Pedi Calc

Room Setup 145 kg

Circut:

Adult, 2 Liter Bag

ETT:

7.0/7.5/8.0 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:

2mls @ (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 145 kg

Weight:

145 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:

870-1160 mls

NPO

Food/Formula:

6 hrs

Clears:

2 hrs

Airway 145 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:

Large Adult

Oral Airway:

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 145 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

12-24 mls

Fentanyl 50 mcg/ml:

1-3 mcg/kg

2.9-8.7 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

0.73-2.92 mls

PONV 145 kg

Dexamethasone 4 mg/ml

Dose: 17 mg

Amt: 0.12 mg/kg

Vol: 4.4 mls

Odansetron 2 mg/ml

Dose: 8.7 mg

Amt: 0.06 mg/kg

Vol: 4.4 mls

Dolasetron 12.5 mg/ml

Dose: 51 mg

Amt: 0.35 mg/kg

Vol: 4.1 mls

Granisetron 100 mcg/ml

Dose: 1,450 mcg

Amt: 10 mgc/kg

Vol: 15 mls

Famotidine 10 mg/ml

Dose: 36 mg

Amt: 0.25 mg/kg

Vol: 3.6 mls

Ranitidine 25 mg/ml

Dose: 50 mg

Amt: mg/kg

Vol: 2.0 mls

Sedation 145 kg

Midazolam IV 1 mg/ml

Dose: 0.02-0.07 mg/kg MAX: 10 mg

Amt: 2.9-10 mg

Vol: 2.9-10 mls

Midazolam PO 5 mg/ml

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

Amt: 2.9-7.3 mg

Vol: 0.58-1.5 mls

Midazolam IN 5 mg/ml

Dose: 0.068965517241379-0.07 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: 73-145 mg

Vol: 7.3-15 mls

Propofol gtt 10 mg/ml

Dose: 25-75 mcg/kg/min

Amt: 3.6-11 mg/min

Vol: 22-65 mls/hr

Fentany IV 50 mcg/ml

Dose: 1-3 mcg/kg

Amt: 145-435 mcg

Vol: 2.9-8.7 mls

Fentanyl IN 50 mcg/ml

Dose: 0.5-2 mcg/kg

Amt: 73-290 mcg

Vol: 1.5-5.8 mls

Ketamine IV 50 mg/ml

Dose: 0.5-2 mg/kg

Amt: 73-290 mg

Vol: 1.5-5.8 mls

Ketamine IM 50 mg/ml

Dose: 3-6 mg/kg

Amt: 435-870 mg

Vol: 8.7-17 mls

Precedex IV 10 mcg/ml

Dose: 0.5-2 mcg/kg

Amt: 73-290 mcg

Vol: 7.3-29 mls

Precedex gtt 10 mcg/ml

Dose: 0.2-0.8 mcg/kg/hr

Amt: 29-116 mcg/hr

Vol: 2.9-12mls/hr

Precedex IN 10 mcg/ml

Dose: 0.5-2 mcg/kg

Amt: 73-290 mcg

Vol: 7.3-29 mls

Precedex PO 100 mcg/ml

Dose: 1-4 mcg/kg

Amt: 145-580 mcg

Vol: 1.5-5.8 mls

>

Benadryl IV 10 mg/ml

Dose: 1-4 mg/kg

Amt: 145-580 mg

Vol: 15-58 mls

Narcotics 145 kg

Fetanyl 50 mcg/ml

Dose: 0.5-2 mcg/kg

Amt: 73-290 mcg

Vol: 1.5-5.8 mls

Remifentanil 50 mcg/ml

Dose: 0.5-1 mcg/kg

Amt: 73-145 mcg

Vol: 1.5-2.9 mls

Remifentanil gtt 50 mcg/ml

Dose: 0.1-0.2 mcg/kg/min

Amt: 15-29 mcg/min

Vol: 17-35 mls/hr

Sufentanil 10 mcg/ml

Dose: 0.1-0.2 mcg/kg

Amt: 15-29 mcg

Vol: 1.5-2.9 mls

Morphine 1 mg/ml

Dose: 0.05-0.15 mg/kg

Amt: 7.3-22 mg

Vol: 7.3-22 mls

Morphine gtt 1 mg/ml

Dose: 0.01-0.03 mg/kg/min

Amt: 1.5-4.4 mg/min

Vol: 87-261 mls/hr

Dilaudid 2000 mcg/ml

Dose: 5-10 mcg/kg

Amt: 725-1,450 mcg

Vol: 0.36-0.73 mls

Dilaudid gtt 100 mcg/ml

Dose: 5-10 mcg/kg/hr

Amt: 725-1,450 mcg/hr

Vol: 7.3-15 mls/hr

Demerol 5 mg/ml

Dose: 0.2-0.5 mg/kg

Amt: 29-73 mg

Vol: 5.8-15 mls

Induction 145 kg

Propofol 10 mg/ml

Dose: 2-3 mg/kg

Amt: 290-435 mg

Vol: 29-44 mls

Propofol gtt 10 mg/ml

Dose: 50-150 mcg/kg/min

Amt: 7.3-22 mg/min

Vol: 44-131 mls/hr

Etomidate 2 mg/ml

Dose: 0.2-0.6 mg/kg

Amt: 29-87 mg

Vol: 15-44 mls

Midazolam 1 mg/ml

Dose: 0.15-0.3 mg/kg

Amt: 22-44 mg

Vol: 22-44 mls

Remifentanil 50 mcg/ml

Dose: 0.5-1 mcg/kg

Amt: 73-145 mcg

Vol: 1.5-2.9 mls

Remifentanil gtt 50 mcg/ml

Dose: 0.1-0.3 mcg/kg/min

Amt: 15-44 mcg/min

Vol: 17-52 mls/hr

Ketamine IV 10 mg/ml

Dose: 1-2 mg/kg

Amt: 145-290 mg

Vol: 15-29 mls

Ketamine IM 10 mg/ml

Dose: 3-21 mg/kg

Amt: 435-3,045 mg

Vol: 44-305 mls

Ketothol 10 mg/ml 1:1

Dose: 1-2 mg/kg

Amt: 145-290 mg

Vol: 15-29 mls

Thiopental 10 mg/ml

Dose: 3-4 mg/kg

Amt: 435-580 mg

Vol: 44-58 mls

Methohexital IV 10 mg/ml

Dose: 1-1.5 mg/kg

Amt: 145-218 mg

Vol: 15-22 mls

Methohexital IM 50 mg/ml

Dose: 6-10 mg/kg

Amt: 870-1,450 mg

Vol: 17-29 mls

Methohexital PR 10 mg/ml

Dose: 25 mg/kg

Amt: 3,625 mg

Vol: 363 mls

Neuromuscular Blockers 145 kg

Succinylcholine IV 20 mg/ml

Dose: 1-2 mg/kg

Amt: 145-290 mg

Vol: 7.3-15 mls

Succinylcholine IM 20 mg/ml

Dose: 2.5-4 mg/kg

Amt: 363-580 mg

Vol: 18-29 mls

Rocuronium LD 10 mg/ml

Dose: 0.6-1 mg/kg

Amt: 87-145 mg

Vol: 8.7-15 mls

Rocuronium MD 10 mg/ml

Dose: 0.1 mg/kg

Amt: 15 mg

Vol: 1.5 mls

Nimbex LD 2 mg/ml

Dose: 0.1-0.2 mg/kg

Amt: 15-29 mg

Vol: 7.3-15 mls

Nimbex MD 2 mg/ml

Dose: 0.03 mg/kg

Amt: 4.4 mg

Vol: 2.2 mls

Vecuronium LD 1 mg/ml

Dose: 0.08-0.1 mg/kg

Amt: 12-15 mg

Vol: 12-15 mls

Vecuronium MD 1 mg/ml

Dose: 0.01-0.015 mg/kg

Amt: 1.5-2.2 mg

Vol: 1.5-2.2 mls

Mivacurium LD 2 mg/ml

Dose: 0.2 mg/kg

Amt: 29 mg

Vol: 15 mls

Mivacurium MD 2 mg/ml

Dose: 0.1 mg/kg

Amt: 15 mg

Vol: 7.3 mls

Atracurium LD 10 mg/ml

Dose: 0.4-0.5 mg/kg

Amt: 58-73 mg

Vol: 5.8-7.3 mls

Atracurium MD 10 mg/ml

Dose: 0.08-0.1 mg/kg

Amt: 12-15 mg

Vol: 1.2-1.5 mls

Atracurium gtt 10 mg/ml

Dose: 2-15 mcg/kg/min

Amt: 17-131 mg/min

Vol: 1.7-13 mls/hr

Pancuronium LD1 mg/ml

Dose: 0.04-0.1 mg/kg

Amt: 5.8-15 mg

Vol: 5.8-15 mls

Pancuronium MD 1 mg/ml

Dose: 0.01 mg/kg

Amt: 1.5 mg

Vol: 1.5 mls

Reversals 145 kg

Atropine 1000 mcg/ml

Atropine: Atropan ®

Dose: 10-20 mcg/kg

Amt: 1,450-2,900 mcg

Vol: 1.5-2.9 mls

Glycopyrrolate 200 mcg/ml

Dose: 6-9 mcg/kg

Amt: 870-1,305 mcg

Vol: 4.4-6.5 mls

Naloxone OD 0.4 mg/ml

Dose: 0.01-0.02 mg/kg

Amt: 1.5-2.9 mg

Vol: 3.6-7.3 mls

Naloxone 0.4mg/ml

Dose: 0.01 mg/kg

Amt: 1.5 mg

Vol: 3.6 mls

Nubain 10mg/ml

Dose: 0.07 mg/kg

Amt: 10 mg

Vol: 1.0 mls

Flumazenil 0.1mg/ml

Dose: 0.01 mg/kg

Amt: 1.5 mg

Vol: 15 mls

Neostigmine 1mg/ml

Dose: 0.027586206896552 mg/kg

Amt: 4 mg

Vol: 4 mls

Pyridostigmine 5 mg/ml

Dose: 0.05-0.25 mg/kg

Amt: 7.3-36 mg

Vol: 1.5-7.3 mls

Edrophonium 10 mg/ml

Dose: 0.5-1.5 mg/kg

Amt: 73-218 mg

Vol: 7.3-22 mls

Sugammadex 100 mcg/ml

Dose: 2-4 mcg/kg

Amt: 290-580 mcg

Vol: 2.9-5.8 mls

Fluids & Blood 145 kg

Maintenance Fluid Rate: 185

Dose: 4:2:1 Rule

Amt: 185 mls/hr

Glucose: D5 (5 g Dextrose/100 mls)

Dose: 1-2 mg/kg/min

Amt: 174-348 mls/hr

NPO 10 hrs

Dose: 4:2:1 Rule

Amt: 1850 mls

Fluid Bolus

Dose: 20 mls/kg

Amt: 2900 mls

5% Albumin 5%

Dose: 5-10 mls/kg

Amt: 725-1450 mls

25% Albumin 25%

Dose: 4-8 mls/kg

Amt: 580-1160 mls

Mannitol 12.5%

Dose: 2-8 mls/kg

Amt: 290-1160 mls

Intralipid 20%

Dose: 1.5-3 mls/kg

Amt: 217.5-435 mls

Intralipid gtt 20%

Dose: 0.25 mls/kg/hr

Amt: 36.25 mls/hr

Estimated Blood Volume

Amt: 9425(♀) 10875(♂) mls

Alllowable Blood Loss

Effect: Lower Hct by 3-5%

Amt: 471.25(♀) 543.75(♂) mls

Transfusion Threshold

Dose: Hct to Tx

Amt: 21%

PRBC

Dose: 7-10 mls/kg

Amt: 1015-1450 mls

Effect: Raise Hct 3-5%

FFP

Dose: 10-20 mls/kg

Amt: 1450-2175 mls

Effect: Increase Factors 10-15%

Cryoprecipitate

Dose: 10-20 mls/kg

Amt: 435 mls

Effect: Raise FBGN 100 mg/dl

Platelets

Dose: 10-15 mls/kg

Amt: 1450-2175 mls

Effect: Increase Plt 30-50K

Factor VIII 1 IU/ml

Dose: 10 IU/kg

Amt: 1450-2247.5 mls

Effect: Increase VIII 20-25 %

Factor IX 1 IU/ml

Dose: 20 IU/kg

Amt: 1450-1812.5 mls

Effect: Increase VIII 20-25 %

Factor VII 1000 mcg/ml

Dose: 90 mcg/kg before incision

Amt: 13.05 mg

Vol: 13.05mls q 2 hrs

Humate P Rx: VIII def 50 IU/ml

Dose: 40-60 IU/kg

Amt: 5800-8700 IU x 1

Vol: 116.0-174.0 mls
Then 58.0-87.0 mls q8h

Humate P Rx: VWF def 120 IU/ml

Dose: 40-80 IU/kg

Amt: 5800-11600 IU x 1

Vol: 48.3-96.7 mls
Then 48.3-72.5 mls q8h Type 2/3
48.3-72.5 mls q24h Type 1

PPC 25 units/ml

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

Amt: 3625-7250 units

Vol: 145-290 mls

Antithrombin III 100 u/ml

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

Amt: 3625-4350 u

Effect: Increase AT3 level 20-30%

Desmopressin 4 mcg/ml

Dose: 0.1-0.3 mcg/kg o 30 min

Amt: 14.5-43.5 mcg

Vol: 3.625-10.875 mls

Tranxemic Acid LD 100 mg/ml

Dose: 10-30 mg/kg/hr

Amt: 1450-4350 mg

Vol: 14.5-43.5 mls

Tranxemic Acid MD 10 mg/ml

Dose: 2-10 mg/kg/hr

Amt: 290-1450 mg

Vol: 72.5-145 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 145 kg

The Ventilator settings have not been vetted or checked.

Preferred Vent Method: VCV

RR: 12-16 br/min

Vt Dose: 6-8 ml/kg

Vt: 870-1160 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 145 kg

Epinephrine 1 mcg/ml

Dose: 0.1 mcg/kg *Slowly!

Amt: 15 mcg

Vol: 15 mls

Epinephrine SQ 1 mg/ml

Dose: 0.0068965517241379 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: 145 mg

Vol: 2.9 mls

Methylprednisolone 125 mg/ml

Dose: 0.5-2 mg/kg (÷ into q6-q12)

Amt: 73-290 mg (÷ into q6-q12)

Vol: 0.58-2.3 mls (÷ into q6-q12)

Dexamethasone 1 mg/ml

Dose: 0.5-1 mg/kg

Amt: 73-146 mg

Vol: 73-146 mls

Ketamine 100 mg/ml

Dose: 0.5-1 mg/kg

Amt: 73-146 mg

Vol: 0.73-1.46 mls

Magnesium 500 mg/ml

Dose: 25-50 mg/kg

Amt: 3,625-6 mg

Vol: 7.3-14.6 mls (over 20 min)

CPR 145 kg

Defibrillation

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

Amt: 290-580 Joules

Vol: Start with 290 Joules

Cardioversion

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

Amt: 72.5-145Joules

Vol: Start with 72.5 Joules

Atropine: Atropan ®1 mg/ml

Dose: 0.02 mg/kg

Amt: 2.9 mg

Vol: 2.9 mls

Max Dose: 2 mg

Epinephrine IV/IO 1 mg/ml

Dose: 0.01 mg/kg

Amt: 1.45 mg

Vol: 1.45 mls

EpinephrineETT 1 mg/ml

Dose: 0.1 mg/kg

Amt:

Vol: 14.5 mls

Bicarbonate 1 meg/ml

Dose: 1 meg/kg

Amt: 145 meg

Vol: 145 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: 7.25-14.5 mg

Vol: 5.8-11.6 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: 290-435 mg

Vol: 29-44 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: 36.25-145 g

Vol: 145-580 mls

Dextrose 50 0.5 mg/ml

Dose: 0.25-1 g/kg

Amt: 36.25-145 g

Vol: 72.5-290 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: 36.25-50.75 mg

Vol: 7.25-10.15 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: 0.25-2.0689655172414 mg/kg

Amt: 36.25-300 mg

Vol: 7.25-60 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: 870 mg, 0.5 mg/kg/hr

Amt: 72.5 mg/hr

Vol: 2.9 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: 0.1-0.07 mcg/kg, MAX 10 mcg

Amt: 14.5-10 mcg

Vol: 14.5-10 mls

Inotropes 145 kg

Epinephrine 1X 4 mcg/ml

Dose: 0.1-1 mcg/kg/min

Amt: 15-145 mcg/min

Vol: 218-2,175 mls/hr

Epinephrine 2X 8 mcg/ml

Dose: 0.1-1 mcg/kg/min

Amt: 15-145 mcg/min

Vol: 109-1,088 mls/hr

Epinephrine 4X 16 mcg/ml

Dose: 0.1-1 mcg/kg/min

Amt: 15-145 mcg/min

Vol: 54-544 mls/hr

Epinephrine 8X 32 mcg/ml

Dose: 0.1-1 mcg/kg/min

Amt: 15-145 mcg/min

Vol: 27-272 mls/hr

Dopamine 1X 1600 mcg/ml

Dose: 2-20 mcg/kg/min

Amt: 290-2,900 mcg/min

Vol: 11-109 mls/hr

Dopamine 2X 3200 mcg/ml

Dose: 2-20 mcg/kg/min

Amt: 290-2,900 mcg/min

Vol: 5.4-54 mls/hr

Dopamine 4X 6400 mcg/ml

Dose: 2-20 mcg/kg/min

Amt: 290-2,900 mcg/min

Vol: 2.7-27 mls/hr

Dobutamine 1X 1600 mcg/ml

Dose: 2-20 mcg/kg/min

Amt: 290-2,900 mcg/min

Vol: 11-109 mls/hr

Dobutamine 2X 3200 mcg/ml

Dose: 2-20 mcg/kg/min

Amt: 290-2,900 mcg/min

Vol: 5.4-54 mls/hr

Dobutamine 4X 6400 mcg/ml

Dose: 2-20 mcg/kg/min

Amt: 290-2,900 mcg/min

Vol: 2.7-27 mls/hr

Isoproterenol 1X 4 mcg/ml

Dose: 0.025-0.2 mcg/kg/min

Amt: 3.6-29 mcg/min

Vol: 54-435 mls/hr

Isoproterenol 2X 8 mcg/ml

Dose: 0.025-0.2 mcg/kg/min

Amt: 3.6-29 mcg/min

Vol: 27-218 mls/hr

Milrinone 1X 200 mcg/ml

Dose: 0.25-0.75 mcg/kg/min

Amt: 36-109 mcg/min

Vol: 11-33 mls/hr

Milrinone 2X 400 mcg/ml

Dose: 0.25-0.75 mcg/kg/min

Amt: 36-109 mcg/min

Vol: 5.4-16 mls/hr

Vasoconstrictors 145 kg

Norepinephrine 1X 4 mcg/ml

Dose: 0.1-1 mcg/kg/min

Amt: 15-145 mcg/min

Vol: 218-2,175 mls/hr

Norepinephrine 2X 8 mcg/ml

Dose: 0.1-1 mcg/kg/min

Amt: 15-145 mcg/min

Vol: 109-1,088 mls/hr

Norepinephrine 4X 16 mcg/ml

Dose: 0.1-1 mcg/kg/min

Amt: 0.1-1 mcg/kg/min

Vol: 54-544 mls/hr

Norepinephrine 8X 32 mcg/ml

Dose: 0.1-1 mcg/kg/min

Amt: 15-145 mcg/min

Vol: 27-272 mls/hr

Norepinephrine 16X 64 mcg/ml

Dose: 0.1-1 mcg/kg/min

Amt: 15-145 mcg/min

Vol: 14-136 mls/hr

Phenylephrine 1X 40 mcg/ml

Dose: 0.1-1 mcg/kg/min

Amt: 15-145 mcg/min

Vol: 22-218 mls/hr

Phenylephrine 2X 80 mcg/ml

Dose: 0.1-1 mcg/kg/min

Amt: 15-145 mcg/min

Vol: 11-109 mls/hr

Phenylephrine 4X 160 mcg/ml

Dose: 0.1-1 mcg/kg/min

Amt: 15-145 mcg/min

Vol: 5.4-54 mls/hr

Phenylephrine 8X 320 mcg/ml

Dose: 0.1-1 mcg/kg/min

Amt: 15-145 mcg/min

Vol: 2.7-27 mls/hr

Phenylephrine 16X 640 mcg/ml

Dose: 0.1-1 mcg/kg/min

Amt: 15-145 mcg/min

Vol: 1.4-14 mls/hr

Vasopressin 1X 0.4 units/ml

Dose: 0.0003-0.0051 units/kg/min

Amt: 0.04-0.74 units/min

Vol: 6.5-111 mls/hr

Vasopressin 2X 0.88 units/ml

Dose: 0.0003-0.0051 units/kg/min

Amt: 0.04-0.74 units/min

Vol: 3.0-50 mls/hr

Vasodilators 145 kg

Nicardipine 100 mcg/ml

Dose: 0.5-5 mcg/kg/min

Amt: 73-725 mcg/min

Vol: 44-435 mls/hr

Nitroglycerin 1X 200 mcg/ml

Dose: 0.25-4 mcg/kg/min

Amt: 36-580 mcg/min

Vol: 11-174 mls/hr

Nitroglycerin 2X 400 mcg/ml

Dose: 0.25-4 mcg/kg/min

Amt: 36-580 mcg/min

Vol: 5.4-87 mls/hr

Nitroprusside 1X 200 mcg/ml

Dose: 0.5-10 mcg/kg/min

Amt: 73-1,450 mcg/min

Vol: 22-435 mls/hr

Nitroprusside 2X 400 mcg/ml

Dose: 0.5-10 mcg/kg/min

Amt: 73-1,450 mcg/min

Vol: 11-218 mls/hr

ProstaglandinE1 1X 1 mcg/ml

Dose: 0.01-0.1 mcg/kg/min

Amt: 1.5-15 mcg/min

Vol: 87-870 mls/hr

ProstaglandinE1 2X 2 mcg/ml

Dose: 0.01-0.1 mcg/kg/min

Amt: 1.5-15 mcg/min

Vol: 44-435 mls/hr

Phentolamine 1X 20 mcg/ml

Dose: 0.05-0.1 mcg/kg/min

Amt: 7.3-15 mcg/min

Vol: 22-44 mls/hr

Phentolamine 2X 40 mcg/ml

Dose: 0.05-0.1 mcg/kg/min

Amt: 7.3-15 mcg/min

Vol: 11-22 mls/hr

Antiarrythmics 145 kg

Lidocaine 1X 4000 mcg/ml

Dose: 10-60 mcg/kg/min

Amt: 1,450-8,700 mcg/min

Vol: 22-131 mls/hr

Lidocaine 2X 8000 mcg/ml

Dose: 10-60 mcg/kg/min

Amt: 1,450-8,700 mcg/min

Vol: 11-65 mls/hr

Procainamide 1X 2 mcg/ml

Dose: 20-80 mcg/kg/min

Amt: 2,900-11,600 mcg/min

Vol: 87-348 mls/hr

Procainamide 2X 4 mcg/ml

Dose: 20-80 mcg/kg/min

Amt: 2,900-11,600 mcg/min

Vol: 44-174 mls/hr

Esmolol 1X 10 mcg/ml

Dose: 0.1-0.5 mcg/kg/min

Amt: 15-73 mcg/min

Vol: 87-435 mls/hr

Esmolol 2X 25 mcg/ml

Dose: 0.1-0.5 mcg/kg/min

Amt: 15-73 mcg/min

Vol: 35-174 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 145 kg

Intralipid Bolus 10%

Dose: 1.5 mls/kg

Amt: 218 mls

Vol: 218 mls

Intralipid gtt 10%

Dose: 0.25-0.5 mls/kg/hr

Amt: 36-73 mls/hr

Rate: 36-73 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 145 kg

Congenital

Cardiac

Pulmonary

Pain/Sedation Score 145 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:

About 145 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