Room Setup 19 kg
Circut:
Pedi 15 mm, 1 Liter Bag
ETT:
5.0 Cuffed
ETT Dist:
16-17 cm
NETT Cuffed:
4.5 mm
NETT Dist:
18-20 cm
Red Robinson:
18 Fr
Oral Airway:
60-70 mm
Blade:
Miller 2/Mac 3/4
CMAC:
2
McGrath:
2
VideoScope:
2-3
LMA:
#2.5
LMAVol:
14 mls
Mask:
Child
BP Cuff:
Green 12-19 cm
Propofol:
10 mls @ (10 mg/ml)
Fentanyl:
2 mls @ (50 mcg/ml)
Lidocaine:
2 mls @ (20 mg/ml)
Precedex:
* 3 mls @ (4 mcg/kg)
Clonidine:
* 0.25 mls (100 mcg/ml)
McGills:
Dental-> McGills
Oxymetazoline:
(Nasal Intub)
Succinylcholine:
5 mls @ (20 mg/ml)
Rocuonium:
2 mls @ (10 mg/ml)
Zofran:
0.7 mls @ (2 mg/ml)
Dexamethasone:
0.7 mls @ (4mg/ml)
Atropine:
0.5 @ (1 mg/ml)
Glycopyrrolate:
1 mls @ (0.2 mg/ml)
Neostigmine:
1.6 mls @ (1 mg/ml)
Suggammadex:
* 0.9 mls @ (100 mcg/ml)
Ephedrine:
* 3 mls @ (0.5 mg/ml)
Neosynephrine:
* 10 mls @ (10 mcg/ml)
Key:
* = Optional
Diluted Solution
Vital Signs 19 kg
Weight:
19 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:
114-184 mls
NPO
Food/Formula:
6 hrs
Clears:
2 hrs
Airway 19 kg
ETT Uncuffed:
5.5 mm
ETT Cuffed:
5.0 mm
ETT Dist:
16-17 cm
NETT Cuffed:
4.5 mm
NETT Dist:
18-20 cm
Red Robinson:
18 mm
BB/DLT:
5 Fr Blocker
Blade:
Miller/Mac 2
CMAC:
2
McGrath:
2
VideoScope:
2-3
LMA:
#2.5
LMAVol:
14 mls
Mask:
Child
Oral Airway:
60-70 mm
NP Airway:
24 Fr
Suction Cath:
10 Fr
NG Tube:
12-14 Fr
Chest Tube:
24-32 Fr
Foley:
10-12 Fr
Pretreatments 19 kg
Atropine: Atropan ® 1mg/ml
Dose: 0.02 mg/kg MAX: 2 mg
Amt: 0.38 mg
Vol: 0.38 mls
Glycopyrrolate: Robinul ® 0.4mg/ml
Dose: 0.01 mg/kg MAX: 1 mg
Amt: 0.19 mg
Vol: 0.48 mls
Lidocaine: Xylocaine ® 10 mg/ml:
Dose: 1-2 mg/kg MAX: 4 mg
Amt: 19-38 mg
Vol: 1.9-3.8 mls
Fentanyl: Sublimaze ® 50 mcg/ml:
Dose: 1-3 mcg/kg
Amt: 19-57 mcg
Vol: 0.38-1.14 mls
Midazolam: Versed ® 5 mg/ml:
Dose: 0.25-0.50 mg/kg MAX: 5 mg
Amt: 4.75-9.5 mg
Vol: 0.95-1.90 mls
Midazolam: Versed ® 5 mg/ml:
Dose: 0.15-0.26 mg/kg MAX: 5 mg
Amt: 2.85-5 mg
Vol: 0.57-1 mls
Dexmetomidine: Precedex ® 10 mcg/ml:
Dose: 0.05-0.2 mcg/kg
Amt: 0.95-3.8 mcg
Vol: 0.10-0.4 mls
PONV 19 kg
Dexamethasone 4 mg/ml
Dose: 2.3 mg
Amt: 0.12 mg/kg
Vol: 0.57 mls
Odansetron 2 mg/ml
Dose: 1.1 mg
Amt: 0.06 mg/kg
Vol: 0.57 mls
Dolasetron 12.5 mg/ml
Dose: 6.7 mg
Amt: 0.35 mg/kg
Vol: 0.53 mls
Granisetron 100 mcg/ml
Dose: 190 mcg
Amt: 10 mgc/kg
Vol: 1.9 mls
Famotidine 10 mg/ml
Dose: 4.8 mg
Amt: 0.25 mg/kg
Vol: 0.48 mls
Ranitidine 25 mg/ml
Dose: 9.5-19 mg
Amt: 0.5-1 mg/kg
Vol: 0.38-0.76 mls
Sedation 19 kg
Midazolam IV 1 mg/ml
Dose: 0.02-0.04 mg/kg MAX: 5 mg
Amt: 0.38-0.76 mg
Vol: 0.38-0.76 mls
Midazolam PO 5 mg/ml
Dose: 0.25-0.5 mg/kg MAX: 15 mg
Amt: 4.8-9.5 mg
Vol: 0.95-1.9 mls
Midazolam IN 5 mg/ml
Dose: 0.15-0.26 mg/kg MAX: 5 mg
Amt: 2.9-5.0 mg
Vol: 0.57-1.0 mls
Propofol Bolus 10 mg/ml
Dose: 0.5-1 mg/kg MAX: mg
Amt: 9.5-19 mg
Vol: 0.95-1.9 mls
Propofol gtt 10 mg/ml
Dose: 25-75 mcg/kg/min
Amt: 0.48-1.4 mg/min
Vol: 2.9-8.6 mls/hr
Fentany IV 50 mcg/ml
Dose: 1-3 mcg/kg
Amt: 19-57 mcg
Vol: 0.38-1.1 mls
Fentanyl IN 50 mcg/ml
Dose: 0.5-2 mcg/kg
Amt: 9.5-38 mcg
Vol: 0.19-0.76 mls
Ketamine IV 50 mg/ml
Dose: 0.5-2 mg/kg
Amt: 9.5-38 mg
Vol: 0.19-0.76 mls
Ketamine IM 50 mg/ml
Dose: 3-6 mg/kg
Amt: 57-114 mg
Vol: 1.1-2.3 mls
Ketamine PO 100 mg/ml
Dose: 3-6 mg/kg
Amt: 57-114 mg
Vol: 0.57-1.1 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: 9.5-38 mcg
Vol: 0.95-3.8 mls
Precedex gtt 10 mcg/ml
Dose: 0.2-0.8 mcg/kg/hr
Amt: 3.8-15 mcg/hr
Vol: 0.38-1.5mls/hr
Precedex IN 10 mcg/ml
Dose: 0.5-2 mcg/kg
Amt: 9.5-38 mcg
Vol: 0.95-3.8 mls
Precedex PO 100 mcg/ml
Dose: 1-4 mcg/kg
Amt: 19-76 mcg
Vol: 0.19-0.76 mls
>
Benadryl IV 10 mg/ml
Dose: 1-4 mg/kg
Amt: 19-76 mg
Vol: 1.9-7.6 mls
Narcotics 19 kg
Fetanyl 5 mcg/ml
Dose: 0.5-2 mcg/kg
Amt: 9.5-38 mcg
Vol: 1.9-7.6 mls
Remifentanil 20 mcg/ml
Dose: 0.5-1 mcg/kg
Amt: 9.5-19 mcg
Vol: 0.48-0.95 mls
Remifentanil gtt 20 mcg/ml
Dose: 0.1-0.2 mcg/kg/min
Amt: 1.9-3.8 mcg/min
Vol: 5.7-11 mls/hr
Sufentanil 1 mcg/ml
Dose: 0.1-0.2 mcg/kg
Amt: 1.9-3.8 mcg
Vol: 1.9-3.8 mls
Morphine 1 mg/ml
Dose: 0.05-0.15 mg/kg
Amt: 0.95-2.9 mg
Vol: 0.95-2.9 mls
Morphine gtt 1 mg/ml
Dose: 0.01-0.03 mg/kg/min
Amt: 0.19-0.57 mg/min
Vol: 11-34 mls/hr
Dilaudid 1000 mcg/ml
Dose: 5-10 mcg/kg
Amt: 95-190 mcg
Vol: 0.10-0.19 mls
Dilaudid gtt 10 mcg/ml
Dose: 5-10 mcg/kg/hr
Amt: 95-190 mcg/hr
Vol: 9.5-19 mls/hr
Demerol 5 mg/ml
Dose: 0.2-0.5 mg/kg
Amt: 3.8-9.5 mg
Vol: 0.76-1.9 mls
Induction 19 kg
Propofol 10 mg/ml
Dose: 2-3 mg/kg
Amt: 38-57 mg
Vol: 3.8-5.7 mls
Propofol gtt 10 mg/ml
Dose: 50-150 mcg/kg/min
Amt: 0.95-2.9 mg/min
Vol: 5.7-17 mls/hr
Etomidate 2 mg/ml
Dose: 0.2-0.4 mg/kg
Amt: 3.8-7.6 mg
Vol: 1.9-3.8 mls
Midazolam 1 mg/ml
Dose: 0.15-0.3 mg/kg
Amt: 2.9-5.7 mg
Vol: 2.9-5.7 mls
Remifentanil 20 mcg/ml
Dose: 0.5-1 mcg/kg
Amt: 9.5-19 mcg
Vol: 0.48-0.95 mls
Remifentanil gtt 20 mcg/ml
Dose: 0.1-0.3 mcg/kg/min
Amt: 1.9-5.7 mcg/min
Vol: 5.7-17 mls/hr
Ketamine IV 10 mg/ml
Dose: 1-2 mg/kg
Amt: 19-38 mg
Vol: 1.9-3.8 mls
Ketamine IM 10 mg/ml
Dose: 3-21 mg/kg
Amt: 57-399 mg
Vol: 5.7-40 mls
Ketothol 10 mg/ml 1:1
Dose: 1-2 mg/kg
Amt: 19-38 mg
Vol: 1.9-3.8 mls
Thiopental 10 mg/ml
Dose: 5-6 mg/kg
Amt: 95-114 mg
Vol: 9.5-11 mls
Methohexital IV 10 mg/ml
Dose: 1-1.5 mg/kg
Amt: 19-29 mg
Vol: 1.9-2.9 mls
Methohexital IM 50 mg/ml
Dose: 6-10 mg/kg
Amt: 114-190 mg
Vol: 2.3-3.8 mls
Methohexital PR 10 mg/ml
Dose: 25 mg/kg
Amt: 475 mg
Vol: 48 mls
Neuromuscular Blockers 19 kg
Succinylcholine IV 20 mg/ml
Dose: 1-2 mg/kg
Amt: 19-38 mg
Vol: 0.95-1.9 mls
Succinylcholine IM 20 mg/ml
Dose: 2.5-4 mg/kg
Amt: 48-76 mg
Vol: 2.4-3.8 mls
Rocuronium LD 10 mg/ml
Dose: 0.6-1 mg/kg
Amt: 11-19 mg
Vol: 1.1-1.9 mls
Rocuronium MD 10 mg/ml
Dose: 0.1 mg/kg
Amt: 1.9 mg
Vol: 0.19 mls
Nimbex LD 2 mg/ml
Dose: 0.1-0.2 mg/kg
Amt: 1.9-3.8 mg
Vol: 0.95-1.9 mls
Nimbex MD 2 mg/ml
Dose: 0.03 mg/kg
Amt: 0.57 mg
Vol: 0.29 mls
Vecuronium LD 1 mg/ml
Dose: 0.03 mg/kg
Amt: 0.57 mg
Vol: 0.57 mls
Vecuronium MD 1 mg/ml
Dose: 0.01-0.015 mg/kg
Amt: 0.19-0.29 mg
Vol: 0.19-0.29 mls
Mivacurium LD 2 mg/ml
Dose: 0.2 mg/kg
Amt: 3.8 mg
Vol: 1.9 mls
Mivacurium MD 2 mg/ml
Dose: 0.1 mg/kg
Amt: 1.9 mg
Vol: 0.95 mls
Atracurium LD 10 mg/ml
Dose: 0.4-0.5 mg/kg
Amt: 7.6-9.5 mg
Vol: 0.76-0.95 mls
Atracurium MD 10 mg/ml
Dose: 0.08-0.1 mg/kg
Amt: 1.5-1.9 mg
Vol: 0.15-0.19 mls
Atracurium gtt 10 mg/ml
Dose: 2-15 mcg/kg/min
Amt: 2.3-17 mg/min
Vol: 0.23-1.7 mls/hr
Pancuronium LD1 mg/ml
Dose: 0.04-0.1 mg/kg
Amt: 0.76-1.9 mg
Vol: 0.76-1.9 mls
Pancuronium MD 1 mg/ml
Dose: 0.01 mg/kg
Amt: 0.19 mg
Vol: 0.19 mls
Reversals 19 kg
Atropine 1000 mcg/ml
Atropine: Atropan ®
Dose: 10-20 mcg/kg
Amt: 190-380 mcg
Vol: 0.19-0.38 mls
Glycopyrrolate 200 mcg/ml
Dose: 6-9 mcg/kg
Amt: 114-171 mcg
Vol: 0.57-0.86 mls
Naloxone OD 0.4 mg/ml
Dose: 0.01-0.02 mg/kg
Amt: 0.19-0.38 mg
Vol: 0.48-0.95 mls
Naloxone 0.4mg/ml
Dose: 0.01 mg/kg
Amt: 0.19 mg
Vol: 0.48 mls
Nubain 10mg/ml
Dose: 0.07 mg/kg
Amt: 1.3 mg
Vol: 0.13 mls
Flumazenil 0.1mg/ml
Dose: 0.01 mg/kg
Amt: 0.19 mg
Vol: 1.9 mls
Neostigmine 1mg/ml
Dose: 0.07 mg/kg
Amt: 1.3 mg
Vol: 1.3 mls
Pyridostigmine 5 mg/ml
Dose: 0.05-0.25 mg/kg
Amt: 0.95-4.8 mg
Vol: 0.19-0.95 mls
Edrophonium 10 mg/ml
Dose: 0.5-1.5 mg/kg
Amt: 9.5-29 mg
Vol: 0.95-2.9 mls
Sugammadex 100 mcg/ml
Dose: 2-4 mcg/kg
Amt: 38-76 mcg
Vol: 0.38-0.76 mls
Fluids & Blood 19 kg
Maintenance Fluid Rate: 58
Dose: 4:2:1 Rule
Amt: 58 mls/hr
Glucose: D5 (5 g Dextrose/100 mls)
Dose: 2-3 mg/kg/min
Amt: 45.6-68.4 mls/hr
NPO 10 hrs
Dose: 4:2:1 Rule
Amt: 580 mls
Fluid Bolus
Dose: 20 mls/kg
Amt: 380 mls
5% Albumin 5%
Dose: 5-10 mls/kg
Amt: 95-190 mls
25% Albumin 25%
Dose: 4-8 mls/kg
Amt: 76-152 mls
Mannitol 12.5%
Dose: 2-8 mls/kg
Amt: 38-152 mls
Intralipid 20%
Dose: 1.5-3 mls/kg
Amt: 28.5-57 mls
Intralipid gtt 20%
Dose: 0.25 mls/kg/hr
Amt: 4.75 mls/hr
Estimated Blood Volume
Amt: 1330 mls
Alllowable Blood Loss
Effect: Lower Hct by 3-5%
Amt: 61.75(♀) 71.25(♂) mls
Transfusion Threshold
Dose: Hct to Tx
Amt: 21%
PRBC
Dose: 5-10mls/kg
Amt: 95-190 mls
Effect: Raise Hct 3-6%
FFP
Dose: 10-20 mls/kg
Amt: 190-285 mls
Effect: Increase Factors 10-15%
Cryoprecipitate
Dose: 10-20 mls/kg
Amt: 57 mls
Effect: Raise FBGN 100 mg/dl
Platelets
Dose: 10-15 mls/kg
Amt: 190-285 mls
Effect: Increase Plt 30-50K
Factor VIII 1 IU/ml
Dose: 10 IU/kg
Amt: 190-294.5 mls
Effect: Increase VIII 20-25 %
Factor IX 1 IU/ml
Dose: 20 IU/kg
Amt: 190-237.5 mls
Effect: Increase VIII 20-25 %
Factor VII 1000 mcg/ml
Dose: 90 mcg/kg before incision
Amt: 1.71 mg
Vol: 1.71mls q 2 hrs
Humate P Rx: VIII def 50 IU/ml
Dose: 40-60 IU/kg
Amt: 760-1140 IU x 1
Vol: 15.2-22.8 mls
Then 7.6-11.4 mls q8h
Humate P Rx: VWF def 120 IU/ml
Dose: 40-80 IU/kg
Amt: 760-1520 IU x 1
Vol: 6.3-12.7 mls
Then 6.3-9.5 mls q8h Type 2/3
6.3-9.5 mls q24h Type 1
PPC 25 units/ml
Dose: 25-50 units/kg for INR 2-6
Amt: 475-950 units
Vol: 19-38 mls
Antithrombin III 100 u/ml
Dose: 25-30 u/kg for INR 2-6
Amt: 475-570 u
Effect: Increase AT3 level 20-30%
Desmopressin 4 mcg/ml
Dose: 0.1-0.3 mcg/kg o 30 min
Amt: 1.9-5.7 mcg
Vol: 0.475-1.425 mls
Tranxemic Acid LD 100 mg/ml
Dose: 10-30 mg/kg/hr
Amt: 190-570 mg
Vol: 1.9-5.7 mls
Tranxemic Acid MD 10 mg/ml
Dose: 2-10 mg/kg/hr
Amt: 38-190 mg
Vol: 9.5-19 mls/hr
Amicar Bolus 250 mg/ml
Dose: 100-200 mg/kg
Amt: 1,900-3,800 mg
Max Amt: 30000 mg/d
Vol: 7.6-15 mls
Max Vol: 120 mls/d
Amicar gtt 250 mg/ml
Dose: 33.3 mg/kg/hr
Amt: 633 mg
Max Amt: 1000 mg/h
Vol: 2.5 mls
Max Vol: 4.0 mls/h
Ventilator 19 kg
The Ventilator settings have not been vetted or checked.
Preferred Vent Method: PCV+PS
RR: 20-30 br/min
Vt Dose: 6-8 mls/kg
Vt: 114-152 mls
PCV
RR: 20-30 br/min
IT: .8 secs
PIP: 12-18 cmH2O
PEEP: 3-5 cmH2O
Compliance: Inc Comp => Inc Paw
Pmax: 35 cmH2O
IRT: IRT Table shows seconds per breath
and the Isp Rise Time (IRT)
as a 0,5,10,15,20 % of the breath
Sec: 0 6 3 2 1.5
%: 0 5 10 15 20
RR 10: 0 0.30 0.60 0.90 1.2
RR 20: 0 0.15 0.30 0.45 0.60
RR 30: 0 0.10 0.20 0.30 0.40
RR 40: 0 0.08 0.15 0.23 0.30
I:E Ratios:
IE@ IT 0.8 secs
RR: 10 => IE: 1:5
RR: 20 => IE: 4:10
RR: 30 => IE: 7:10
RR: 40 => IE: 11:10
PSPro
PIP: 12 cmH2O
RR: 10 br/min
Flow: 1 l/min
PS: 15 cmH2O
PEEP: 5 cmH2O
Pulmonary Medications 19 kg
Epinephrine 1 mcg/ml
Dose: 0.1 mcg/kg *Slowly!
Amt: 1.9 mcg
Vol: 1.9 mls
Epinephrine SQ 1 mg/ml
Dose: 0.01 mg IM/SQ
Amt: 0.19 mg IM/SQ
Vol: 0.19 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: 19 mg
Vol: 0.38 mls
Methylprednisolone 40 mg/ml
Dose: 0.5-2 mg/kg (÷ into q6-q12)
Amt: 9.5-38 mg (÷ into q6-q12)
Vol: 0.24-0.95 mls (÷ into q6-q12)
Dexamethasone 1 mg/ml
Dose: 0.5-1 mg/kg
Amt: 9.5-19 mg
Vol: 9.5-19 mls
Ketamine 100 mg/ml
Dose: 0.5-1 mg/kg
Amt: 9.5-19 mg
Vol: 0.10-0.2 mls
Magnesium 500 mg/ml
Dose: 25-50 mg/kg
Amt: 475-950 mg
Vol: 0.95-1.9 mls (over 20 min)
CPR 19 kg
Bicarbonate (HCO3) Dose
Conc: 1 meq/ml
Formula: 0.3 * wt * BaseExcess
Base Excess: -5
Dose: 28.5 meq
Vol: 28.5 mls
Conc: 1 meq/ml
Formula: 0.3 * wt * BaseExcess
Base Excess: -10
Dose: 57 meq
Vol: 57 mls
Defibrillation
Dose: 2-4 J/kg (Max 10 J)
Amt: 38-76 Joules
Vol: Start with 38 Joules
Cardioversion
Dose: 0.5-1 J/kg (Max 4 J)
Amt: 9.5-19Joules
Vol: Start with 9.5 Joules
Atropine: Atropan ®1 mg/ml
Dose: 0.02 mg/kg
Amt: 0.38 mg
Vol: 0.38 mls
Max Dose: 1 mg
Epinephrine IV/IO 1 mg/ml
Dose: 0.01 mg/kg
Amt: 0.19 mg
Vol: 0.19 mls
EpinephrineETT 1 mg/ml
Dose: 0.1 mg/kg
Amt:
Vol: 1.9 mls
Bicarbonate 1 meg/ml
Dose: 1 meg/kg
Amt: 19 meg
Vol: 19 mls
Adenosine 3 mg/ml
Dose: 0.10-0.30 mg/kg
Amt: 1.90-5.70 mg
Vol: 0.63-1.90 mls
Vol: MAX 6 mg
Enalapril 1.25 mg/ml
Dose: 0.05-0.1 mg/kg
Amt: 0.95-1.9 mg
Vol: 0.76-1.52 mls
Ephedrine 5 mg/ml
Dose: 0.7-1.4 mg/kg/hr
Amt: 13.3-26.6 mg/hr
Vol: 2.66-5.32 mls/hr
Calcium 100 mg/ml
Dose: 2-3 mg/kg
Amt: 38-57 mg
Vol: 3.8-5.7 mls
Calcium Gluconate 100 mg/ml
Dose: 20-40 mg/kg
Amt: 380-760 mg
Vol: 3.8-7.6 mls
Dextrose 25 0.25 g/ml
Dose: 0.25-1 g/kg
Amt: 4.75-19 g
Vol: 19-76 mls
Dextrose 50 0.5 mg/ml
Dose: 0.25-1 g/kg
Amt: 4.75-19 g
Vol: 9.5-38 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: 4.75-6.65 mg
Vol: 0.95-1.33 mls
Diltiazem gtt 1 mg/ml
Dose: 0.07-0.14 mg/kg/hr
Amt: 1.33-2.66 mg/hr
Vol: 1.33-2.66 mls/hr
Hydralazine 20 mg/ml
Dose: 0.07-0.28 mg/kg, MAX 20 mg
Amt: 1.3-5.3 mg
Vol: 0.07-0.27 mls
Labetalol 5 mg/ml
Dose: 0.2-1 mg/kg, MAX mg
Amt: 3.8-19 mg
Vol: 0.76-3.8 mls
Lidocaine 10 mg/ml
Dose: 1-2 mg/kg, MAX mg
Amt: 19-38 mg
Vol: 1.9-3.8 mls
Magnesium 500 mg/ml
Dose: 25-132 mg/kg, MAX 2500 mg
Amt: 475-2500 mg over 10-20 minutes
Vol: 0.95-5 mls
Sidenafil 0.8 mg/ml
Dose: 0.25-0.5 mg/kg, MAX 20 mg
Amt: 4.8-9.5 mg
Vol: 5.9-12 mls
Aminophylline 25 mg/ml
Dose: LD: 114 mg, 1 mg/kg/hr
Amt: 19 mg/hr
Vol: 0.76 mls/hr
Propranolol TET 1 mg/ml
Dose: 0.05-0.1 mg/kg, MAX 3 mg
Amt: 0.95-1.9 mg
Vol: 0.95-1.9 mls
Propranolol Tachy 1 mg/ml
Dose: 0.05-0.075 mg/kg, MAX 3 mg
Amt: 0.95-1.425 mg
Vol: 0.95-1.425 mls
Propranolol 1 mg/ml
Dose: 0.05-0.1 mg/kg, MAX 3 mg
Amt: 0.95-1.9 mg
Vol: 0.95-1.9 mls
Tirosint 1 mcg/ml
Dose: 0.1-0.15 mcg/kg, MAX 10 mcg
Amt: 1.9-2.85 mcg
Vol: 1.9-2.85 mls
Inotropes 19 kg
Epinephrine 1X 4 mcg/ml
Dose: 0.1-1 mcg/kg/min
Amt: 1.9-19 mcg/min
Vol: 29-285 mls/hr
Epinephrine 2X 8 mcg/ml
Dose: 0.1-1 mcg/kg/min
Amt: 1.9-19 mcg/min
Vol: 14-143 mls/hr
Epinephrine 4X 16 mcg/ml
Dose: 0.1-1 mcg/kg/min
Amt: 1.9-19 mcg/min
Vol: 7.1-71 mls/hr
Epinephrine 8X 32 mcg/ml
Dose: 0.1-1 mcg/kg/min
Amt: 1.9-19 mcg/min
Vol: 3.6-36 mls/hr
Dopamine 1X 1600 mcg/ml
Dose: 2-20 mcg/kg/min
Amt: 38-380 mcg/min
Vol: 1.4-14 mls/hr
Dopamine 2X 3200 mcg/ml
Dose: 2-20 mcg/kg/min
Amt: 38-380 mcg/min
Vol: 0.71-7.1 mls/hr
Dopamine 4X 6400 mcg/ml
Dose: 2-20 mcg/kg/min
Amt: 38-380 mcg/min
Vol: 0.36-3.6 mls/hr
Dobutamine 1X 1600 mcg/ml
Dose: 2-20 mcg/kg/min
Amt: 38-380 mcg/min
Vol: 1.4-14 mls/hr
Dobutamine 2X 3200 mcg/ml
Dose: 2-20 mcg/kg/min
Amt: 38-380 mcg/min
Vol: 0.71-7.1 mls/hr
Dobutamine 4X 6400 mcg/ml
Dose: 2-20 mcg/kg/min
Amt: 38-380 mcg/min
Vol: 0.36-3.6 mls/hr
Isoproterenol 1X 4 mcg/ml
Dose: 0.025-0.2 mcg/kg/min
Amt: 0.48-3.8 mcg/min
Vol: 7.1-57 mls/hr
Isoproterenol 2X 8 mcg/ml
Dose: 0.025-0.2 mcg/kg/min
Amt: 0.48-3.8 mcg/min
Vol: 3.6-29 mls/hr
Milrinone 1X 200 mcg/ml
Dose: 0.25-0.75 mcg/kg/min
Amt: 4.8-14 mcg/min
Vol: 1.4-4.3 mls/hr
Milrinone 2X 400 mcg/ml
Dose: 0.25-0.75 mcg/kg/min
Amt: 4.8-14 mcg/min
Vol: 0.71-2.1 mls/hr
Vasoconstrictors 19 kg
Norepinephrine 1X 4 mcg/ml
Dose: 0.1-1 mcg/kg/min
Amt: 1.9-19 mcg/min
Vol: 29-285 mls/hr
Norepinephrine 2X 8 mcg/ml
Dose: 0.1-1 mcg/kg/min
Amt: 1.9-19 mcg/min
Vol: 14-143 mls/hr
Norepinephrine 4X 16 mcg/ml
Dose: 0.1-1 mcg/kg/min
Amt: 0.1-1 mcg/kg/min
Vol: 7.1-71 mls/hr
Norepinephrine 8X 32 mcg/ml
Dose: 0.1-1 mcg/kg/min
Amt: 1.9-19 mcg/min
Vol: 3.6-36 mls/hr
Norepinephrine 16X 64 mcg/ml
Dose: 0.1-1 mcg/kg/min
Amt: 1.9-19 mcg/min
Vol: 1.8-18 mls/hr
Phenylephrine 1X 40 mcg/ml
Dose: 0.1-1 mcg/kg/min
Amt: 1.9-19 mcg/min
Vol: 2.9-29 mls/hr
Phenylephrine 2X 80 mcg/ml
Dose: 0.1-1 mcg/kg/min
Amt: 1.9-19 mcg/min
Vol: 1.4-14 mls/hr
Phenylephrine 4X 160 mcg/ml
Dose: 0.1-1 mcg/kg/min
Amt: 1.9-19 mcg/min
Vol: 0.71-7.1 mls/hr
Phenylephrine 8X 320 mcg/ml
Dose: 0.1-1 mcg/kg/min
Amt: 1.9-19 mcg/min
Vol: 0.36-3.6 mls/hr
Phenylephrine 16X 640 mcg/ml
Dose: 0.1-1 mcg/kg/min
Amt: 1.9-19 mcg/min
Vol: 0.18-1.8 mls/hr
Vasopressin 1X 0.4 units/ml
Dose: 0.0003-0.0051 units/kg/min
Amt: 0.01-0.10 units/min
Vol: 0.86-15 mls/hr
Vasopressin 2X 0.88 units/ml
Dose: 0.0003-0.0051 units/kg/min
Amt: 0.01-0.10 units/min
Vol: 0.39-6.6 mls/hr
Vasodilators 19 kg
Nicardipine 100 mcg/ml
Dose: 0.5-5 mcg/kg/min
Amt: 9.5-95 mcg/min
Vol: 5.7-57 mls/hr
Nitroglycerin 1X 200 mcg/ml
Dose: 0.25-4 mcg/kg/min
Amt: 4.8-76 mcg/min
Vol: 1.4-23 mls/hr
Nitroglycerin 2X 400 mcg/ml
Dose: 0.25-4 mcg/kg/min
Amt: 4.8-76 mcg/min
Vol: 0.71-11 mls/hr
Nitroprusside 1X 200 mcg/ml
Dose: 0.5-10 mcg/kg/min
Amt: 9.5-190 mcg/min
Vol: 2.9-57 mls/hr
Nitroprusside 2X 400 mcg/ml
Dose: 0.5-10 mcg/kg/min
Amt: 9.5-190 mcg/min
Vol: 1.4-29 mls/hr
ProstaglandinE1 1X 1 mcg/ml
Dose: 0.01-0.1 mcg/kg/min
Amt: 0.19-1.9 mcg/min
Vol: 11-114 mls/hr
ProstaglandinE1 2X 2 mcg/ml
Dose: 0.01-0.1 mcg/kg/min
Amt: 0.19-1.9 mcg/min
Vol: 5.7-57 mls/hr
Phentolamine 1X 20 mcg/ml
Dose: 0.05-0.1 mcg/kg/min
Amt: 0.95-1.9 mcg/min
Vol: 2.9-5.7 mls/hr
Phentolamine 2X 40 mcg/ml
Dose: 0.05-0.1 mcg/kg/min
Amt: 0.95-1.9 mcg/min
Vol: 1.4-2.9 mls/hr
Antiarrythmics 19 kg
Lidocaine 1X 4000 mcg/ml
Dose: 10-60 mcg/kg/min
Amt: 190-1,140 mcg/min
Vol: 2.9-17 mls/hr
Lidocaine 2X 8000 mcg/ml
Dose: 10-60 mcg/kg/min
Amt: 190-1,140 mcg/min
Vol: 1.4-8.6 mls/hr
Procainamide 1X 2 mcg/ml
Dose: 20-80 mcg/kg/min
Amt: 380-1,520 mcg/min
Vol: 11-46 mls/hr
Procainamide 2X 4 mcg/ml
Dose: 20-80 mcg/kg/min
Amt: 380-1,520 mcg/min
Vol: 5.7-23 mls/hr
Esmolol 1X 10 mcg/ml
Dose: 0.1-0.5 mcg/kg/min
Amt: 1.9-9.5 mcg/min
Vol: 11-57 mls/hr
Esmolol 2X 25 mcg/ml
Dose: 0.1-0.5 mcg/kg/min
Amt: 1.9-9.5 mcg/min
Vol: 4.6-23 mls/hr
Amiodarone VTVF
Loading Dose: 95 mg bolus
}
Max: 285 mg in 24 hrs.
MD: 5-15 mcg/kg/min x 4 hrs
Main Vol: 2.9-8.6 ml/hr
Amiodarone SVT
Loading Dose: 95 mg bolus over 20-60 min
}
Max: 285 mg in 24 hrs.
MD: 5-15 mcg/kg/min x 4 hrs
Main Vol: 2.9-8.6 ml/hr
Amiodarone Heart Surgery
Loading Dose: 285 mg bolus over 20-60 min
}
Max: 285 mg in 24 hrs.
MD: 5-15 mcg/kg/min x 4 hrs
Main Vol: 2.9-8.6 ml/hr
Local Anesthetics 19 kg
Intralipid Bolus 10%
Dose: 1.5 mls/kg
Amt: 29 mls
Vol: 29 mls
Intralipid gtt 10%
Dose: 0.25-0.5 mls/kg/hr
Amt: 4.8-9.5 mls/hr
Rate: 4.8-9.5 mls/hr
Epidural Conc 0.25% Bupivacaine
Dose: 0.3-0.4 mg/kg/hr
Rate: 2.28-3.04 mls/hr
Exparel 1.3%
Max Dose: 4 mg/kg
Max Amt: 76 mg
Max Vol: 5.8 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: 76 mg
Max Vol: 5.8 mls
Bupivacaine 0.25%
Max Dose: 2.29 mg/kg
Max Amt: 43.5 mg
Max Vol: 17.4 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: 76 mg
Max Vol: 5.8 mls
Bupivacaine 0.25%
Max Dose: 2.29 mg/kg
Max Amt: 43.5 mg
Max Vol: 8.7 mls
LevoBupivacaine 0.25 % w/o Epi
Max Dose: 2 mg/kg
Max Amt: 38 mg
Max Vol: 15 mls
LevoBupivacaine 0.5 % w/o Epi
Max Dose: 2 mg/kg
Max Amt: 38 mg
Max Vol: 7.6 mls
LevoBupivacaine 0.25 % w Epi 5 mcg/ml
Max Dose: 2 mg/kg
Max Amt: 38 mg
Max Vol: 15 mls
LevoBupivacaine 0.5 % w Epi 5 mcg/ml
Max Dose: 2 mg/kg
Max Amt: 38 mg
Max Vol: 7.6 mls
Bupivacaine : Marcaine ®
Bupivacaine 0.25 % w/o Epi
Max Dose: 2 mg/kg
Max Amt: 38 mg
Max Vol: 15 mls
Bupivacaine : Marcaine ®
Bupivacaine 0.25 % w Epi 5 mcg/ml
Max Dose: 2 mg/kg
Max Amt: 38 mg
Max Vol: 15 mls
Bupivacaine : Marcaine ®
Bupivacaine 0.5 % w/o Epi
Max Dose: 2 mg/kg
Max Amt: 38 mg
Max Vol: 7.6 mls
Bupivacaine : Marcaine ®
Bupivacaine 0.5 % w Epi 5 mcg/ml
Max Dose: 2 mg/kg
Max Amt: 38 mg
Max Vol: 7.6 mls
Lidocaine 1 % w/o Epi
Max Dose: 4 mg/kg
Max Amt: 76 mg
Max Vol: 7.6 mls
Lidocaine 1 % w Epi 5 mcg/ml
Max Dose: 7 mg/kg
Max Amt: 133 mg
Max Vol: 13 mls
Lidocaine 2 % w/o Epi
Max Dose: 4 mg/kg
Max Amt: 76 mg
Max Vol: 3.8 mls
Lidocaine 2 % w Epi 5 mcg/ml
Max Dose: 7 mg/kg
Max Amt: 133 mg
Max Vol: 6.7 mls
Lidocaine 4 % w/o Epi
Max Dose: 4 mg/kg
Max Amt: 76 mg
Max Vol: 1.9 mls
Ropivacaine 0.2 % w/o Epi
Max Dose: 2 mg/kg
Max Amt: 38 mg
Max Vol: 19 mls
Ropivacaine 0.5 % w/o Epi
Max Dose: 2 mg/kg
Max Amt: 38 mg
Max Vol: 7.6 mls
Mepivacaine 1 % w/o Epi
Max Dose: 5 mg/kg
Max Amt: 95 mg
Max Vol: 9.5 mls
Mepivacaine 1 % w Epi 5 mcg/ml
Max Dose: 7 mg/kg
Max Amt: 133 mg
Max Vol: 13 mls
Mepivacaine 2 % w/o Epi
Max Dose: 5 mg/kg
Max Amt: 95 mg
Max Vol: 4.8 mls
Mepivacaine 2 % w Epi 5 mcg/ml
Max Dose: 7 mg/kg
Max Amt: 133 mg
Max Vol: 6.7 mls
Articaine 2 % w Epi 5-10 mcg/ml
Max Dose: 7 mg/kg
Max Amt: 133 mg
Max Vol: 6.7 mls
Articaine 4 % w Epi 5-10 mcg/ml
Max Dose: 7 mg/kg
Max Amt: 133 mg
Max Vol: 3.3 mls
Procaine 1 % w/o Epi
Max Dose: 7 mg/kg
Max Amt: 133 mg
Max Vol: 13 mls
Procaine 1 % w Epi 5 mcg/ml
Max Dose: 10 mg/kg
Max Amt: 190 mg
Max Vol: 19 mls
lC-hloroprocaine 2 % w/o Epi
Max Dose: 15 mg/kg
Max Amt: 285 mg
Max Vol: 14 mls
2-Chloroprocaine 3 % w/o Epi
Max Dose: 15 mg/kg
Max Amt: 285 mg
Max Vol: 9.5 mls
Tetracaine 0.25 % w/o Epi
Max Dose: 1 mg/kg
Max Amt: 19 mg
Max Vol: 7.6 mls
Tetracaine 0.25 % w Epi 5 mcg/ml
Max Dose: 1.5 mg/kg
Max Amt: 29 mg
Max Vol: 11 mls
Diseases 19 kg
Congenital
Cardiac
Pulmonary
Pain/Sedation Score 19 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 19 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