Pedi Calc

Room Setup 22 kg

Circut:

Pedi 15 mm, 1 Liter Bag

ETT:

5.0 Cuffed

Oral Airway:

60-70 mm

Blade:

Miller 2/Mac 3/4

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)

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 22 kg

Weight:

22 kg

HR:

65-110 bpm

SBP:

95-110 mmHg

DBP:

60-75 mmHg

MAP:

72-87 mmHg

Hypotension:

<85 mmHg

RR:

20-25 rpm

Vt:

114-184 mls

NPO

Food/Formula:

6 hrs

Clears:

2 hrs

Airway 22 kg

ETT Uncuffed:

5.5 mm

ETT Cuffed:

5.0 mm

ETT Dist:

16-17 cm

NETT Dist:

18-20 cm

BB/DLT:

5 Fr Blocker

Blade:

Miller/Mac 2

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 22 kg

Atropine: Atropan ® 1mg/ml

0.02 mg/kg MAX: 2 mg

0.44 mls

Glycopyrrolate: Robinul ® 0.4mg/ml

0.01 mg/kg MAX: 1 mg

0.55 mls

Lidocaine 10 mg/ml:

1-2 mg/kg MAX: 4 mg

2.2-4.4 mls

Fentanyl 50 mcg/ml:

1-3 mcg/kg

0.44-1.32 mls

Midazolam PO 5 mg/ml:

0.25-0.50 mg/kg MAX: 5 mg

1.1-2.20 mls

Midazolam IN 5 mg/ml:

0.15-0.23 mg/kg MAX: 5 mg

0.66-1 mls

Dexmetomidine IV 10 mcg/ml:

0.05-0.2 mcg/kg

0.11-0.44 mls

PONV 22 kg

Dexamethasone 4 mg/ml

Dose: 2.6 mg

Amt: 0.12 mg/kg

Vol: 0.66 mls

Odansetron 2 mg/ml

Dose: 1.3 mg

Amt: 0.06 mg/kg

Vol: 0.66 mls

Dolasetron 12.5 mg/ml

Dose: 7.7 mg

Amt: 0.35 mg/kg

Vol: 0.62 mls

Granisetron 100 mcg/ml

Dose: 220 mcg

Amt: 10 mgc/kg

Vol: 2.2 mls

Famotidine 10 mg/ml

Dose: 5.5 mg

Amt: 0.25 mg/kg

Vol: 0.55 mls

Ranitidine 25 mg/ml

Dose: 11-22 mg

Amt: 0.5-1 mg/kg

Vol: 0.44-0.88 mls

Sedation 22 kg

Midazolam IV 1 mg/ml

Dose: 0.02-0.04 mg/kg MAX: 5 mg

Amt: 0.44-0.88 mg

Vol: 0.44-0.88 mls

Midazolam PO 5 mg/ml

Dose: 0.25-0.5 mg/kg MAX: 15 mg

Amt: 5.5-11 mg

Vol: 1.1-2.2 mls

Midazolam IN 5 mg/ml

Dose: 0.15-0.23 mg/kg MAX: 5 mg

Amt: 3.3-5.0 mg

Vol: 0.66-1.0 mls

Propofol Bolus 10 mg/ml

Dose: 0.5-1 mg/kg MAX: mg

Amt: 11-22 mg

Vol: 1.1-2.2 mls

Propofol gtt 10 mg/ml

Dose: 25-75 mcg/kg/min

Amt: 0.55-1.7 mg/min

Vol: 3.3-9.9 mls/hr

Fentany IV 50 mcg/ml

Dose: 1-3 mcg/kg

Amt: 22-66 mcg

Vol: 0.44-1.3 mls

Fentanyl IN 50 mcg/ml

Dose: 0.5-2 mcg/kg

Amt: 11-44 mcg

Vol: 0.22-0.88 mls

Ketamine IV 50 mg/ml

Dose: 0.5-2 mg/kg

Amt: 11-44 mg

Vol: 0.22-0.88 mls

Ketamine IM 50 mg/ml

Dose: 3-6 mg/kg

Amt: 66-132 mg

Vol: 1.3-2.6 mls

Precedex IV 10 mcg/ml

Dose: 0.5-2 mcg/kg

Amt: 11-44 mcg

Vol: 1.1-4.4 mls

Precedex gtt 10 mcg/ml

Dose: 0.2-0.8 mcg/kg/hr

Amt: 4.4-18 mcg/hr

Vol: 0.44-1.8mls/hr

Precedex IN 10 mcg/ml

Dose: 0.5-2 mcg/kg

Amt: 11-44 mcg

Vol: 1.1-4.4 mls

Precedex PO 100 mcg/ml

Dose: 1-4 mcg/kg

Amt: 22-88 mcg

Vol: 0.22-0.88 mls

>

Benadryl IV 10 mg/ml

Dose: 1-4 mg/kg

Amt: 22-88 mg

Vol: 2.2-8.8 mls

Narcotics 22 kg

Fetanyl 50 mcg/ml

Dose: 0.5-2 mcg/kg

Amt: 11-44 mcg

Vol: 0.22-0.88 mls

Remifentanil 20 mcg/ml

Dose: 0.5-1 mcg/kg

Amt: 11-22 mcg

Vol: 0.55-1.1 mls

Remifentanil gtt 20 mcg/ml

Dose: 0.1-0.2 mcg/kg/min

Amt: 2.2-4.4 mcg/min

Vol: 6.6-13 mls/hr

Sufentanil 10 mcg/ml

Dose: 0.1-0.2 mcg/kg

Amt: 2.2-4.4 mcg

Vol: 0.22-0.44 mls

Morphine 1 mg/ml

Dose: 0.05-0.15 mg/kg

Amt: 1.1-3.3 mg

Vol: 1.1-3.3 mls

Morphine gtt 1 mg/ml

Dose: 0.01-0.03 mg/kg/min

Amt: 0.22-0.66 mg/min

Vol: 13-40 mls/hr

Dilaudid 2000 mcg/ml

Dose: 5-10 mcg/kg

Amt: 110-220 mcg

Vol: 0.06-0.11 mls

Dilaudid gtt 100 mcg/ml

Dose: 5-10 mcg/kg/hr

Amt: 110-220 mcg/hr

Vol: 1.1-2.2 mls/hr

Demerol 5 mg/ml

Dose: 0.2-0.5 mg/kg

Amt: 4.4-11 mg

Vol: 0.88-2.2 mls

Induction 22 kg

Propofol 10 mg/ml

Dose: 2-3 mg/kg

Amt: 44-66 mg

Vol: 4.4-6.6 mls

Propofol gtt 10 mg/ml

Dose: 50-150 mcg/kg/min

Amt: 1.1-3.3 mg/min

Vol: 6.6-20 mls/hr

Etomidate 2 mg/ml

Dose: 0.2-0.4 mg/kg

Amt: 4.4-8.8 mg

Vol: 2.2-4.4 mls

Midazolam 1 mg/ml

Dose: 0.15-0.3 mg/kg

Amt: 3.3-6.6 mg

Vol: 3.3-6.6 mls

Remifentanil 20 mcg/ml

Dose: 0.5-1 mcg/kg

Amt: 11-22 mcg

Vol: 0.55-1.1 mls

Remifentanil gtt 20 mcg/ml

Dose: 0.1-0.3 mcg/kg/min

Amt: 2.2-6.6 mcg/min

Vol: 6.6-20 mls/hr

Ketamine IV 10 mg/ml

Dose: 1-2 mg/kg

Amt: 22-44 mg

Vol: 2.2-4.4 mls

Ketamine IM 10 mg/ml

Dose: 3-21 mg/kg

Amt: 66-462 mg

Vol: 6.6-46 mls

Ketothol 10 mg/ml 1:1

Dose: 1-2 mg/kg

Amt: 22-44 mg

Vol: 2.2-4.4 mls

Thiopental 10 mg/ml

Dose: 5-6 mg/kg

Amt: 110-132 mg

Vol: 11-13 mls

Methohexital IV 10 mg/ml

Dose: 1-1.5 mg/kg

Amt: 22-33 mg

Vol: 2.2-3.3 mls

Methohexital IM 50 mg/ml

Dose: 6-10 mg/kg

Amt: 132-220 mg

Vol: 2.6-4.4 mls

Methohexital PR 10 mg/ml

Dose: 25 mg/kg

Amt: 550 mg

Vol: 55 mls

Neuromuscular Blockers 22 kg

Succinylcholine IV 20 mg/ml

Dose: 1-2 mg/kg

Amt: 22-44 mg

Vol: 1.1-2.2 mls

Succinylcholine IM 20 mg/ml

Dose: 2.5-4 mg/kg

Amt: 55-88 mg

Vol: 2.8-4.4 mls

Rocuronium LD 10 mg/ml

Dose: 0.6-1 mg/kg

Amt: 13-22 mg

Vol: 1.3-2.2 mls

Rocuronium MD 10 mg/ml

Dose: 0.1 mg/kg

Amt: 2.2 mg

Vol: 0.22 mls

Nimbex LD 2 mg/ml

Dose: 0.1-0.2 mg/kg

Amt: 2.2-4.4 mg

Vol: 1.1-2.2 mls

Nimbex MD 2 mg/ml

Dose: 0.03 mg/kg

Amt: 0.66 mg

Vol: 0.33 mls

Vecuronium LD 1 mg/ml

Dose: 0.03 mg/kg

Amt: 0.66 mg

Vol: 0.66 mls

Vecuronium MD 1 mg/ml

Dose: 0.01-0.015 mg/kg

Amt: 0.22-0.33 mg

Vol: 0.22-0.33 mls

Mivacurium LD 2 mg/ml

Dose: 0.2 mg/kg

Amt: 4.4 mg

Vol: 2.2 mls

Mivacurium MD 2 mg/ml

Dose: 0.1 mg/kg

Amt: 2.2 mg

Vol: 1.1 mls

Atracurium LD 10 mg/ml

Dose: 0.4-0.5 mg/kg

Amt: 8.8-11 mg

Vol: 0.88-1.1 mls

Atracurium MD 10 mg/ml

Dose: 0.08-0.1 mg/kg

Amt: 1.8-2.2 mg

Vol: 0.18-0.22 mls

Atracurium gtt 10 mg/ml

Dose: 2-15 mcg/kg/min

Amt: 2.6-20 mg/min

Vol: 0.26-2.0 mls/hr

Pancuronium LD1 mg/ml

Dose: 0.04-0.1 mg/kg

Amt: 0.88-2.2 mg

Vol: 0.88-2.2 mls

Pancuronium MD 1 mg/ml

Dose: 0.01 mg/kg

Amt: 0.22 mg

Vol: 0.22 mls

Reversals 22 kg

Atropine 1000 mcg/ml

Atropine: Atropan ®

Dose: 10-20 mcg/kg

Amt: 220-440 mcg

Vol: 0.22-0.44 mls

Glycopyrrolate 200 mcg/ml

Dose: 6-9 mcg/kg

Amt: 132-198 mcg

Vol: 0.66-0.99 mls

Naloxone OD 0.4 mg/ml

Dose: 0.01-0.02 mg/kg

Amt: 0.22-0.44 mg

Vol: 0.55-1.1 mls

Naloxone 0.4mg/ml

Dose: 0.01 mg/kg

Amt: 0.22 mg

Vol: 0.55 mls

Nubain 10mg/ml

Dose: 0.07 mg/kg

Amt: 1.5 mg

Vol: 0.15 mls

Flumazenil 0.1mg/ml

Dose: 0.01 mg/kg

Amt: 0.22 mg

Vol: 2.2 mls

Neostigmine 1mg/ml

Dose: 0.07 mg/kg

Amt: 1.5 mg

Vol: 1.5 mls

Pyridostigmine 5 mg/ml

Dose: 0.05-0.25 mg/kg

Amt: 1.1-5.5 mg

Vol: 0.22-1.1 mls

Edrophonium 10 mg/ml

Dose: 0.5-1.5 mg/kg

Amt: 11-33 mg

Vol: 1.1-3.3 mls

Sugammadex 100 mcg/ml

Dose: 2-4 mcg/kg

Amt: 44-88 mcg

Vol: 0.44-0.88 mls

Fluids & Blood 22 kg

Maintenance Fluid Rate: 62

Dose: 4:2:1 Rule

Amt: 62 mls/hr

Glucose: D5 (5 g Dextrose/100 mls)

Dose: 2-3 mg/kg/min

Amt: 52.8-79.2 mls/hr

NPO 10 hrs

Dose: 4:2:1 Rule

Amt: 620 mls

Fluid Bolus

Dose: 20 mls/kg

Amt: 440 mls

5% Albumin 5%

Dose: 5-10 mls/kg

Amt: 110-220 mls

25% Albumin 25%

Dose: 4-8 mls/kg

Amt: 88-176 mls

Mannitol 12.5%

Dose: 2-8 mls/kg

Amt: 44-176 mls

Intralipid 20%

Dose: 1.5-3 mls/kg

Amt: 33-66 mls

Intralipid gtt 20%

Dose: 0.25 mls/kg/hr

Amt: 5.5 mls/hr

Estimated Blood Volume

Amt: 1430(♀) 1650(♂) mls

Alllowable Blood Loss

Effect: Lower Hct by 3-5%

Amt: 71.5(♀) 82.5(♂) mls

Transfusion Threshold

Dose: Hct to Tx

Amt: 21%

PRBC

Dose: 7-10 mls/kg

Amt: 154-220 mls

Effect: Raise Hct 3-5%

FFP

Dose: 10-20 mls/kg

Amt: 220-330 mls

Effect: Increase Factors 10-15%

Cryoprecipitate

Dose: 10-20 mls/kg

Amt: 66 mls

Effect: Raise FBGN 100 mg/dl

Platelets

Dose: 10-15 mls/kg

Amt: 220-330 mls

Effect: Increase Plt 30-50K

Factor VIII 1 IU/ml

Dose: 10 IU/kg

Amt: 220-341 mls

Effect: Increase VIII 20-25 %

Factor IX 1 IU/ml

Dose: 20 IU/kg

Amt: 220-275 mls

Effect: Increase VIII 20-25 %

Factor VII 1000 mcg/ml

Dose: 90 mcg/kg before incision

Amt: 1.98 mg

Vol: 1.98mls q 2 hrs

Humate P Rx: VIII def 50 IU/ml

Dose: 40-60 IU/kg

Amt: 880-1320 IU x 1

Vol: 17.6-26.4 mls
Then 8.8-13.2 mls q8h

Humate P Rx: VWF def 120 IU/ml

Dose: 40-80 IU/kg

Amt: 880-1760 IU x 1

Vol: 7.3-14.7 mls
Then 7.3-11.0 mls q8h Type 2/3
7.3-11.0 mls q24h Type 1

PPC 25 units/ml

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

Amt: 550-1100 units

Vol: 22-44 mls

Antithrombin III 100 u/ml

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

Amt: 550-660 u

Effect: Increase AT3 level 20-30%

Desmopressin 4 mcg/ml

Dose: 0.1-0.3 mcg/kg o 30 min

Amt: 2.2-6.6 mcg

Vol: 0.55-1.65 mls

Tranxemic Acid LD 100 mg/ml

Dose: 10-30 mg/kg/hr

Amt: 220-660 mg

Vol: 2.2-6.6 mls

Tranxemic Acid MD 10 mg/ml

Dose: 2-10 mg/kg/hr

Amt: 44-220 mg

Vol: 11-22 mls/hr

Amicar Bolus 250 mg/ml

Dose: 100-200 mg/kg

Amt: 2,200-4,400 mg

Max Amt: 30000 mg/d

Vol: 8.8-18 mls

Max Vol: 120 mls/d

Amicar gtt 250 mg/ml

Dose: 33.3 mg/kg/hr

Amt: 733 mg

Max Amt: 1000 mg/h

Vol: 2.9 mls

Max Vol: 4.0 mls/h

Ventilator 22 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: 132-176 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

Pulmonary Medications 22 kg

Epinephrine 1 mcg/ml

Dose: 0.1 mcg/kg *Slowly!

Amt: 2.2 mcg

Vol: 2.2 mls

Epinephrine SQ 1 mg/ml

Dose: 0.01 mg IM/SQ

Amt: 0.22 mg IM/SQ

Vol: 0.22 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: 22 mg

Vol: 0.44 mls

Methylprednisolone 40 mg/ml

Dose: 0.5-2 mg/kg (÷ into q6-q12)

Amt: 11-44 mg (÷ into q6-q12)

Vol: 0.28-1.1 mls (÷ into q6-q12)

Dexamethasone 1 mg/ml

Dose: 0.5-1 mg/kg

Amt: 11-22 mg

Vol: 11-22 mls

Ketamine 100 mg/ml

Dose: 0.5-1 mg/kg

Amt: 11-22 mg

Vol: 0.11-0.22 mls

Magnesium 500 mg/ml

Dose: 25-50 mg/kg

Amt: 550-1100 mg

Vol: 1.1-2.2 mls (over 20 min)

CPR 22 kg

Defibrillation

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

Amt: 44-88 Joules

Vol: Start with 44 Joules

Cardioversion

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

Amt: 11-22Joules

Vol: Start with 11 Joules

Atropine: Atropan ®1 mg/ml

Dose: 0.02 mg/kg

Amt: 0.44 mg

Vol: 0.44 mls

Max Dose: 1 mg

Epinephrine IV/IO 1 mg/ml

Dose: 0.01 mg/kg

Amt: 0.22 mg

Vol: 0.22 mls

EpinephrineETT 1 mg/ml

Dose: 0.1 mg/kg

Amt:

Vol: 2.2 mls

Bicarbonate 1 meg/ml

Dose: 1 meg/kg

Amt: 22 meg

Vol: 22 mls

Adenosine 3 mg/ml

Dose: 0.10-0.27 mg/kg

Amt: 2.20-6.00 mg

Vol: 0.73-2.00 mls

Vol: MAX 6 mg

Enalapril 1.25 mg/ml

Dose: 0.05-0.1 mg/kg

Amt: 1.1-2.2 mg

Vol: 0.88-1.76 mls

Ephedrine 5 mg/ml

Dose: 0.7-1.4 mg/kg/hr

Amt: 15.4-30.8 mg/hr

Vol: 3.08-6.16 mls/hr

Calcium 100 mg/ml

Dose: 2-3 mg/kg

Amt: 44-66 mg

Vol: 4.4-6.6 mls

Calcium Gluconate 100 mg/ml

Dose: 20-40 mg/kg

Amt: 440-880 mg

Vol: 4.4-8.8 mls

Dextrose 25 0.25 g/ml

Dose: 0.25-1 g/kg

Amt: 5.5-22 g

Vol: 22-88 mls

Dextrose 50 0.5 mg/ml

Dose: 0.25-1 g/kg

Amt: 5.5-22 g

Vol: 11-44 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: 5.5-7.7 mg

Vol: 1.1-1.54 mls

Diltiazem gtt 1 mg/ml

Dose: 0.07-0.14 mg/kg/hr

Amt: 1.54-3.08 mg/hr

Vol: 1.54-3.08 mls/hr

Hydralazine 20 mg/ml

Dose: 0.07-0.28 mg/kg, MAX 20 mg

Amt: 1.5-6.2 mg

Vol: 0.08-0.31 mls

Labetalol 5 mg/ml

Dose: 0.2-1 mg/kg, MAX mg

Amt: 4.4-22 mg

Vol: 0.88-4.4 mls

Lidocaine 10 mg/ml

Dose: 1-2 mg/kg, MAX mg

Amt: 22-44 mg

Vol: 2.2-4.4 mls

Magnesium 500 mg/ml

Dose: 25-114 mg/kg, MAX 2500 mg

Amt: 550-2500 mg over 10-20 minutes

Vol: 1.1-5 mls

Sidenafil 0.8 mg/ml

Dose: 0.25-0.5 mg/kg, MAX 20 mg

Amt: 5.5-11 mg

Vol: 6.9-14 mls

Aminophylline 25 mg/ml

Dose: LD: 132 mg, 1 mg/kg/hr

Amt: 22 mg/hr

Vol: 0.88 mls/hr

Propranolol TET 1 mg/ml

Dose: 0.05-0.1 mg/kg, MAX 3 mg

Amt: 1.1-2.2 mg

Vol: 1.1-2.2 mls

Propranolol Tachy 1 mg/ml

Dose: 0.05-0.075 mg/kg, MAX 3 mg

Amt: 1.1-1.65 mg

Vol: 1.1-1.65 mls

Propranolol 1 mg/ml

Dose: 0.05-0.1 mg/kg, MAX 3 mg

Amt: 1.1-2.2 mg

Vol: 1.1-2.2 mls

Tirosint 1 mcg/ml

Dose: 0.1-0.15 mcg/kg, MAX 10 mcg

Amt: 2.2-3.3 mcg

Vol: 2.2-3.3 mls

Inotropes 22 kg

Epinephrine 1X 4 mcg/ml

Dose: 0.1-1 mcg/kg/min

Amt: 2.2-22 mcg/min

Vol: 33-330 mls/hr

Epinephrine 2X 8 mcg/ml

Dose: 0.1-1 mcg/kg/min

Amt: 2.2-22 mcg/min

Vol: 17-165 mls/hr

Epinephrine 4X 16 mcg/ml

Dose: 0.1-1 mcg/kg/min

Amt: 2.2-22 mcg/min

Vol: 8.3-83 mls/hr

Epinephrine 8X 32 mcg/ml

Dose: 0.1-1 mcg/kg/min

Amt: 2.2-22 mcg/min

Vol: 4.1-41 mls/hr

Dopamine 1X 1600 mcg/ml

Dose: 2-20 mcg/kg/min

Amt: 44-440 mcg/min

Vol: 1.7-17 mls/hr

Dopamine 2X 3200 mcg/ml

Dose: 2-20 mcg/kg/min

Amt: 44-440 mcg/min

Vol: 0.83-8.3 mls/hr

Dopamine 4X 6400 mcg/ml

Dose: 2-20 mcg/kg/min

Amt: 44-440 mcg/min

Vol: 0.41-4.1 mls/hr

Dobutamine 1X 1600 mcg/ml

Dose: 2-20 mcg/kg/min

Amt: 44-440 mcg/min

Vol: 1.7-17 mls/hr

Dobutamine 2X 3200 mcg/ml

Dose: 2-20 mcg/kg/min

Amt: 44-440 mcg/min

Vol: 0.83-8.3 mls/hr

Dobutamine 4X 6400 mcg/ml

Dose: 2-20 mcg/kg/min

Amt: 44-440 mcg/min

Vol: 0.41-4.1 mls/hr

Isoproterenol 1X 4 mcg/ml

Dose: 0.025-0.2 mcg/kg/min

Amt: 0.55-4.4 mcg/min

Vol: 8.3-66 mls/hr

Isoproterenol 2X 8 mcg/ml

Dose: 0.025-0.2 mcg/kg/min

Amt: 0.55-4.4 mcg/min

Vol: 4.1-33 mls/hr

Milrinone 1X 200 mcg/ml

Dose: 0.25-0.75 mcg/kg/min

Amt: 5.5-17 mcg/min

Vol: 1.7-5.0 mls/hr

Milrinone 2X 400 mcg/ml

Dose: 0.25-0.75 mcg/kg/min

Amt: 5.5-17 mcg/min

Vol: 0.83-2.5 mls/hr

Vasoconstrictors 22 kg

Norepinephrine 1X 4 mcg/ml

Dose: 0.1-1 mcg/kg/min

Amt: 2.2-22 mcg/min

Vol: 33-330 mls/hr

Norepinephrine 2X 8 mcg/ml

Dose: 0.1-1 mcg/kg/min

Amt: 2.2-22 mcg/min

Vol: 17-165 mls/hr

Norepinephrine 4X 16 mcg/ml

Dose: 0.1-1 mcg/kg/min

Amt: 0.1-1 mcg/kg/min

Vol: 8.3-83 mls/hr

Norepinephrine 8X 32 mcg/ml

Dose: 0.1-1 mcg/kg/min

Amt: 2.2-22 mcg/min

Vol: 4.1-41 mls/hr

Norepinephrine 16X 64 mcg/ml

Dose: 0.1-1 mcg/kg/min

Amt: 2.2-22 mcg/min

Vol: 2.1-21 mls/hr

Phenylephrine 1X 40 mcg/ml

Dose: 0.1-1 mcg/kg/min

Amt: 2.2-22 mcg/min

Vol: 3.3-33 mls/hr

Phenylephrine 2X 80 mcg/ml

Dose: 0.1-1 mcg/kg/min

Amt: 2.2-22 mcg/min

Vol: 1.7-17 mls/hr

Phenylephrine 4X 160 mcg/ml

Dose: 0.1-1 mcg/kg/min

Amt: 2.2-22 mcg/min

Vol: 0.83-8.3 mls/hr

Phenylephrine 8X 320 mcg/ml

Dose: 0.1-1 mcg/kg/min

Amt: 2.2-22 mcg/min

Vol: 0.41-4.1 mls/hr

Phenylephrine 16X 640 mcg/ml

Dose: 0.1-1 mcg/kg/min

Amt: 2.2-22 mcg/min

Vol: 0.21-2.1 mls/hr

Vasopressin 1X 0.4 units/ml

Dose: 0.0003-0.0051 units/kg/min

Amt: 0.01-0.11 units/min

Vol: 0.99-17 mls/hr

Vasopressin 2X 0.88 units/ml

Dose: 0.0003-0.0051 units/kg/min

Amt: 0.01-0.11 units/min

Vol: 0.45-7.7 mls/hr

Vasodilators 22 kg

Nicardipine 100 mcg/ml

Dose: 0.5-5 mcg/kg/min

Amt: 11-110 mcg/min

Vol: 6.6-66 mls/hr

Nitroglycerin 1X 200 mcg/ml

Dose: 0.25-4 mcg/kg/min

Amt: 5.5-88 mcg/min

Vol: 1.7-26 mls/hr

Nitroglycerin 2X 400 mcg/ml

Dose: 0.25-4 mcg/kg/min

Amt: 5.5-88 mcg/min

Vol: 0.83-13 mls/hr

Nitroprusside 1X 200 mcg/ml

Dose: 0.5-10 mcg/kg/min

Amt: 11-220 mcg/min

Vol: 3.3-66 mls/hr

Nitroprusside 2X 400 mcg/ml

Dose: 0.5-10 mcg/kg/min

Amt: 11-220 mcg/min

Vol: 1.7-33 mls/hr

ProstaglandinE1 1X 1 mcg/ml

Dose: 0.01-0.1 mcg/kg/min

Amt: 0.22-2.2 mcg/min

Vol: 13-132 mls/hr

ProstaglandinE1 2X 2 mcg/ml

Dose: 0.01-0.1 mcg/kg/min

Amt: 0.22-2.2 mcg/min

Vol: 6.6-66 mls/hr

Phentolamine 1X 20 mcg/ml

Dose: 0.05-0.1 mcg/kg/min

Amt: 1.1-2.2 mcg/min

Vol: 3.3-6.6 mls/hr

Phentolamine 2X 40 mcg/ml

Dose: 0.05-0.1 mcg/kg/min

Amt: 1.1-2.2 mcg/min

Vol: 1.7-3.3 mls/hr

Antiarrythmics 22 kg

Lidocaine 1X 4000 mcg/ml

Dose: 10-60 mcg/kg/min

Amt: 220-1,320 mcg/min

Vol: 3.3-20 mls/hr

Lidocaine 2X 8000 mcg/ml

Dose: 10-60 mcg/kg/min

Amt: 220-1,320 mcg/min

Vol: 1.7-9.9 mls/hr

Procainamide 1X 2 mcg/ml

Dose: 20-80 mcg/kg/min

Amt: 440-1,760 mcg/min

Vol: 13-53 mls/hr

Procainamide 2X 4 mcg/ml

Dose: 20-80 mcg/kg/min

Amt: 440-1,760 mcg/min

Vol: 6.6-26 mls/hr

Esmolol 1X 10 mcg/ml

Dose: 0.1-0.5 mcg/kg/min

Amt: 2.2-11 mcg/min

Vol: 13-66 mls/hr

Esmolol 2X 25 mcg/ml

Dose: 0.1-0.5 mcg/kg/min

Amt: 2.2-11 mcg/min

Vol: 5.3-26 mls/hr

Amiodarone VTVF

Loading Dose: 110 mg bolus

}

Max: 300 mg in 24 hrs.

MD: 5-15 mcg/kg/min x 4 hrs

Main Vol: 3.3-9.9 ml/hr

Amiodarone SVT

Loading Dose: 110 mg bolus over 20-60 min

}

Max: 300 mg in 24 hrs.

MD: 5-15 mcg/kg/min x 4 hrs

Main Vol: 3.3-9.9 ml/hr

Amiodarone Heart Surgery

Loading Dose: 330 mg bolus over 20-60 min

}

Max: 300 mg in 24 hrs.

MD: 5-15 mcg/kg/min x 4 hrs

Main Vol: 3.3-9.9 ml/hr

Local Anesthetics 22 kg

Intralipid Bolus 10%

Dose: 1.5 mls/kg

Amt: 33 mls

Vol: 33 mls

Intralipid gtt 10%

Dose: 0.25-0.5 mls/kg/hr

Amt: 5.5-11 mls/hr

Rate: 5.5-11 mls/hr

Epidural Conc 0.25% Bupivacaine

Dose: 0.3-0.4 mg/kg/hr

Rate: 2.64-3.52 mls/hr

Exparel 1.3

Max Dose: 4 mg/kg

Max Amt: 88 mg

Max Vol: 6.8 mls

LevoBupivacaine 0.25 % w/o Epi

Max Dose: 2 mg/kg

Max Amt: 44 mg

Max Vol: 18 mls

LevoBupivacaine 0.5 % w/o Epi

Max Dose: 2 mg/kg

Max Amt: 44 mg

Max Vol: 8.8 mls

LevoBupivacaine 0.25 % w Epi 5 mcg/ml

Max Dose: 2 mg/kg

Max Amt: 44 mg

Max Vol: 18 mls

LevoBupivacaine 0.5 % w Epi 5 mcg/ml

Max Dose: 2 mg/kg

Max Amt: 44 mg

Max Vol: 8.8 mls

Bupivacaine : Marcaine ®

Bupivacaine 0.25 % w/o Epi

Max Dose: 2 mg/kg

Max Amt: 44 mg

Max Vol: 18 mls

Bupivacaine : Marcaine ®

Bupivacaine 0.25 % w Epi 5 mcg/ml

Max Dose: 2 mg/kg

Max Amt: 44 mg

Max Vol: 18 mls

Bupivacaine : Marcaine ®

Bupivacaine 0.5 % w/o Epi

Max Dose: 2 mg/kg

Max Amt: 44 mg

Max Vol: 8.8 mls

Bupivacaine : Marcaine ®

Bupivacaine 0.5 % w Epi 5 mcg/ml

Max Dose: 2 mg/kg

Max Amt: 44 mg

Max Vol: 8.8 mls

Lidocaine 1 % w/o Epi

Max Dose: 4 mg/kg

Max Amt: 88 mg

Max Vol: 8.8 mls

Lidocaine 1 % w Epi 5 mcg/ml

Max Dose: 7 mg/kg

Max Amt: 154 mg

Max Vol: 15 mls

Lidocaine 2 % w/o Epi

Max Dose: 4 mg/kg

Max Amt: 88 mg

Max Vol: 4.4 mls

Lidocaine 2 % w Epi 5 mcg/ml

Max Dose: 7 mg/kg

Max Amt: 154 mg

Max Vol: 7.7 mls

Lidocaine 4 % w/o Epi

Max Dose: 4 mg/kg

Max Amt: 88 mg

Max Vol: 2.2 mls

Ropivacaine 0.2 % w/o Epi

Max Dose: 2 mg/kg

Max Amt: 44 mg

Max Vol: 22 mls

Ropivacaine 0.5 % w/o Epi

Max Dose: 2 mg/kg

Max Amt: 44 mg

Max Vol: 8.8 mls

Mepivacaine 1 % w/o Epi

Max Dose: 5 mg/kg

Max Amt: 110 mg

Max Vol: 11 mls

Mepivacaine 1 % w Epi 5 mcg/ml

Max Dose: 7 mg/kg

Max Amt: 154 mg

Max Vol: 15 mls

Mepivacaine 2 % w/o Epi

Max Dose: 5 mg/kg

Max Amt: 110 mg

Max Vol: 5.5 mls

Mepivacaine 2 % w Epi 5 mcg/ml

Max Dose: 7 mg/kg

Max Amt: 154 mg

Max Vol: 7.7 mls

Articaine 2 % w Epi 5-10 mcg/ml

Max Dose: 7 mg/kg

Max Amt: 154 mg

Max Vol: 7.7 mls

Articaine 4 % w Epi 5-10 mcg/ml

Max Dose: 7 mg/kg

Max Amt: 154 mg

Max Vol: 3.9 mls

Procaine 1 % w/o Epi

Max Dose: 7 mg/kg

Max Amt: 154 mg

Max Vol: 15 mls

Procaine 1 % w Epi 5 mcg/ml

Max Dose: 10 mg/kg

Max Amt: 220 mg

Max Vol: 22 mls

lC-hloroprocaine 2 % w/o Epi

Max Dose: 15 mg/kg

Max Amt: 330 mg

Max Vol: 17 mls

2-Chloroprocaine 3 % w/o Epi

Max Dose: 15 mg/kg

Max Amt: 330 mg

Max Vol: 11 mls

Tetracaine 0.25 % w/o Epi

Max Dose: 1 mg/kg

Max Amt: 22 mg

Max Vol: 8.8 mls

Tetracaine 0.25 % w Epi 5 mcg/ml

Max Dose: 1.5 mg/kg

Max Amt: 33 mg

Max Vol: 13 mls

Diseases 22 kg

Congenital

Cardiac

Pulmonary

Pain/Sedation Score 22 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 22 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