/min
Vol: 1.9-19 mls/hr
 
Phenylephrine 16X 640 mcg/ml
Dose: 0.1-1 mcg/kg/min
Amt: 10-101 mcg/min
Vol: 0.95-9.5 mls/hr
 
Vasopressin 1X 0.4 units/ml
Dose: 0.0003-0.0051 units/kg/min
Amt: 0.03-0.52 units/min
Vol: 4.5-77 mls/hr
 
Vasopressin 2X 0.88 units/ml
Dose: 0.0003-0.0051 units/kg/min
Amt: 0.03-0.52 units/min
Vol: 2.1-35 mls/hr
 
Vasodilators 101 kg
Nicardipine 100 mcg/ml
Dose: 0.5-5 mcg/kg/min
Amt: 51-505 mcg/min
Vol: 30-303 mls/hr
 
Nitroglycerin 1X 200 mcg/ml
Dose: 0.25-4 mcg/kg/min
Amt: 25-404 mcg/min
Vol: 7.6-121 mls/hr
 
Nitroglycerin 2X 400 mcg/ml
Dose: 0.25-4 mcg/kg/min
Amt: 25-404 mcg/min
Vol: 3.8-61 mls/hr
 
Nitroprusside 1X 200 mcg/ml
Dose: 0.5-10 mcg/kg/min
Amt: 51-1,010 mcg/min
Vol: 15-303 mls/hr
 
Nitroprusside 2X 400 mcg/ml
Dose: 0.5-10 mcg/kg/min
Amt: 51-1,010 mcg/min
Vol: 7.6-152 mls/hr
 
ProstaglandinE1 1X 1 mcg/ml
Dose: 0.01-0.1 mcg/kg/min
Amt: 1.0-10 mcg/min
Vol: 61-606 mls/hr
 
ProstaglandinE1 2X 2 mcg/ml
Dose: 0.01-0.1 mcg/kg/min
Amt: 1.0-10 mcg/min
Vol: 30-303 mls/hr
 
Phentolamine 1X 20 mcg/ml
Dose: 0.05-0.1 mcg/kg/min
Amt: 5.1-10 mcg/min
Vol: 15-30 mls/hr
 
Phentolamine 2X 40 mcg/ml
Dose: 0.05-0.1 mcg/kg/min
Amt: 5.1-10 mcg/min
Vol: 7.6-15 mls/hr
 
Antiarrythmics 101 kg
Lidocaine 1X 4000 mcg/ml
Dose: 10-60 mcg/kg/min
Amt: 1,010-6,060 mcg/min
Vol: 15-91 mls/hr
 
Lidocaine 2X 8000 mcg/ml
Dose: 10-60 mcg/kg/min
Amt: 1,010-6,060 mcg/min
Vol: 7.6-45 mls/hr
 
Procainamide 1X 2 mcg/ml
Dose: 20-80 mcg/kg/min
Amt: 2,020-8,080 mcg/min
Vol: 61-242 mls/hr
 
Procainamide 2X 4 mcg/ml
Dose: 20-80 mcg/kg/min
Amt: 2,020-8,080 mcg/min
Vol: 30-121 mls/hr
 
Esmolol 1X 10 mcg/ml
Dose: 0.1-0.5 mcg/kg/min
Amt: 10-51 mcg/min
Vol: 61-303 mls/hr
 
Esmolol 2X 25 mcg/ml
Dose: 0.1-0.5 mcg/kg/min
Amt: 10-51 mcg/min
Vol: 24-121 mls/hr
 
Amiodarone VTVF
Loading Dose: 300 mg bolus
MD: 1 mg/min x 6 hrs
Main Vol: 33.3 ml/hr
}
MD#2: 0.5 mg/min x 18 hrs
MVol#2: 16.7 ml/hr
 
Amiodarone SVT
Loading Dose: 150 mg over 5-10 min
MD: 1 mg/min x 6 hrs
Main Vol: 33.3 ml/hr
}
MD#2: 0.5 mg/min x 18 hrs
MVol#2: 16.7 ml/hr
 
Amiodarone Heart Surgery
Loading Dose: 150 mg over 10 min
MD: 1 mg/min x 6 hrs
Main Vol: 33.3 ml/hr
}
MD#2: 0.5 mg/min x 18 hrs
MVol#2: 16.7 ml/hr
 
Local Anesthetics 101 kg
Intralipid Bolus 10%
Dose: 1.5 mls/kg
Amt: 152 mls
Vol: 152 mls
 
Intralipid gtt 10%
Dose: 0.25-0.5 mls/kg/hr
Amt: 25-51 mls/hr
Rate: 25-51 mls/hr
 
Epidural Conc 0.25% Bupivacaine
Dose: 15-30 mg/hr
Rate: 6-12 mls/hr
 
Exparel 1.3
Max Dose: 4 mg/kg
Max Amt: 266 mg
Max Vol: 20 mls
 
LevoBupivacaine 0.25 % w/o Epi
Max Dose: 2 mg/kg
Max Amt: 200 mg
Max Vol: 80 mls
 
LevoBupivacaine 0.5 % w/o Epi
Max Dose: 2 mg/kg
Max Amt: 200 mg
Max Vol: 40 mls
 
LevoBupivacaine 0.25 % w Epi 5 mcg/ml
Max Dose: 3 mg/kg
Max Amt: 300 mg
Max Vol: 120 mls
 
LevoBupivacaine 0.5 % w Epi 5 mcg/ml
Max Dose: 3 mg/kg
Max Amt: 300 mg
Max Vol: 60 mls
 
Bupivacaine : Marcaine ®
Bupivacaine 0.25 % w/o Epi
Max Dose: 2.5 mg/kg
Max Amt: 250 mg
Max Vol: 100 mls
 
Bupivacaine : Marcaine ®
Bupivacaine 0.25 % w Epi 5 mcg/ml
Max Dose: 3 mg/kg
Max Amt: 300 mg
Max Vol: 120 mls
 
Bupivacaine : Marcaine ®
Bupivacaine 0.5 % w/o Epi
Max Dose: 2.5 mg/kg
Max Amt: 250 mg
Max Vol: 50 mls
 
Bupivacaine : Marcaine ®
Bupivacaine 0.5 % w Epi 5 mcg/ml
Max Dose: 3 mg/kg
Max Amt: 300 mg
Max Vol: 60 mls
 
Lidocaine 1 % w/o Epi
Max Dose: 4 mg/kg
Max Amt: 400 mg
Max Vol: 40 mls
 
Lidocaine 1 % w Epi 5 mcg/ml
Max Dose: 7 mg/kg
Max Amt: 700 mg
Max Vol: 70 mls
 
Lidocaine 2 % w/o Epi
Max Dose: 4 mg/kg
Max Amt: 400 mg
Max Vol: 20 mls
 
Lidocaine 2 % w Epi 5 mcg/ml
Max Dose: 7 mg/kg
Max Amt: 700 mg
Max Vol: 35 mls
 
Lidocaine 4 % w/o Epi
Max Dose: 4 mg/kg
Max Amt: 400 mg
Max Vol: 10 mls
 
Ropivacaine 0.2 % w/o Epi
Max Dose: 2 mg/kg
Max Amt: 200 mg
Max Vol: 100 mls
 
Ropivacaine 0.5 % w/o Epi
Max Dose: 2 mg/kg
Max Amt: 200 mg
Max Vol: 40 mls
 
Mepivacaine 1 % w/o Epi
Max Dose: 5 mg/kg
Max Amt: 500 mg
Max Vol: 50 mls
 
Mepivacaine 1 % w Epi 5 mcg/ml
Max Dose: 7 mg/kg
Max Amt: 700 mg
Max Vol: 70 mls
 
Mepivacaine 2 % w/o Epi
Max Dose: 5 mg/kg
Max Amt: 500 mg
Max Vol: 25 mls
 
Mepivacaine 2 % w Epi 5 mcg/ml
Max Dose: 7 mg/kg
Max Amt: 700 mg
Max Vol: 35 mls
 
Articaine 2 % w Epi 5-10 mcg/ml
Max Dose: 7 mg/kg
Max Amt: 700 mg
Max Vol: 35 mls
 
Articaine 4 % w Epi 5-10 mcg/ml
Max Dose: 7 mg/kg
Max Amt: 700 mg
Max Vol: 18 mls
 
Procaine 1 % w/o Epi
Max Dose: 7 mg/kg
Max Amt: 700 mg
Max Vol: 70 mls
 
Procaine 1 % w Epi 5 mcg/ml
Max Dose: 10 mg/kg
Max Amt: 1,000 mg
Max Vol: 100 mls
 
lC-hloroprocaine 2 % w/o Epi
Max Dose: 15 mg/kg
Max Amt: 1,500 mg
Max Vol: 75 mls
 
2-Chloroprocaine 3 % w/o Epi
Max Dose: 15 mg/kg
Max Amt: 1,500 mg
Max Vol: 50 mls
 
Tetracaine 0.25 % w/o Epi
Max Dose: 1 mg/kg
Max Amt: 100 mg
Max Vol: 40 mls
 
Tetracaine 0.25 % w Epi 5 mcg/ml
Max Dose: 1.5 mg/kg
Max Amt: 150 mg
Max Vol: 60 mls
Diseases 101 kg
 
Congenital
 
 
 
 
 
Cardiac
 
 
 
Pulmonary
 
 
 
Pain/Sedation Score 101 kg
 
PIPP-R 28-40 weeks
 
Indicator Score Score
0 1 2 3
Change in HR 0-4 5-14 15-24 > 24
SaO2 Decrease 0-2 3-5 6-8 > 8*
Brow Bulge (sec) None
(<3 )
Mini
(3-10 )
Mod
(11-20 )
Max
(>20 )
Eye Squeeze (sec) None
(<3 )
Minl
(3-10 )
Mod
(11-20 )
Maxi
(>20 )
Naso-Labial Furrow (sec) None
(<3 )
Min
(3-10 )
Mod
(11-20 )
Max
(>20 )
Subtotal:    
Gestational Age > 36
weeks
32-<36 weeks 28-<32 weeks < 28
weeks
Behavior Baseline* Awake
Active
Awake/
Quiet
Asleep/
Active
Asleep
Quiet
Total:    
 
N-PASS 23-40 weeks
 
Sedation Criteria
Sedation Score
 
Pain Score
 
Deep Sedation: -10 to -5, Light Sedation: -5 to 2, Pain Score Goal < 4 ;
Deep Sedation: Ventilator, Light Sedation: Spontaneously Breathing;
Negative Sedation Score w/o Sedatives: Sepsis, Neurologic Injury, Other Pathology
Increase Pain Meds 10% every 3-5 days b/c of tolerance
 
COMFORT-B (0-3 yrs)
 
Criteria
Total Score
 
 
FLACC (0-7 years)
 
Criteria Score Score
0 1 2
Face No Smile/
Expression
Occasional Grimace, Frown, Withdrawn, Uninterested Frequent to Constant Quivering chin, clenched jaw
Legs Normal position or relaxed Uneasy, restless, tense Kicking, or legs drawn up
Activity Lying quietly, normal position, moves easily Squirming, shifting, back and forth, tense Arched, rigid or jerking
Cry No cry
(awake
or asleep)
Moans or whimpers; occasional complaint Crying steadily, screams or sobs, frequent complaints
Consol
ability
Content,
relaxed
Reassured by occasional touching, hugging or being talked to, distractible Difficult to console or comfort
Total:    
 
About 101 kg
 
References
 
Pedi Airway Problems & Solutions
 
Report an errors or improvements to the webmaster@pedicalc.com.

Continued use requires clinical correlation.

If you use a drip and don't have access to a syringe pump or drug library you
can use the Simfusor Simulator .
 
Abbreviations
 
Bi-Vent = Time Cycled and Pressure Limited Mode
CPAP = Continuous Airway Pressure
ICO = Inspiratory Cycle Off (1-70%, 30% Infants, 30% Adults)
I:E = Inspiratory:Expiratory Ratio
IT = Inspiratory Time (secs if PCV, % if VCV)
IRT = Inspiratory Rise Time
IFR = Inspiratory Flow Rate (IFR = MV * 100 / IT)
MV = Minute Ventilation (lpm)
NIV PC = Non-Invasive Ventilation Pressure Control
NIV PS = Non-Invasive Ventilation Pressure Support
Paw = Airway Pressure
Ppeak = Peak Airway Pressure
PC = Pressure Control
PC+PS = Pressure Control-Pressure Support
PEEP = Positive End-Expiratory Pressure
PRVC = Pressure Regulated Volume Control
PRVC+PS = Pressure Regulated Volume Control+Pressure Support
PS = Pressure Support
RR = Respiratory Rate
SIMV = Spontaneous Intermittant Mandatory Ventilation
TriggerFlow = Trigger Flow Sensitivity (2 lpm (33 ml/s) Adults, 0.5 lpm (8 mls/sec) Infant)
TriggerPrssure = Trigger Pressure Sensitivity (0 to -20 cmH2O)
VC = Volume Control
VC+VS = Volume Control-Volume Support
VS = Volume Support
Vt = Tidal Volume