Pedi Calc

Room Setup 116 kg

Circut:

ETT:

7.5-8.5 Cuffed

ETT Dist:

22-24 cm

NETT Cuffed:

8.0 mm

NETT Dist:

25-27 cm

Red Robinson:

32 Fr

Oral Airway:

100-120 mm

Blade:

Miller 2/3, Mac 3/4

CMAC:

4-D

McGrath:

4-X

VideoScope:

4

LMA:

#5(♀), #6(♂)

LMAVol:

50 mls

Mask:

Adult/Large Adult

BP Cuff:

Burgundy 31-40 cm

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)

McGills:

Dental-> McGills

Oxymetazoline:

(Nasal Intub)

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 116 kg

Weight:

116 kg

HR:

65-110 bpm

SBP:

95-110 mmHg

DBP:

60-75 mmHg

MAP:

72-87 mmHg

Hypotension:

MAP <65, BP <95/50
*Estimated mmHg

RR:

20-25 rpm

Vt:

600-952 mls

NPO

Food/Formula:

6 hrs

Clears:

2 hrs

Airway 116 kg

ETT Uncuffed:

NA mm

ETT Cuffed:

7.5-8.5 mm

ETT Dist:

22-24 cm

NETT Cuffed:

8.0 mm

NETT Dist:

25-27 cm

Red Robinson:

32 mm

BB/DLT:

37-39-41 DLT

Blade:

Miller/Mac 2/3

CMAC:

4-D

McGrath:

4-X

VideoScope:

4

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 116 kg

Atropine: Atropan ® 1mg/ml

Dose: 0.02 mg/kg MAX: 2 mg

Amt: 2.0 mg

Vol: 2.0 mls

Glycopyrrolate: Robinul ® 0.4mg/ml

Dose: 0.01 mg/kg MAX: 1 mg

Amt: 1.0 mg

Vol: 2.5 mls

Lidocaine: Xylocaine ® 10 mg/ml:

Dose: 1-2 mg/kg MAX: 4 mg

Amt: 116-232 mg

Vol: 12-24 mls

Fentanyl: Sublimaze ® 50 mcg/ml:

Dose: 1-3 mcg/kg

Amt: 116-348 mcg

Vol: 2.3-6.9 mls

Midazolam: Versed ® 5 mg/ml:

Dose: 0.2 mg/kg MAX: 5 mg

Amt: 20 mg

Vol: 4 mls

Midazolam: Versed ® 5 mg/ml:

Dose: 0.15 mg/kg MAX: 5 mg

Amt: 5 mg

Vol: 1 mls

Dexmetomidine: Precedex ® 10 mcg/ml:

Dose: 0.05-0.2 mcg/kg

Amt: 5.8-23.2 mcg

Vol: 0.58-2.32 mls

PONV 116 kg

Dexamethasone 4 mg/ml

Dose: 14 mg

Amt: 0.12 mg/kg

Vol: 3.5 mls

Odansetron 2 mg/ml

Dose: 7.0 mg

Amt: 0.06 mg/kg

Vol: 3.5 mls

Dolasetron 12.5 mg/ml

Dose: 41 mg

Amt: 0.35 mg/kg

Vol: 3.2 mls

Granisetron 100 mcg/ml

Dose: 1,160 mcg

Amt: 10 mgc/kg

Vol: 12 mls

Famotidine 10 mg/ml

Dose: 29 mg

Amt: 0.25 mg/kg

Vol: 2.9 mls

Ranitidine 25 mg/ml

Dose: 50 mg

Amt: mg/kg

Vol: 2.0 mls

Sedation 116 kg

Midazolam IV 1 mg/ml

Dose: 0.02-0.09 mg/kg MAX: 10 mg

Amt: 2.3-10 mg

Vol: 2.3-10 mls

Midazolam PO 5 mg/ml

Dose: 0.02-0.05 mg/kg MAX: 20 mg

Amt: 2.3-5.8 mg

Vol: 0.46-1.2 mls

Midazolam IN 5 mg/ml

Dose: 0.086206896551724-0.09 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: 58-116 mg

Vol: 5.8-12 mls

Propofol gtt 10 mg/ml

Dose: 25-75 mcg/kg/min

Amt: 2.9-8.7 mg/min

Vol: 17-52 mls/hr

Fentany IV 50 mcg/ml

Dose: 1-3 mcg/kg

Amt: 116-348 mcg

Vol: 2.3-7.0 mls

Fentanyl IN 50 mcg/ml

Dose: 0.5-2 mcg/kg

Amt: 58-232 mcg

Vol: 1.2-4.6 mls

Ketamine IV 50 mg/ml

Dose: 0.5-2 mg/kg

Amt: 58-232 mg

Vol: 1.2-4.6 mls

Ketamine IM 50 mg/ml

Dose: 3-6 mg/kg

Amt: 348-696 mg

Vol: 7.0-14 mls

Ketamine PO 100 mg/ml

Dose: 3-6 mg/kg

Amt: 348-696 mg

Vol: 3.5-7.0 mls

Decrease dose byt 50% if used with 1/2 dose PO Midazolam

Mix with a Cola drink to ↓ nasty taste

Oral Bioavailablity of Ketamine is 30%

Precedex IV 10 mcg/ml

Dose: 0.5-2 mcg/kg

Amt: 58-232 mcg

Vol: 5.8-23 mls

Precedex gtt 10 mcg/ml

Dose: 0.2-0.8 mcg/kg/hr

Amt: 23-93 mcg/hr

Vol: 2.3-9.3mls/hr

Precedex IN 10 mcg/ml

Dose: 0.5-2 mcg/kg

Amt: 58-232 mcg

Vol: 5.8-23 mls

Precedex PO 100 mcg/ml

Dose: 1-4 mcg/kg

Amt: 116-464 mcg

Vol: 1.2-4.6 mls

>

Benadryl IV 10 mg/ml

Dose: 1-4 mg/kg

Amt: 116-464 mg

Vol: 12-46 mls

Narcotics 116 kg

Fetanyl 50 mcg/ml

Dose: 0.5-2 mcg/kg

Amt: 58-232 mcg

Vol: 1.2-4.6 mls

Remifentanil 50 mcg/ml

Dose: 0.5-1 mcg/kg

Amt: 58-116 mcg

Vol: 1.2-2.3 mls

Remifentanil gtt 50 mcg/ml

Dose: 0.1-0.2 mcg/kg/min

Amt: 12-23 mcg/min

Vol: 14-28 mls/hr

Sufentanil 10 mcg/ml

Dose: 0.1-0.2 mcg/kg

Amt: 12-23 mcg

Vol: 1.2-2.3 mls

Morphine 1 mg/ml

Dose: 0.05-0.15 mg/kg

Amt: 5.8-17 mg

Vol: 5.8-17 mls

Morphine gtt 1 mg/ml

Dose: 0.01-0.03 mg/kg/min

Amt: 1.2-3.5 mg/min

Vol: 70-209 mls/hr

Dilaudid 2000 mcg/ml

Dose: 5-10 mcg/kg

Amt: 580-1,160 mcg

Vol: 0.29-0.58 mls

Dilaudid gtt 100 mcg/ml

Dose: 5-10 mcg/kg/hr

Amt: 580-1,160 mcg/hr

Vol: 5.8-12 mls/hr

Demerol 5 mg/ml

Dose: 0.2-0.5 mg/kg

Amt: 23-58 mg

Vol: 4.6-12 mls

Induction 116 kg

Propofol 10 mg/ml

Dose: 2-3 mg/kg

Amt: 232-348 mg

Vol: 23-35 mls

Propofol gtt 10 mg/ml

Dose: 50-150 mcg/kg/min

Amt: 5.8-17 mg/min

Vol: 35-104 mls/hr

Etomidate 2 mg/ml

Dose: 0.2-0.6 mg/kg

Amt: 23-70 mg

Vol: 12-35 mls

Midazolam 1 mg/ml

Dose: 0.15-0.3 mg/kg

Amt: 17-35 mg

Vol: 17-35 mls

Remifentanil 50 mcg/ml

Dose: 0.5-1 mcg/kg

Amt: 58-116 mcg

Vol: 1.2-2.3 mls

Remifentanil gtt 50 mcg/ml

Dose: 0.1-0.3 mcg/kg/min

Amt: 12-35 mcg/min

Vol: 14-42 mls/hr

Ketamine IV 10 mg/ml

Dose: 1-2 mg/kg

Amt: 116-232 mg

Vol: 12-23 mls

Ketamine IM 10 mg/ml

Dose: 3-21 mg/kg

Amt: 348-2,436 mg

Vol: 35-244 mls

Ketothol 10 mg/ml 1:1

Dose: 1-2 mg/kg

Amt: 116-232 mg

Vol: 12-23 mls

Thiopental 10 mg/ml

Dose: 3-4 mg/kg

Amt: 348-464 mg

Vol: 35-46 mls

Methohexital IV 10 mg/ml

Dose: 1-1.5 mg/kg

Amt: 116-174 mg

Vol: 12-17 mls

Methohexital IM 50 mg/ml

Dose: 6-10 mg/kg

Amt: 696-1,160 mg

Vol: 14-23 mls

Methohexital PR 10 mg/ml

Dose: 25 mg/kg

Amt: 2,900 mg

Vol: 290 mls

Neuromuscular Blockers 116 kg

Succinylcholine IV 20 mg/ml

Dose: 1-2 mg/kg

Amt: 116-232 mg

Vol: 5.8-12 mls

Succinylcholine IM 20 mg/ml

Dose: 2.5-4 mg/kg

Amt: 290-464 mg

Vol: 15-23 mls

Rocuronium LD 10 mg/ml

Dose: 0.6-1 mg/kg

Amt: 70-116 mg

Vol: 7.0-12 mls

Rocuronium MD 10 mg/ml

Dose: 0.1 mg/kg

Amt: 12 mg

Vol: 1.2 mls

Nimbex LD 2 mg/ml

Dose: 0.1-0.2 mg/kg

Amt: 12-23 mg

Vol: 5.8-12 mls

Nimbex MD 2 mg/ml

Dose: 0.03 mg/kg

Amt: 3.5 mg

Vol: 1.7 mls

Vecuronium LD 1 mg/ml

Dose: 0.08-0.1 mg/kg

Amt: 9.3-12 mg

Vol: 9.3-12 mls

Vecuronium MD 1 mg/ml

Dose: 0.01-0.015 mg/kg

Amt: 1.2-1.7 mg

Vol: 1.2-1.7 mls

Mivacurium LD 2 mg/ml

Dose: 0.2 mg/kg

Amt: 23 mg

Vol: 12 mls

Mivacurium MD 2 mg/ml

Dose: 0.1 mg/kg

Amt: 12 mg

Vol: 5.8 mls

Atracurium LD 10 mg/ml

Dose: 0.4-0.5 mg/kg

Amt: 46-58 mg

Vol: 4.6-5.8 mls

Atracurium MD 10 mg/ml

Dose: 0.08-0.1 mg/kg

Amt: 9.3-12 mg

Vol: 0.93-1.2 mls

Atracurium gtt 10 mg/ml

Dose: 2-15 mcg/kg/min

Amt: 14-104 mg/min

Vol: 1.4-10 mls/hr

Pancuronium LD1 mg/ml

Dose: 0.04-0.1 mg/kg

Amt: 4.6-12 mg

Vol: 4.6-12 mls

Pancuronium MD 1 mg/ml

Dose: 0.01 mg/kg

Amt: 1.2 mg

Vol: 1.2 mls

Reversals 116 kg

Atropine 1000 mcg/ml

Atropine: Atropan ®

Dose: 10-20 mcg/kg

Amt: 1,160-2,320 mcg

Vol: 1.2-2.3 mls

Glycopyrrolate 200 mcg/ml

Dose: 6-9 mcg/kg

Amt: 696-1,044 mcg

Vol: 3.5-5.2 mls

Naloxone OD 0.4 mg/ml

Dose: 0.01-0.02 mg/kg

Amt: 1.2-2.3 mg

Vol: 2.9-5.8 mls

Naloxone 0.4mg/ml

Dose: 0.01 mg/kg

Amt: 1.2 mg

Vol: 2.9 mls

Nubain 10mg/ml

Dose: 0.07 mg/kg

Amt: 8.1 mg

Vol: 0.81 mls

Flumazenil 0.1mg/ml

Dose: 0.01 mg/kg

Amt: 1.2 mg

Vol: 12 mls

Neostigmine 1mg/ml

Dose: 0.03448275862069 mg/kg

Amt: 4 mg

Vol: 4 mls

Pyridostigmine 5 mg/ml

Dose: 0.05-0.25 mg/kg

Amt: 5.8-29 mg

Vol: 1.2-5.8 mls

Edrophonium 10 mg/ml

Dose: 0.5-1.5 mg/kg

Amt: 58-174 mg

Vol: 5.8-17 mls

Sugammadex 100 mcg/ml

Dose: 2-4 mcg/kg

Amt: 232-464 mcg

Vol: 2.3-4.6 mls

Fluids & Blood 116 kg

Maintenance Fluid Rate: 156

Dose: 4:2:1 Rule

Amt: 156 mls/hr

Glucose: D5 (5 g Dextrose/100 mls)

Dose: 1-2 mg/kg/min

Amt: 139.2-278.4 mls/hr

NPO 10 hrs

Dose: 4:2:1 Rule

Amt: 1560 mls

Fluid Bolus

Dose: 20 mls/kg

Amt: 2320 mls

5% Albumin 5%

Dose: 5-10 mls/kg

Amt: 580-1160 mls

25% Albumin 25%

Dose: 4-8 mls/kg

Amt: 464-928 mls

Mannitol 12.5%

Dose: 2-8 mls/kg

Amt: 232-928 mls

Intralipid 20%

Dose: 1.5-3 mls/kg

Amt: 174-348 mls

Intralipid gtt 20%

Dose: 0.25 mls/kg/hr

Amt: 29 mls/hr

Estimated Blood Volume

Amt: 7540(♀) 8700(♂) mls

Alllowable Blood Loss

Effect: Lower Hct by 3-5%

Amt: 377(♀) 435(♂) mls

Transfusion Threshold

Dose: Hct to Tx

Amt: 21%

PRBC

Dose: 5-10mls/kg

Amt: 580-1160 mls

Effect: Raise Hct 3-6%

FFP

Dose: 10-20 mls/kg

Amt: 1160-1740 mls

Effect: Increase Factors 10-15%

Cryoprecipitate

Dose: 10-20 mls/kg

Amt: 348 mls

Effect: Raise FBGN 100 mg/dl

Platelets

Dose: 10-15 mls/kg

Amt: 1160-1740 mls

Effect: Increase Plt 30-50K

Factor VIII 1 IU/ml

Dose: 10 IU/kg

Amt: 1160-1798 mls

Effect: Increase VIII 20-25 %

Factor IX 1 IU/ml

Dose: 20 IU/kg

Amt: 1160-1450 mls

Effect: Increase VIII 20-25 %

Factor VII 1000 mcg/ml

Dose: 90 mcg/kg before incision

Amt: 10.44 mg

Vol: 10.44mls q 2 hrs

Humate P Rx: VIII def 50 IU/ml

Dose: 40-60 IU/kg

Amt: 4640-6960 IU x 1

Vol: 92.8-139.2 mls
Then 46.4-69.6 mls q8h

Humate P Rx: VWF def 120 IU/ml

Dose: 40-80 IU/kg

Amt: 4640-9280 IU x 1

Vol: 38.7-77.3 mls
Then 38.7-58.0 mls q8h Type 2/3
38.7-58.0 mls q24h Type 1

PPC 25 units/ml

Dose: 25-50 units/kg for INR 2-6

Amt: 2900-5800 units

Vol: 116-232 mls

Antithrombin III 100 u/ml

Dose: 25-30 u/kg for INR 2-6

Amt: 2900-3480 u

Effect: Increase AT3 level 20-30%

Desmopressin 4 mcg/ml

Dose: 0.1-0.3 mcg/kg o 30 min

Amt: 11.6-34.8 mcg

Vol: 2.9-8.7 mls

Tranxemic Acid LD 100 mg/ml

Dose: 10-30 mg/kg/hr

Amt: 1160-3480 mg

Vol: 11.6-34.8 mls

Tranxemic Acid MD 10 mg/ml

Dose: 2-10 mg/kg/hr

Amt: 232-1160 mg

Vol: 58-116 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 116 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: 696-928 mls

VCV

FiO2: Titrate

IT: 1 secs

maxPlateau:

Paw:

Compliance:

Tp%: Inspiratory Pause 0-50% of IT

Pmax: 35 cmH2O

PEEP: 3-5 cmH2O

PSPro

PIP: 22 cmH2O

RR: 10 br/min

Flow: 2 l/min

PS: 24 cmH2O

PEEP: 5 cmH2O

Pulmonary Medications 116 kg

Epinephrine 1 mcg/ml

Dose: 0.1 mcg/kg *Slowly!

Amt: 12 mcg

Vol: 12 mls

Epinephrine SQ 1 mg/ml

Dose: 0.0086206896551724 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: 116 mg

Vol: 2.3 mls

Methylprednisolone 125 mg/ml

Dose: 0.5-2 mg/kg (÷ into q6-q12)

Amt: 58-232 mg (÷ into q6-q12)

Vol: 0.46-1.9 mls (÷ into q6-q12)

Dexamethasone 1 mg/ml

Dose: 0.5-1 mg/kg

Amt: 58-116 mg

Vol: 58-116 mls

Ketamine 100 mg/ml

Dose: 0.5-1 mg/kg

Amt: 58-116 mg

Vol: 0.58-1.16 mls

Magnesium 500 mg/ml

Dose: 25-50 mg/kg

Amt: 2,900-4 mg

Vol: 5.8-11.6 mls (over 20 min)

CPR 116 kg

Bicarbonate (HCO3) Dose

Conc: 1 meq/ml

Formula: 0.3 * wt * BaseExcess

Base Excess: -5

Dose: 174 meq

Vol: 174 mls

Conc: 1 meq/ml

Formula: 0.3 * wt * BaseExcess

Base Excess: -10

Dose: 348 meq

Vol: 348 mls

Defibrillation

Dose: 2-4 J/kg (Max 10 J)

Amt: 232-464 Joules

Vol: Start with 232 Joules

Cardioversion

Dose: 0.5-1 J/kg (Max 4 J)

Amt: 58-116Joules

Vol: Start with 58 Joules

Atropine: Atropan ®1 mg/ml

Dose: 0.02 mg/kg

Amt: 2.32 mg

Vol: 2.32 mls

Max Dose: 2 mg

Epinephrine IV/IO 1 mg/ml

Dose: 0.01 mg/kg

Amt: 1.16 mg

Vol: 1.16 mls

EpinephrineETT 1 mg/ml

Dose: 0.1 mg/kg

Amt:

Vol: 11.6 mls

Bicarbonate 1 meg/ml

Dose: 1 meg/kg

Amt: 116 meg

Vol: 116 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: 5.8-11.6 mg

Vol: 4.64-9.28 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: 232-348 mg

Vol: 23-35 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: 29-116 g

Vol: 116-464 mls

Dextrose 50 0.5 mg/ml

Dose: 0.25-1 g/kg

Amt: 29-116 g

Vol: 58-232 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: 29-40.6 mg

Vol: 5.8-8.12 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: 0.25-2.5862068965517 mg/kg

Amt: 29-300 mg

Vol: 5.8-60 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: 696 mg, 0.5 mg/kg/hr

Amt: 58 mg/hr

Vol: 2.32 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: 0.1-0.09 mcg/kg, MAX 10 mcg

Amt: 11.6-10 mcg

Vol: 11.6-10 mls

Inotropes 116 kg

Epinephrine 1X 4 mcg/ml

Dose: 0.1-1 mcg/kg/min

Amt: 12-116 mcg/min

Vol: 174-1,740 mls/hr

Epinephrine 2X 8 mcg/ml

Dose: 0.1-1 mcg/kg/min

Amt: 12-116 mcg/min

Vol: 87-870 mls/hr

Epinephrine 4X 16 mcg/ml

Dose: 0.1-1 mcg/kg/min

Amt: 12-116 mcg/min

Vol: 44-435 mls/hr

Epinephrine 8X 32 mcg/ml

Dose: 0.1-1 mcg/kg/min

Amt: 12-116 mcg/min

Vol: 22-218 mls/hr

Dopamine 1X 1600 mcg/ml

Dose: 2-20 mcg/kg/min

Amt: 232-2,320 mcg/min

Vol: 8.7-87 mls/hr

Dopamine 2X 3200 mcg/ml

Dose: 2-20 mcg/kg/min

Amt: 232-2,320 mcg/min

Vol: 4.4-44 mls/hr

Dopamine 4X 6400 mcg/ml

Dose: 2-20 mcg/kg/min

Amt: 232-2,320 mcg/min

Vol: 2.2-22 mls/hr

Dobutamine 1X 1600 mcg/ml

Dose: 2-20 mcg/kg/min

Amt: 232-2,320 mcg/min

Vol: 8.7-87 mls/hr

Dobutamine 2X 3200 mcg/ml

Dose: 2-20 mcg/kg/min

Amt: 232-2,320 mcg/min

Vol: 4.4-44 mls/hr

Dobutamine 4X 6400 mcg/ml

Dose: 2-20 mcg/kg/min

Amt: 232-2,320 mcg/min

Vol: 2.2-22 mls/hr

Isoproterenol 1X 4 mcg/ml

Dose: 0.025-0.2 mcg/kg/min

Amt: 2.9-23 mcg/min

Vol: 44-348 mls/hr

Isoproterenol 2X 8 mcg/ml

Dose: 0.025-0.2 mcg/kg/min

Amt: 2.9-23 mcg/min

Vol: 22-174 mls/hr

Milrinone 1X 200 mcg/ml

Dose: 0.25-0.75 mcg/kg/min

Amt: 29-87 mcg/min

Vol: 8.7-26 mls/hr

Milrinone 2X 400 mcg/ml

Dose: 0.25-0.75 mcg/kg/min

Amt: 29-87 mcg/min

Vol: 4.4-13 mls/hr

Vasoconstrictors 116 kg

Norepinephrine 1X 4 mcg/ml

Dose: 0.1-1 mcg/kg/min

Amt: 12-116 mcg/min

Vol: 174-1,740 mls/hr

Norepinephrine 2X 8 mcg/ml

Dose: 0.1-1 mcg/kg/min

Amt: 12-116 mcg/min

Vol: 87-870 mls/hr

Norepinephrine 4X 16 mcg/ml

Dose: 0.1-1 mcg/kg/min

Amt: 0.1-1 mcg/kg/min

Vol: 44-435 mls/hr

Norepinephrine 8X 32 mcg/ml

Dose: 0.1-1 mcg/kg/min

Amt: 12-116 mcg/min

Vol: 22-218 mls/hr

Norepinephrine 16X 64 mcg/ml

Dose: 0.1-1 mcg/kg/min

Amt: 12-116 mcg/min

Vol: 11-109 mls/hr

Phenylephrine 1X 40 mcg/ml

Dose: 0.1-1 mcg/kg/min

Amt: 12-116 mcg/min

Vol: 17-174 mls/hr

Phenylephrine 2X 80 mcg/ml

Dose: 0.1-1 mcg/kg/min

Amt: 12-116 mcg/min

Vol: 8.7-87 mls/hr

Phenylephrine 4X 160 mcg/ml

Dose: 0.1-1 mcg/kg/min

Amt: 12-116 mcg/min

Vol: 4.4-44 mls/hr

Phenylephrine 8X 320 mcg/ml

Dose: 0.1-1 mcg/kg/min

Amt: 12-116 mcg/min

Vol: 2.2-22 mls/hr

Phenylephrine 16X 640 mcg/ml

Dose: 0.1-1 mcg/kg/min

Amt: 12-116 mcg/min

Vol: 1.1-11 mls/hr

Vasopressin 1X 0.4 units/ml

Dose: 0.0003-0.0051 units/kg/min

Amt: 0.03-0.59 units/min

Vol: 5.2-89 mls/hr

Vasopressin 2X 0.88 units/ml

Dose: 0.0003-0.0051 units/kg/min

Amt: 0.03-0.59 units/min

Vol: 2.4-40 mls/hr

Vasodilators 116 kg

Nicardipine 100 mcg/ml

Dose: 0.5-5 mcg/kg/min

Amt: 58-580 mcg/min

Vol: 35-348 mls/hr

Nitroglycerin 1X 200 mcg/ml

Dose: 0.25-4 mcg/kg/min

Amt: 29-464 mcg/min

Vol: 8.7-139 mls/hr

Nitroglycerin 2X 400 mcg/ml

Dose: 0.25-4 mcg/kg/min

Amt: 29-464 mcg/min

Vol: 4.4-70 mls/hr

Nitroprusside 1X 200 mcg/ml

Dose: 0.5-10 mcg/kg/min

Amt: 58-1,160 mcg/min

Vol: 17-348 mls/hr

Nitroprusside 2X 400 mcg/ml

Dose: 0.5-10 mcg/kg/min

Amt: 58-1,160 mcg/min

Vol: 8.7-174 mls/hr

ProstaglandinE1 1X 1 mcg/ml

Dose: 0.01-0.1 mcg/kg/min

Amt: 1.2-12 mcg/min

Vol: 70-696 mls/hr

ProstaglandinE1 2X 2 mcg/ml

Dose: 0.01-0.1 mcg/kg/min

Amt: 1.2-12 mcg/min

Vol: 35-348 mls/hr

Phentolamine 1X 20 mcg/ml

Dose: 0.05-0.1 mcg/kg/min

Amt: 5.8-12 mcg/min

Vol: 17-35 mls/hr

Phentolamine 2X 40 mcg/ml

Dose: 0.05-0.1 mcg/kg/min

Amt: 5.8-12 mcg/min

Vol: 8.7-17 mls/hr

Antiarrythmics 116 kg

Lidocaine 1X 4000 mcg/ml

Dose: 10-60 mcg/kg/min

Amt: 1,160-6,960 mcg/min

Vol: 17-104 mls/hr

Lidocaine 2X 8000 mcg/ml

Dose: 10-60 mcg/kg/min

Amt: 1,160-6,960 mcg/min

Vol: 8.7-52 mls/hr

Procainamide 1X 2 mcg/ml

Dose: 20-80 mcg/kg/min

Amt: 2,320-9,280 mcg/min

Vol: 70-278 mls/hr

Procainamide 2X 4 mcg/ml

Dose: 20-80 mcg/kg/min

Amt: 2,320-9,280 mcg/min

Vol: 35-139 mls/hr

Esmolol 1X 10 mcg/ml

Dose: 0.1-0.5 mcg/kg/min

Amt: 12-58 mcg/min

Vol: 70-348 mls/hr

Esmolol 2X 25 mcg/ml

Dose: 0.1-0.5 mcg/kg/min

Amt: 12-58 mcg/min

Vol: 28-139 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 116 kg

Intralipid Bolus 10%

Dose: 1.5 mls/kg

Amt: 174 mls

Vol: 174 mls

Intralipid gtt 10%

Dose: 0.25-0.5 mls/kg/hr

Amt: 29-58 mls/hr

Rate: 29-58 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

ESP, PECS I and II, QL, RS, or TAP (full dose)

ISB, POP - use 1/2 (10 ml max) dose Exparel, Dose w/ Bupivacaine - total volume 30 mls

ACB - use 1/4 (5ml max) dose Exparel, Dose w/ Bupivacaine - total volume 20 mls

Exparel 1.3% w/ Bupivacaine 0.25%

Exparel 1.3%

Max Dose: 4 mg/kg

Max Amt: 266 mg

Max Vol: 20 mls

Bupivacaine 0.25%

Max Dose: 2.26 mg/kg

Max Amt: 150.0 mg

Max Vol: 60.0 mls

ESP, PECS I and II, QL, RS, or TAP (full dose)

ISB, POP - use 1/2 (10 ml max) dose Exparel, Dose w/ Bupivacaine - total volume 30 mls

ACB - use 1/4 (5ml max) dose Exparel, Dose w/ Bupivacaine - total volume 20 mls

Exparel 1.3% w/ Bupivacaine 0.5%

Exparel 1.3%

Max Dose: 4 mg/kg

Max Amt: 266 mg

Max Vol: 20 mls

Bupivacaine 0.25%

Max Dose: 2.26 mg/kg

Max Amt: 150.0 mg

Max Vol: 30.0 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 116 kg

Congenital

Cardiac

Pulmonary

Pain/Sedation Score 116 kg

PIPP-R 28-40 weeks

Indicator	Score				Score
Indicator	0	1	2	3	Score
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
Criteria	0	1	2	Score
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:

Minidrip

#drops per min = mls/hr

Example: 60 gtts/min = 60 mls/hr

Macrodrip

The package of the IV set has the drops to mls/hr conversion

The package will have a <⑩, ⑫, ⑮, or ⑳

Example: ⑩ gtts/min = 60 mls/hr

Manufacturer => Drops Factor (#Drops to get 1 ml)*

Interlink: ⑫

Duovent: ⑫

ICU Medical (Coiled): ⑫

Kawasumi: ⑫

Chinook: ⑫

ICU Medical: ⑮

Braun: ⑮

Chinook: ⑮

Fenwall: ⑮

McKesson: ⑮

Alaris Pump Infusion Set: ⑳

Alaris Pump Syringe Module: ⑳

True Care: ⑳

Jarvet: ⑳

ICU Medical: ⑳

Always check the package for the correct IV Drip Factor

About 116 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