Room Setup 180 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 180 kg
Weight:
180 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:
1080-1440 mls
NPO
Food/Formula:
6 hrs
Clears:
2 hrs
Airway 180 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 180 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
3.6-10.8 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
0.90-3.6 mls
 
PONV 180 kg
Dexamethasone 4 mg/ml
Dose: 22 mg
Amt: 0.12 mg/kg
Vol: 5.4 mls
 
Odansetron 2 mg/ml
Dose: 11 mg
Amt: 0.06 mg/kg
Vol: 5.4 mls
 
Dolasetron 12.5 mg/ml
Dose: 63 mg
Amt: 0.35 mg/kg
Vol: 5.0 mls
 
Granisetron 100 mcg/ml
Dose: 1,800 mcg
Amt: 10 mgc/kg
Vol: 18 mls
 
Famotidine 10 mg/ml
Dose: 45 mg
Amt: 0.25 mg/kg
Vol: 4.5 mls
 
Ranitidine 25 mg/ml
Dose: 50 mg
Amt: mg/kg
Vol: 2.0 mls
 
Sedation 180 kg
Midazolam IV 1 mg/ml
Dose: 0.02-0.06 mg/kg MAX: 10 mg
Amt: 3.6-10 mg
Vol: 3.6-10 mls
 
Midazolam PO 5 mg/ml
Dose: 0.02-0.05 mg/kg MAX: 20 mg
Amt: 3.6-9.0 mg
Vol: 0.72-1.8 mls
 
Midazolam IN 5 mg/ml
Dose: 0.055555555555556-0.06 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: 90-180 mg
Vol: 9.0-18 mls
 
Propofol gtt 10 mg/ml
Dose: 25-75 mcg/kg/min
Amt: 4.5-14 mg/min
Vol: 27-81 mls/hr
 
Fentany IV 50 mcg/ml
Dose: 1-3 mcg/kg
Amt: 180-540 mcg
Vol: 3.6-11 mls
 
Fentanyl IN 50 mcg/ml
Dose: 0.5-2 mcg/kg
Amt: 90-360 mcg
Vol: 1.8-7.2 mls
 
Ketamine IV 50 mg/ml
Dose: 0.5-2 mg/kg
Amt: 90-360 mg
Vol: 1.8-7.2 mls
 
Ketamine IM 50 mg/ml
Dose: 3-6 mg/kg
Amt: 540-1,080 mg
Vol: 11-22 mls
 
Precedex IV 10 mcg/ml
Dose: 0.5-2 mcg/kg
Amt: 90-360 mcg
Vol: 9.0-36 mls
 
Precedex gtt 10 mcg/ml
Dose: 0.2-0.8 mcg/kg/hr
Amt: 36-144 mcg/hr
Vol: 3.6-14mls/hr
 
Precedex IN 10 mcg/ml
Dose: 0.5-2 mcg/kg
Amt: 90-360 mcg
Vol: 9.0-36 mls
 
Precedex PO 100 mcg/ml
Dose: 1-4 mcg/kg
Amt: 180-720 mcg
Vol: 1.8-7.2 mls
Benadryl IV 10 mg/ml
Dose: 1-4 mg/kg
Amt: 180-720 mg
Vol: 18-72 mls
 
Narcotics 180 kg
Fetanyl 50 mcg/ml
Dose: 0.5-2 mcg/kg
Amt: 90-360 mcg
Vol: 1.8-7.2 mls
 
Remifentanil 50 mcg/ml
Dose: 0.5-1 mcg/kg
Amt: 90-180 mcg
Vol: 1.8-3.6 mls
 
Remifentanil gtt 50 mcg/ml
Dose: 0.1-0.2 mcg/kg/min
Amt: 18-36 mcg/min
Vol: 22-43 mls/hr
 
Sufentanil 10 mcg/ml
Dose: 0.1-0.2 mcg/kg
Amt: 18-36 mcg
Vol: 1.8-3.6 mls
 
Morphine 1 mg/ml
Dose: 0.05-0.15 mg/kg
Amt: 9.0-27 mg
Vol: 9.0-27 mls
 
Morphine gtt 1 mg/ml
Dose: 0.01-0.03 mg/kg/min
Amt: 1.8-5.4 mg/min
Vol: 108-324 mls/hr
 
Dilaudid 2000 mcg/ml
Dose: 5-10 mcg/kg
Amt: 900-1,800 mcg
Vol: 0.45-0.90 mls
 
Dilaudid gtt 100 mcg/ml
Dose: 5-10 mcg/kg/hr
Amt: 900-1,800 mcg/hr
Vol: 9.0-18 mls/hr
 
Demerol 5 mg/ml
Dose: 0.2-0.5 mg/kg
Amt: 36-90 mg
Vol: 7.2-18 mls
 
Induction 180 kg
Propofol 10 mg/ml
Dose: 2-3 mg/kg
Amt: 360-540 mg
Vol: 36-54 mls
 
Propofol gtt 10 mg/ml
Dose: 50-150 mcg/kg/min
Amt: 9.0-27 mg/min
Vol: 54-162 mls/hr
 
Etomidate 2 mg/ml
Dose: 0.2-0.6 mg/kg
Amt: 36-108 mg
Vol: 18-54 mls
 
Midazolam 1 mg/ml
Dose: 0.15-0.3 mg/kg
Amt: 27-54 mg
Vol: 27-54 mls
 
Remifentanil 50 mcg/ml
Dose: 0.5-1 mcg/kg
Amt: 90-180 mcg
Vol: 1.8-3.6 mls
 
Remifentanil gtt 50 mcg/ml
Dose: 0.1-0.3 mcg/kg/min
Amt: 18-54 mcg/min
Vol: 22-65 mls/hr
 
Ketamine IV 10 mg/ml
Dose: 1-2 mg/kg
Amt: 180-360 mg
Vol: 18-36 mls
 
Ketamine IM 10 mg/ml
Dose: 3-21 mg/kg
Amt: 540-3,780 mg
Vol: 54-378 mls
 
Ketothol 10 mg/ml 1:1
Dose: 1-2 mg/kg
Amt: 180-360 mg
Vol: 18-36 mls
 
Thiopental 10 mg/ml
Dose: 3-4 mg/kg
Amt: 540-720 mg
Vol: 54-72 mls
 
Methohexital IV 10 mg/ml
Dose: 1-1.5 mg/kg
Amt: 180-270 mg
Vol: 18-27 mls
 
Methohexital IM 50 mg/ml
Dose: 6-10 mg/kg
Amt: 1,080-1,800 mg
Vol: 22-36 mls
 
Methohexital PR 10 mg/ml
Dose: 25 mg/kg
Amt: 4,500 mg
Vol: 450 mls
 
Neuromuscular Blockers 180 kg
Succinylcholine IV 20 mg/ml
Dose: 1-2 mg/kg
Amt: 180-360 mg
Vol: 9.0-18 mls
 
Succinylcholine IM 20 mg/ml
Dose: 2.5-4 mg/kg
Amt: 450-720 mg
Vol: 23-36 mls
 
Rocuronium LD 10 mg/ml
Dose: 0.6-1 mg/kg
Amt: 108-180 mg
Vol: 11-18 mls
 
Rocuronium MD 10 mg/ml
Dose: 0.1 mg/kg
Amt: 18 mg
Vol: 1.8 mls
 
Nimbex LD 2 mg/ml
Dose: 0.1-0.2 mg/kg
Amt: 18-36 mg
Vol: 9.0-18 mls
 
Nimbex MD 2 mg/ml
Dose: 0.03 mg/kg
Amt: 5.4 mg
Vol: 2.7 mls
 
Vecuronium LD 1 mg/ml
Dose: 0.08-0.1 mg/kg
Amt: 14-18 mg
Vol: 14-18 mls
 
Vecuronium MD 1 mg/ml
Dose: 0.01-0.015 mg/kg
Amt: 1.8-2.7 mg
Vol: 1.8-2.7 mls
 
Mivacurium LD 2 mg/ml
Dose: 0.2 mg/kg
Amt: 36 mg
Vol: 18 mls
 
Mivacurium MD 2 mg/ml
Dose: 0.1 mg/kg
Amt: 18 mg
Vol: 9.0 mls
 
Atracurium LD 10 mg/ml
Dose: 0.4-0.5 mg/kg
Amt: 72-90 mg
Vol: 7.2-9.0 mls
 
Atracurium MD 10 mg/ml
Dose: 0.08-0.1 mg/kg
Amt: 14-18 mg
Vol: 1.4-1.8 mls
 
Atracurium gtt 10 mg/ml
Dose: 2-15 mcg/kg/min
Amt: 22-162 mg/min
Vol: 2.2-16 mls/hr
 
Pancuronium LD1 mg/ml
Dose: 0.04-0.1 mg/kg
Amt: 7.2-18 mg
Vol: 7.2-18 mls
 
Pancuronium MD 1 mg/ml
Dose: 0.01 mg/kg
Amt: 1.8 mg
Vol: 1.8 mls
 
Reversals 180 kg
Atropine 1000 mcg/ml
Atropine: Atropan ®
Dose: 10-20 mcg/kg
Amt: 1,800-3,600 mcg
Vol: 1.8-3.6 mls
 
Glycopyrrolate 200 mcg/ml
Dose: 6-9 mcg/kg
Amt: 1,080-1,620 mcg
Vol: 5.4-8.1 mls
 
Naloxone OD 0.4 mg/ml
Dose: 0.01-0.02 mg/kg
Amt: 1.8-3.6 mg
Vol: 4.5-9.0 mls
 
Naloxone 0.4mg/ml
Dose: 0.01 mg/kg
Amt: 1.8 mg
Vol: 4.5 mls
 
Nubain 10mg/ml
Dose: 0.07 mg/kg
Amt: 13 mg
Vol: 1.3 mls
 
Flumazenil 0.1mg/ml
Dose: 0.01 mg/kg
Amt: 1.8 mg
Vol: 18 mls
 
Neostigmine 1mg/ml
Dose: 0.022222222222222 mg/kg
Amt: 4 mg
Vol: 4 mls
 
Pyridostigmine 5 mg/ml
Dose: 0.05-0.25 mg/kg
Amt: 9.0-45 mg
Vol: 1.8-9.0 mls
 
Edrophonium 10 mg/ml
Dose: 0.5-1.5 mg/kg
Amt: 90-270 mg
Vol: 9.0-27 mls
 
Sugammadex 100 mcg/ml
Dose: 2-4 mcg/kg
Amt: 360-720 mcg
Vol: 3.6-7.2 mls
 
Fluids & Blood 180 kg
Maintenance Fluid Rate: 220
Dose: 4:2:1 Rule
Amt: 220 mls/hr
 
Glucose: D5 (5 g Dextrose/100 mls)
Dose: 1-2 mg/kg/min
Amt: 216-432 mls/hr
 
NPO 10 hrs
Dose: 4:2:1 Rule
Amt: 2200 mls
 
Fluid Bolus
Dose: 20 mls/kg
Amt: 3600 mls
 
5% Albumin 5%
Dose: 5-10 mls/kg
Amt: 900-1800 mls
 
25% Albumin 25%
Dose: 4-8 mls/kg
Amt: 720-1440 mls
 
Mannitol 12.5%
Dose: 2-8 mls/kg
Amt: 360-1440 mls
 
Intralipid 20%
Dose: 1.5-3 mls/kg
Amt: 270-540 mls
 
Intralipid gtt 20%
Dose: 0.25 mls/kg/hr
Amt: 45 mls/hr
 
Estimated Blood Volume
Amt: 11700(♀) 13500(♂) mls
 
Alllowable Blood Loss
Effect: Lower Hct by 3-5%
Amt: 585(♀) 675(♂) mls
 
Transfusion Threshold
Dose: Hct to Tx
Amt: 21%
 
PRBC
Dose: 7-10 mls/kg
Amt: 1260-1800 mls
Effect: Raise Hct 3-5%
 
FFP
Dose: 10-20 mls/kg
Amt: 1800-2700 mls
Effect: Increase Factors 10-15%
 
Cryoprecipitate
Dose: 10-20 mls/kg
Amt: 540 mls
Effect: Raise FBGN 100 mg/dl
 
Platelets
Dose: 10-15 mls/kg
Amt: 1800-2700 mls
Effect: Increase Plt 30-50K
 
Factor VIII 1 IU/ml
Dose: 10 IU/kg
Amt: 1800-2790 mls
Effect: Increase VIII 20-25 %
 
Factor IX 1 IU/ml
Dose: 20 IU/kg
Amt: 1800-2250 mls
Effect: Increase VIII 20-25 %
 
Factor VII 1000 mcg/ml
Dose: 90 mcg/kg before incision
Amt: 16.2 mg
Vol: 16.2mls q 2 hrs
 
Humate P Rx: VIII def 50 IU/ml
Dose: 40-60 IU/kg
Amt: 7200-10800 IU x 1
Vol: 144.0-216.0 mls
Then 72.0-108.0 mls q8h
 
Humate P Rx: VWF def 120 IU/ml
Dose: 40-80 IU/kg
Amt: 7200-14400 IU x 1
Vol: 60.0-120.0 mls
Then 60.0-90.0 mls q8h Type 2/3
60.0-90.0 mls q24h Type 1
 
PPC 25 units/ml
Dose: 25-50 units/kg for INR 2-6
Amt: 4500-9000 units
Vol: 180-360 mls
 
Antithrombin III 100 u/ml
Dose: 25-30 u/kg for INR 2-6
Amt: 4500-5400 u
Effect: Increase AT3 level 20-30%
 
Desmopressin 4 mcg/ml
Dose: 0.1-0.3 mcg/kg o 30 min
Amt: 18-54 mcg
Vol: 4.5-13.5 mls
 
Tranxemic Acid LD 100 mg/ml
Dose: 10-30 mg/kg/hr
Amt: 1800-5400 mg
Vol: 18-54 mls
 
Tranxemic Acid MD 10 mg/ml
Dose: 2-10 mg/kg/hr
Amt: 360-1800 mg
Vol: 90-180 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 180 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: 1080-1440 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 180 kg
Epinephrine 1 mcg/ml
Dose: 0.1 mcg/kg *Slowly!
Amt: 18 mcg
Vol: 18 mls
 
Epinephrine SQ 1 mg/ml
Dose: 0.0055555555555556 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: 180 mg
Vol: 3.6 mls
 
Methylprednisolone 125 mg/ml
Dose: 0.5-2 mg/kg (÷ into q6-q12)
Amt: 90-360 mg (÷ into q6-q12)
Vol: 0.72-2.9 mls (÷ into q6-q12)
 
Dexamethasone 1 mg/ml
Dose: 0.5-1 mg/kg
Amt: 90-180 mg
Vol: 90-180 mls
 
Ketamine 100 mg/ml
Dose: 0.5-1 mg/kg
Amt: 90-180 mg
Vol: 0.90-1.8 mls
 
Magnesium 500 mg/ml
Dose: 25-50 mg/kg
Amt: 4,500-8 mg
Vol: 9.0-18 mls (over 20 min)
 
CPR 180 kg
Defibrillation
Dose: 2-4 J/kg (Max 10 J)
Amt: 360-720 Joules
Vol: Start with 360 Joules
 
Cardioversion
Dose: 0.5-1 J/kg (Max 4 J)
Amt: 90-180Joules
Vol: Start with 90 Joules
 
Atropine: Atropan ®1 mg/ml
Dose: 0.02 mg/kg
Amt: 3.6 mg
Vol: 3.6 mls
Max Dose: 2 mg
 
Epinephrine IV/IO 1 mg/ml
Dose: 0.01 mg/kg
Amt: 1.8 mg
Vol: 1.8 mls
 
EpinephrineETT 1 mg/ml
Dose: 0.1 mg/kg
Amt:
Vol: 18 mls
 
Bicarbonate 1 meg/ml
Dose: 1 meg/kg
Amt: 180 meg
Vol: 180 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: 9-18 mg
Vol: 7.2-14.4 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: 360-540 mg
Vol: 36-54 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: 45-180 g
Vol: 180-720 mls
 
Dextrose 50 0.5 mg/ml
Dose: 0.25-1 g/kg
Amt: 45-180 g
Vol: 90-360 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: 45-63 mg
Vol: 9-12.6 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: 0.25-1.6666666666667 mg/kg
Amt: 45-300 mg
Vol: 9-60 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: 1080 mg, 0.5 mg/kg/hr
Amt: 90 mg/hr
Vol: 3.6 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: 18-10 mcg
Vol: 18-10 mls
 
Inotropes 180 kg
Epinephrine 1X 4 mcg/ml
Dose: 0.1-1 mcg/kg/min
Amt: 18-180 mcg/min
Vol: 270-2,700 mls/hr
 
Epinephrine 2X 8 mcg/ml
Dose: 0.1-1 mcg/kg/min
Amt: 18-180 mcg/min
Vol: 135-1,350 mls/hr
 
Epinephrine 4X 16 mcg/ml
Dose: 0.1-1 mcg/kg/min
Amt: 18-180 mcg/min
Vol: 68-675 mls/hr
 
Epinephrine 8X 32 mcg/ml
Dose: 0.1-1 mcg/kg/min
Amt: 18-180 mcg/min
Vol: 34-338 mls/hr
 
Dopamine 1X 1600 mcg/ml
Dose: 2-20 mcg/kg/min
Amt: 360-3,600 mcg/min
Vol: 14-135 mls/hr
 
Dopamine 2X 3200 mcg/ml
Dose: 2-20 mcg/kg/min
Amt: 360-3,600 mcg/min
Vol: 6.8-68 mls/hr
 
Dopamine 4X 6400 mcg/ml
Dose: 2-20 mcg/kg/min
Amt: 360-3,600 mcg/min
Vol: 3.4-34 mls/hr
 
Dobutamine 1X 1600 mcg/ml
Dose: 2-20 mcg/kg/min
Amt: 360-3,600 mcg/min
Vol: 14-135 mls/hr
 
Dobutamine 2X 3200 mcg/ml
Dose: 2-20 mcg/kg/min
Amt: 360-3,600 mcg/min
Vol: 6.8-68 mls/hr
 
Dobutamine 4X 6400 mcg/ml
Dose: 2-20 mcg/kg/min
Amt: 360-3,600 mcg/min
Vol: 3.4-34 mls/hr
 
Isoproterenol 1X 4 mcg/ml
Dose: 0.025-0.2 mcg/kg/min
Amt: 4.5-36 mcg/min
Vol: 68-540 mls/hr
 
Isoproterenol 2X 8 mcg/ml
Dose: 0.025-0.2 mcg/kg/min
Amt: 4.5-36 mcg/min
Vol: 34-270 mls/hr
 
Milrinone 1X 200 mcg/ml
Dose: 0.25-0.75 mcg/kg/min
Amt: 45-135 mcg/min
Vol: 14-41 mls/hr
 
Milrinone 2X 400 mcg/ml
Dose: 0.25-0.75 mcg/kg/min
Amt: 45-135 mcg/min
Vol: 6.8-20 mls/hr
 
Vasoconstrictors 180 kg
Norepinephrine 1X 4 mcg/ml
Dose: 0.1-1 mcg/kg/min
Amt: 18-180 mcg/min
Vol: 270-2,700 mls/hr
 
Norepinephrine 2X 8 mcg/ml
Dose: 0.1-1 mcg/kg/min
Amt: 18-180 mcg/min
Vol: 135-1,350 mls/hr
 
Norepinephrine 4X 16 mcg/ml
Dose: 0.1-1 mcg/kg/min
Amt: 0.1-1 mcg/kg/min
Vol: 68-675 mls/hr
 
Norepinephrine 8X 32 mcg/ml
Dose: 0.1-1 mcg/kg/min
Amt: 18-180 mcg/min
Vol: 34-338 mls/hr
 
Norepinephrine 16X 64 mcg/ml
Dose: 0.1-1 mcg/kg/min
Amt: 18-180 mcg/min
Vol: 17-169 mls/hr
 
Phenylephrine 1X 40 mcg/ml
Dose: 0.1-1 mcg/kg/min
Amt: 18-180 mcg/min
Vol: 27-270 mls/hr
 
Phenylephrine 2X 80 mcg/ml
Dose: 0.1-1 mcg/kg/min
Amt: 18-180 mcg/min
Vol: 14-135 mls/hr
 
Phenylephrine 4X 160 mcg/ml
Dose: 0.1-1 mcg/kg/min
Amt: 18-180 mcg/min
Vol: 6.8-68 mls/hr
 
Phenylephrine 8X 320 mcg/ml
Dose: 0.1-1 mcg/kg/min
Amt: 18-180 mcg/min
Vol: 3.4-34 mls/hr
 
Phenylephrine 16X 640 mcg/ml
Dose: 0.1-1 mcg/kg/min
Amt: 18-180 mcg/min
Vol: 1.7-17 mls/hr
 
Vasopressin 1X 0.4 units/ml
Dose: 0.0003-0.0051 units/kg/min
Amt: 0.05-0.92 units/min
Vol: 8.1-138 mls/hr
 
Vasopressin 2X 0.88 units/ml
Dose: 0.0003-0.0051 units/kg/min
Amt: 0.05-0.92 units/min
Vol: 3.7-63 mls/hr
 
Vasodilators 180 kg
Nicardipine 100 mcg/ml
Dose: 0.5-5 mcg/kg/min
Amt: 90-900 mcg/min
Vol: 54-540 mls/hr
 
Nitroglycerin 1X 200 mcg/ml
Dose: 0.25-4 mcg/kg/min
Amt: 45-720 mcg/min
Vol: 14-216 mls/hr
 
Nitroglycerin 2X 400 mcg/ml
Dose: 0.25-4 mcg/kg/min
Amt: 45-720 mcg/min
Vol: 6.8-108 mls/hr
 
Nitroprusside 1X 200 mcg/ml
Dose: 0.5-10 mcg/kg/min
Amt: 90-1,800 mcg/min
Vol: 27-540 mls/hr
 
Nitroprusside 2X 400 mcg/ml
Dose: 0.5-10 mcg/kg/min
Amt: 90-1,800 mcg/min
Vol: 14-270 mls/hr
 
ProstaglandinE1 1X 1 mcg/ml
Dose: 0.01-0.1 mcg/kg/min
Amt: 1.8-18 mcg/min
Vol: 108-1,080 mls/hr
 
ProstaglandinE1 2X 2 mcg/ml
Dose: 0.01-0.1 mcg/kg/min
Amt: 1.8-18 mcg/min
Vol: 54-540 mls/hr
 
Phentolamine 1X 20 mcg/ml
Dose: 0.05-0.1 mcg/kg/min
Amt: 9.0-18 mcg/min
Vol: 27-54 mls/hr
 
Phentolamine 2X 40 mcg/ml
Dose: 0.05-0.1 mcg/kg/min
Amt: 9.0-18 mcg/min
Vol: 14-27 mls/hr
 
Antiarrythmics 180 kg
Lidocaine 1X 4000 mcg/ml
Dose: 10-60 mcg/kg/min
Amt: 1,800-10,800 mcg/min
Vol: 27-162 mls/hr
 
Lidocaine 2X 8000 mcg/ml
Dose: 10-60 mcg/kg/min
Amt: 1,800-10,800 mcg/min
Vol: 14-81 mls/hr
 
Procainamide 1X 2 mcg/ml
Dose: 20-80 mcg/kg/min
Amt: 3,600-14,400 mcg/min
Vol: 108-432 mls/hr
 
Procainamide 2X 4 mcg/ml
Dose: 20-80 mcg/kg/min
Amt: 3,600-14,400 mcg/min
Vol: 54-216 mls/hr
 
Esmolol 1X 10 mcg/ml
Dose: 0.1-0.5 mcg/kg/min
Amt: 18-90 mcg/min
Vol: 108-540 mls/hr
 
Esmolol 2X 25 mcg/ml
Dose: 0.1-0.5 mcg/kg/min
Amt: 18-90 mcg/min
Vol: 43-216 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 180 kg
Intralipid Bolus 10%
Dose: 1.5 mls/kg
Amt: 270 mls
Vol: 270 mls
 
Intralipid gtt 10%
Dose: 0.25-0.5 mls/kg/hr
Amt: 45-90 mls/hr
Rate: 45-90 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 180 kg
 
Congenital
 
 
 
 
 
Cardiac
 
 
 
Pulmonary
 
 
 
Pain/Sedation Score 180 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 180 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