Room Setup 165 kg
Circut:
Adult, 2 Liter Bag
ETT:
7.0/7.5/8.0 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:
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:
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 165 kg
Weight:
165 kg
HR:
65-110 bpm
SBP:
95-110 mmHg
DBP:
60-75 mmHg
MAP:
72-87 mmHg
Hypotension:
MAP <65, BP <100/50
*Estimated mmHg
RR:
20-25 rpm
Vt:
990-1320 mls
NPO
Food/Formula:
6 hrs
Clears:
2 hrs
Airway 165 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:
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 165 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: 120-240 mg
Vol: 12-24 mls
Fentanyl: Sublimaze ® 50 mcg/ml:
Dose: 1-3 mcg/kg
Amt: 165-495 mcg
Vol: 3.3-9.9 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: 8.3-33.2 mcg
Vol: 0.83-3.32 mls
PONV 165 kg
Dexamethasone 4 mg/ml
Dose: 20 mg
Amt: 0.12 mg/kg
Vol: 5.0 mls
Odansetron 2 mg/ml
Dose: 9.9 mg
Amt: 0.06 mg/kg
Vol: 5.0 mls
Dolasetron 12.5 mg/ml
Dose: 58 mg
Amt: 0.35 mg/kg
Vol: 4.6 mls
Granisetron 100 mcg/ml
Dose: 1,650 mcg
Amt: 10 mgc/kg
Vol: 17 mls
Famotidine 10 mg/ml
Dose: 41 mg
Amt: 0.25 mg/kg
Vol: 4.1 mls
Ranitidine 25 mg/ml
Dose: 50 mg
Amt: mg/kg
Vol: 2.0 mls
Sedation 165 kg
Midazolam IV 1 mg/ml
Dose: 0.02-0.06 mg/kg MAX: 10 mg
Amt: 3.3-10 mg
Vol: 3.3-10 mls
Midazolam PO 5 mg/ml
Dose: 0.02-0.05 mg/kg MAX: 20 mg
Amt: 3.3-8.3 mg
Vol: 0.66-1.7 mls
Midazolam IN 5 mg/ml
Dose: 0.060606060606061-0.06 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: 83-165 mg
Vol: 8.3-17 mls
Propofol gtt 10 mg/ml
Dose: 25-75 mcg/kg/min
Amt: 4.1-12 mg/min
Vol: 25-74 mls/hr
Fentany IV 50 mcg/ml
Dose: 1-3 mcg/kg
Amt: 165-495 mcg
Vol: 3.3-9.9 mls
Fentanyl IN 50 mcg/ml
Dose: 0.5-2 mcg/kg
Amt: 83-330 mcg
Vol: 1.7-6.6 mls
Ketamine IV 50 mg/ml
Dose: 0.5-2 mg/kg
Amt: 83-330 mg
Vol: 1.7-6.6 mls
Ketamine IM 50 mg/ml
Dose: 3-6 mg/kg
Amt: 495-990 mg
Vol: 9.9-20 mls
Ketamine PO 100 mg/ml
Dose: 3-6 mg/kg
Amt: 495-990 mg
Vol: 5.0-9.9 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: 83-330 mcg
Vol: 8.3-33 mls
Precedex gtt 10 mcg/ml
Dose: 0.2-0.8 mcg/kg/hr
Amt: 33-132 mcg/hr
Vol: 3.3-13mls/hr
Precedex IN 10 mcg/ml
Dose: 0.5-2 mcg/kg
Amt: 83-330 mcg
Vol: 8.3-33 mls
Precedex PO 100 mcg/ml
Dose: 1-4 mcg/kg
Amt: 165-660 mcg
Vol: 1.7-6.6 mls
>
Benadryl IV 10 mg/ml
Dose: 1-4 mg/kg
Amt: 165-660 mg
Vol: 17-66 mls
Narcotics 165 kg
Fetanyl 50 mcg/ml
Dose: 0.5-2 mcg/kg
Amt: 83-330 mcg
Vol: 1.7-6.6 mls
Remifentanil 50 mcg/ml
Dose: 0.5-1 mcg/kg
Amt: 83-165 mcg
Vol: 1.7-3.3 mls
Remifentanil gtt 50 mcg/ml
Dose: 0.1-0.2 mcg/kg/min
Amt: 17-33 mcg/min
Vol: 20-40 mls/hr
Sufentanil 10 mcg/ml
Dose: 0.1-0.2 mcg/kg
Amt: 17-33 mcg
Vol: 1.7-3.3 mls
Morphine 1 mg/ml
Dose: 0.05-0.15 mg/kg
Amt: 8.3-25 mg
Vol: 8.3-25 mls
Morphine gtt 1 mg/ml
Dose: 0.01-0.03 mg/kg/min
Amt: 1.7-5.0 mg/min
Vol: 99-297 mls/hr
Dilaudid 2000 mcg/ml
Dose: 5-10 mcg/kg
Amt: 825-1,650 mcg
Vol: 0.41-0.83 mls
Dilaudid gtt 100 mcg/ml
Dose: 5-10 mcg/kg/hr
Amt: 825-1,650 mcg/hr
Vol: 8.3-17 mls/hr
Demerol 5 mg/ml
Dose: 0.2-0.5 mg/kg
Amt: 33-83 mg
Vol: 6.6-17 mls
Induction 165 kg
Propofol 10 mg/ml
Dose: 2-3 mg/kg
Amt: 330-495 mg
Vol: 33-50 mls
Propofol gtt 10 mg/ml
Dose: 50-150 mcg/kg/min
Amt: 8.3-25 mg/min
Vol: 50-149 mls/hr
Etomidate 2 mg/ml
Dose: 0.2-0.6 mg/kg
Amt: 33-99 mg
Vol: 17-50 mls
Midazolam 1 mg/ml
Dose: 0.15-0.3 mg/kg
Amt: 25-50 mg
Vol: 25-50 mls
Remifentanil 50 mcg/ml
Dose: 0.5-1 mcg/kg
Amt: 83-165 mcg
Vol: 1.7-3.3 mls
Remifentanil gtt 50 mcg/ml
Dose: 0.1-0.3 mcg/kg/min
Amt: 17-50 mcg/min
Vol: 20-59 mls/hr
Ketamine IV 10 mg/ml
Dose: 1-2 mg/kg
Amt: 165-330 mg
Vol: 17-33 mls
Ketamine IM 10 mg/ml
Dose: 3-21 mg/kg
Amt: 495-3,465 mg
Vol: 50-347 mls
Ketothol 10 mg/ml 1:1
Dose: 1-2 mg/kg
Amt: 165-330 mg
Vol: 17-33 mls
Thiopental 10 mg/ml
Dose: 3-4 mg/kg
Amt: 495-660 mg
Vol: 50-66 mls
Methohexital IV 10 mg/ml
Dose: 1-1.5 mg/kg
Amt: 165-248 mg
Vol: 17-25 mls
Methohexital IM 50 mg/ml
Dose: 6-10 mg/kg
Amt: 990-1,650 mg
Vol: 20-33 mls
Methohexital PR 10 mg/ml
Dose: 25 mg/kg
Amt: 4,125 mg
Vol: 413 mls
Neuromuscular Blockers 165 kg
Succinylcholine IV 20 mg/ml
Dose: 1-2 mg/kg
Amt: 165-330 mg
Vol: 8.3-17 mls
Succinylcholine IM 20 mg/ml
Dose: 2.5-4 mg/kg
Amt: 413-660 mg
Vol: 21-33 mls
Rocuronium LD 10 mg/ml
Dose: 0.6-1 mg/kg
Amt: 99-165 mg
Vol: 9.9-17 mls
Rocuronium MD 10 mg/ml
Dose: 0.1 mg/kg
Amt: 17 mg
Vol: 1.7 mls
Nimbex LD 2 mg/ml
Dose: 0.1-0.2 mg/kg
Amt: 17-33 mg
Vol: 8.3-17 mls
Nimbex MD 2 mg/ml
Dose: 0.03 mg/kg
Amt: 5.0 mg
Vol: 2.5 mls
Vecuronium LD 1 mg/ml
Dose: 0.08-0.1 mg/kg
Amt: 13-17 mg
Vol: 13-17 mls
Vecuronium MD 1 mg/ml
Dose: 0.01-0.015 mg/kg
Amt: 1.7-2.5 mg
Vol: 1.7-2.5 mls
Mivacurium LD 2 mg/ml
Dose: 0.2 mg/kg
Amt: 33 mg
Vol: 17 mls
Mivacurium MD 2 mg/ml
Dose: 0.1 mg/kg
Amt: 17 mg
Vol: 8.3 mls
Atracurium LD 10 mg/ml
Dose: 0.4-0.5 mg/kg
Amt: 66-83 mg
Vol: 6.6-8.3 mls
Atracurium MD 10 mg/ml
Dose: 0.08-0.1 mg/kg
Amt: 13-17 mg
Vol: 1.3-1.7 mls
Atracurium gtt 10 mg/ml
Dose: 2-15 mcg/kg/min
Amt: 20-149 mg/min
Vol: 2.0-15 mls/hr
Pancuronium LD1 mg/ml
Dose: 0.04-0.1 mg/kg
Amt: 6.6-17 mg
Vol: 6.6-17 mls
Pancuronium MD 1 mg/ml
Dose: 0.01 mg/kg
Amt: 1.7 mg
Vol: 1.7 mls
Reversals 165 kg
Atropine 1000 mcg/ml
Atropine: Atropan ®
Dose: 10-20 mcg/kg
Amt: 1,650-3,300 mcg
Vol: 1.7-3.3 mls
Glycopyrrolate 200 mcg/ml
Dose: 6-9 mcg/kg
Amt: 990-1,485 mcg
Vol: 5.0-7.4 mls
Naloxone OD 0.4 mg/ml
Dose: 0.01-0.02 mg/kg
Amt: 1.7-3.3 mg
Vol: 4.1-8.3 mls
Naloxone 0.4mg/ml
Dose: 0.01 mg/kg
Amt: 1.7 mg
Vol: 4.1 mls
Nubain 10mg/ml
Dose: 0.07 mg/kg
Amt: 12 mg
Vol: 1.2 mls
Flumazenil 0.1mg/ml
Dose: 0.01 mg/kg
Amt: 1.7 mg
Vol: 17 mls
Neostigmine 1mg/ml
Dose: 0.024242424242424 mg/kg
Amt: 4 mg
Vol: 4 mls
Pyridostigmine 5 mg/ml
Dose: 0.05-0.25 mg/kg
Amt: 8.3-41 mg
Vol: 1.7-8.3 mls
Edrophonium 10 mg/ml
Dose: 0.5-1.5 mg/kg
Amt: 83-248 mg
Vol: 8.3-25 mls
Sugammadex 100 mcg/ml
Dose: 2-4 mcg/kg
Amt: 330-660 mcg
Vol: 3.3-6.6 mls
Fluids & Blood 165 kg
Maintenance Fluid Rate: 205
Dose: 4:2:1 Rule
Amt: 205 mls/hr
Glucose: D5 (5 g Dextrose/100 mls)
Dose: 1-2 mg/kg/min
Amt: 198-396 mls/hr
NPO 10 hrs
Dose: 4:2:1 Rule
Amt: 2050 mls
Fluid Bolus
Dose: 20 mls/kg
Amt: 3300 mls
5% Albumin 5%
Dose: 5-10 mls/kg
Amt: 825-1650 mls
25% Albumin 25%
Dose: 4-8 mls/kg
Amt: 660-1320 mls
Mannitol 12.5%
Dose: 2-8 mls/kg
Amt: 330-1320 mls
Intralipid 20%
Dose: 1.5-3 mls/kg
Amt: 247.5-495 mls
Intralipid gtt 20%
Dose: 0.25 mls/kg/hr
Amt: 41.25 mls/hr
Estimated Blood Volume
Amt: 10725(♀) 12375(♂) mls
Alllowable Blood Loss
Effect: Lower Hct by 3-5%
Amt: 536.25(♀) 618.75(♂) mls
Transfusion Threshold
Dose: Hct to Tx
Amt: 21%
PRBC
Dose: 5-10mls/kg
Amt: 825-1650 mls
Effect: Raise Hct 3-6%
FFP
Dose: 10-20 mls/kg
Amt: 1650-2475 mls
Effect: Increase Factors 10-15%
Cryoprecipitate
Dose: 10-20 mls/kg
Amt: 495 mls
Effect: Raise FBGN 100 mg/dl
Platelets
Dose: 10-15 mls/kg
Amt: 1650-2475 mls
Effect: Increase Plt 30-50K
Factor VIII 1 IU/ml
Dose: 10 IU/kg
Amt: 1650-2557.5 mls
Effect: Increase VIII 20-25 %
Factor IX 1 IU/ml
Dose: 20 IU/kg
Amt: 1650-2062.5 mls
Effect: Increase VIII 20-25 %
Factor VII 1000 mcg/ml
Dose: 90 mcg/kg before incision
Amt: 14.85 mg
Vol: 14.85mls q 2 hrs
Humate P Rx: VIII def 50 IU/ml
Dose: 40-60 IU/kg
Amt: 6600-9900 IU x 1
Vol: 132.0-198.0 mls
Then 66.0-99.0 mls q8h
Humate P Rx: VWF def 120 IU/ml
Dose: 40-80 IU/kg
Amt: 6600-13200 IU x 1
Vol: 55.0-110.0 mls
Then 55.0-82.5 mls q8h Type 2/3
55.0-82.5 mls q24h Type 1
PPC 25 units/ml
Dose: 25-50 units/kg for INR 2-6
Amt: 4125-8250 units
Vol: 165-330 mls
Antithrombin III 100 u/ml
Dose: 25-30 u/kg for INR 2-6
Amt: 4125-4950 u
Effect: Increase AT3 level 20-30%
Desmopressin 4 mcg/ml
Dose: 0.1-0.3 mcg/kg o 30 min
Amt: 16.5-49.5 mcg
Vol: 4.125-12.375 mls
Tranxemic Acid LD 100 mg/ml
Dose: 10-30 mg/kg/hr
Amt: 1650-4950 mg
Vol: 16.5-49.5 mls
Tranxemic Acid MD 10 mg/ml
Dose: 2-10 mg/kg/hr
Amt: 330-1650 mg
Vol: 82.5-165 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 165 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: 990-1320 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: 24 cmH2O
RR: 10 br/min
Flow: 2 l/min
PS: 28 cmH2O
PEEP: 5 cmH2O
Pulmonary Medications 165 kg
Epinephrine 1 mcg/ml
Dose: 0.1 mcg/kg *Slowly!
Amt: 17 mcg
Vol: 17 mls
Epinephrine SQ 1 mg/ml
Dose: 0.0060606060606061 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: 165 mg
Vol: 3.3 mls
Methylprednisolone 125 mg/ml
Dose: 0.5-2 mg/kg (÷ into q6-q12)
Amt: 83-330 mg (÷ into q6-q12)
Vol: 0.66-2.6 mls (÷ into q6-q12)
Dexamethasone 1 mg/ml
Dose: 0.5-1 mg/kg
Amt: 83-166 mg
Vol: 83-166 mls
Ketamine 100 mg/ml
Dose: 0.5-1 mg/kg
Amt: 83-166 mg
Vol: 0.83-1.66 mls
Magnesium 500 mg/ml
Dose: 25-50 mg/kg
Amt: 4,125-8 mg
Vol: 8.3-16.6 mls (over 20 min)
CPR 165 kg
Bicarbonate (HCO3) Dose
Conc: 1 meq/ml
Formula: 0.3 * wt * BaseExcess
Base Excess: -5
Dose: 247.5 meq
Vol: 247.5 mls
Conc: 1 meq/ml
Formula: 0.3 * wt * BaseExcess
Base Excess: -10
Dose: 495 meq
Vol: 495 mls
Defibrillation
Dose: 2-4 J/kg (Max 10 J)
Amt: 330-660 Joules
Vol: Start with 330 Joules
Cardioversion
Dose: 0.5-1 J/kg (Max 4 J)
Amt: 82.5-165Joules
Vol: Start with 82.5 Joules
Atropine: Atropan ®1 mg/ml
Dose: 0.02 mg/kg
Amt: 3.3 mg
Vol: 3.3 mls
Max Dose: 2 mg
Epinephrine IV/IO 1 mg/ml
Dose: 0.01 mg/kg
Amt: 1.65 mg
Vol: 1.65 mls
EpinephrineETT 1 mg/ml
Dose: 0.1 mg/kg
Amt:
Vol: 16.5 mls
Bicarbonate 1 meg/ml
Dose: 1 meg/kg
Amt: 165 meg
Vol: 165 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: 8.25-16.5 mg
Vol: 6.6-13.2 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: 330-495 mg
Vol: 33-50 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: 41.25-165 g
Vol: 165-660 mls
Dextrose 50 0.5 mg/ml
Dose: 0.25-1 g/kg
Amt: 41.25-165 g
Vol: 82.5-330 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: 41.25-57.75 mg
Vol: 8.25-11.55 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: 0.25-1.8181818181818 mg/kg
Amt: 41.25-300 mg
Vol: 8.25-60 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: 990 mg, 0.5 mg/kg/hr
Amt: 82.5 mg/hr
Vol: 3.3 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: 0.1-0.06 mcg/kg, MAX 10 mcg
Amt: 16.5-10 mcg
Vol: 16.5-10 mls
Inotropes 165 kg
Epinephrine 1X 4 mcg/ml
Dose: 0.1-1 mcg/kg/min
Amt: 17-165 mcg/min
Vol: 248-2,475 mls/hr
Epinephrine 2X 8 mcg/ml
Dose: 0.1-1 mcg/kg/min
Amt: 17-165 mcg/min
Vol: 124-1,238 mls/hr
Epinephrine 4X 16 mcg/ml
Dose: 0.1-1 mcg/kg/min
Amt: 17-165 mcg/min
Vol: 62-619 mls/hr
Epinephrine 8X 32 mcg/ml
Dose: 0.1-1 mcg/kg/min
Amt: 17-165 mcg/min
Vol: 31-309 mls/hr
Dopamine 1X 1600 mcg/ml
Dose: 2-20 mcg/kg/min
Amt: 330-3,300 mcg/min
Vol: 12-124 mls/hr
Dopamine 2X 3200 mcg/ml
Dose: 2-20 mcg/kg/min
Amt: 330-3,300 mcg/min
Vol: 6.2-62 mls/hr
Dopamine 4X 6400 mcg/ml
Dose: 2-20 mcg/kg/min
Amt: 330-3,300 mcg/min
Vol: 3.1-31 mls/hr
Dobutamine 1X 1600 mcg/ml
Dose: 2-20 mcg/kg/min
Amt: 330-3,300 mcg/min
Vol: 12-124 mls/hr
Dobutamine 2X 3200 mcg/ml
Dose: 2-20 mcg/kg/min
Amt: 330-3,300 mcg/min
Vol: 6.2-62 mls/hr
Dobutamine 4X 6400 mcg/ml
Dose: 2-20 mcg/kg/min
Amt: 330-3,300 mcg/min
Vol: 3.1-31 mls/hr
Isoproterenol 1X 4 mcg/ml
Dose: 0.025-0.2 mcg/kg/min
Amt: 4.1-33 mcg/min
Vol: 62-495 mls/hr
Isoproterenol 2X 8 mcg/ml
Dose: 0.025-0.2 mcg/kg/min
Amt: 4.1-33 mcg/min
Vol: 31-248 mls/hr
Milrinone 1X 200 mcg/ml
Dose: 0.25-0.75 mcg/kg/min
Amt: 41-124 mcg/min
Vol: 12-37 mls/hr
Milrinone 2X 400 mcg/ml
Dose: 0.25-0.75 mcg/kg/min
Amt: 41-124 mcg/min
Vol: 6.2-19 mls/hr
Vasoconstrictors 165 kg
Norepinephrine 1X 4 mcg/ml
Dose: 0.1-1 mcg/kg/min
Amt: 17-165 mcg/min
Vol: 248-2,475 mls/hr
Norepinephrine 2X 8 mcg/ml
Dose: 0.1-1 mcg/kg/min
Amt: 17-165 mcg/min
Vol: 124-1,238 mls/hr
Norepinephrine 4X 16 mcg/ml
Dose: 0.1-1 mcg/kg/min
Amt: 0.1-1 mcg/kg/min
Vol: 62-619 mls/hr
Norepinephrine 8X 32 mcg/ml
Dose: 0.1-1 mcg/kg/min
Amt: 17-165 mcg/min
Vol: 31-309 mls/hr
Norepinephrine 16X 64 mcg/ml
Dose: 0.1-1 mcg/kg/min
Amt: 17-165 mcg/min
Vol: 15-155 mls/hr
Phenylephrine 1X 40 mcg/ml
Dose: 0.1-1 mcg/kg/min
Amt: 17-165 mcg/min
Vol: 25-248 mls/hr
Phenylephrine 2X 80 mcg/ml
Dose: 0.1-1 mcg/kg/min
Amt: 17-165 mcg/min
Vol: 12-124 mls/hr
Phenylephrine 4X 160 mcg/ml
Dose: 0.1-1 mcg/kg/min
Amt: 17-165 mcg/min
Vol: 6.2-62 mls/hr
Phenylephrine 8X 320 mcg/ml
Dose: 0.1-1 mcg/kg/min
Amt: 17-165 mcg/min
Vol: 3.1-31 mls/hr
Phenylephrine 16X 640 mcg/ml
Dose: 0.1-1 mcg/kg/min
Amt: 17-165 mcg/min
Vol: 1.5-15 mls/hr
Vasopressin 1X 0.4 units/ml
Dose: 0.0003-0.0051 units/kg/min
Amt: 0.05-0.84 units/min
Vol: 7.4-126 mls/hr
Vasopressin 2X 0.88 units/ml
Dose: 0.0003-0.0051 units/kg/min
Amt: 0.05-0.84 units/min
Vol: 3.4-57 mls/hr
Vasodilators 165 kg
Nicardipine 100 mcg/ml
Dose: 0.5-5 mcg/kg/min
Amt: 83-825 mcg/min
Vol: 50-495 mls/hr
Nitroglycerin 1X 200 mcg/ml
Dose: 0.25-4 mcg/kg/min
Amt: 41-660 mcg/min
Vol: 12-198 mls/hr
Nitroglycerin 2X 400 mcg/ml
Dose: 0.25-4 mcg/kg/min
Amt: 41-660 mcg/min
Vol: 6.2-99 mls/hr
Nitroprusside 1X 200 mcg/ml
Dose: 0.5-10 mcg/kg/min
Amt: 83-1,650 mcg/min
Vol: 25-495 mls/hr
Nitroprusside 2X 400 mcg/ml
Dose: 0.5-10 mcg/kg/min
Amt: 83-1,650 mcg/min
Vol: 12-248 mls/hr
ProstaglandinE1 1X 1 mcg/ml
Dose: 0.01-0.1 mcg/kg/min
Amt: 1.7-17 mcg/min
Vol: 99-990 mls/hr
ProstaglandinE1 2X 2 mcg/ml
Dose: 0.01-0.1 mcg/kg/min
Amt: 1.7-17 mcg/min
Vol: 50-495 mls/hr
Phentolamine 1X 20 mcg/ml
Dose: 0.05-0.1 mcg/kg/min
Amt: 8.3-17 mcg/min
Vol: 25-50 mls/hr
Phentolamine 2X 40 mcg/ml
Dose: 0.05-0.1 mcg/kg/min
Amt: 8.3-17 mcg/min
Vol: 12-25 mls/hr
Antiarrythmics 165 kg
Lidocaine 1X 4000 mcg/ml
Dose: 10-60 mcg/kg/min
Amt: 1,650-9,900 mcg/min
Vol: 25-149 mls/hr
Lidocaine 2X 8000 mcg/ml
Dose: 10-60 mcg/kg/min
Amt: 1,650-9,900 mcg/min
Vol: 12-74 mls/hr
Procainamide 1X 2 mcg/ml
Dose: 20-80 mcg/kg/min
Amt: 3,300-13,200 mcg/min
Vol: 99-396 mls/hr
Procainamide 2X 4 mcg/ml
Dose: 20-80 mcg/kg/min
Amt: 3,300-13,200 mcg/min
Vol: 50-198 mls/hr
Esmolol 1X 10 mcg/ml
Dose: 0.1-0.5 mcg/kg/min
Amt: 17-83 mcg/min
Vol: 99-495 mls/hr
Esmolol 2X 25 mcg/ml
Dose: 0.1-0.5 mcg/kg/min
Amt: 17-83 mcg/min
Vol: 40-198 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 165 kg
Intralipid Bolus 10%
Dose: 1.5 mls/kg
Amt: 248 mls
Vol: 248 mls
Intralipid gtt 10%
Dose: 0.25-0.5 mls/kg/hr
Amt: 41-83 mls/hr
Rate: 41-83 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 165 kg
Congenital
Cardiac
Pulmonary
Pain/Sedation Score 165 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: |
|
|
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 165 kg
References
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