Room Setup 26 kg
Circut:
Pedi 15 mm, 1 Liter Bag
ETT:
6.0 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:
* 4 mls @ (4 mcg/kg)
Clonidine:
* 0.3 mls @ (100 mcg/ml)
 
Succinylcholine:
4 mls @ (20 mg/ml)
Rocuonium:
3 mls @ (10 mg/ml)
 
Zofran:
0.9 mls @ (2 mg/ml)
Dexamethasone:
0.9 mls @ (4mg/ml)
 
Atropine:
0.6 @ (1 mg/ml)
Glycopyrrolate:
1.3 mls @ (0.2 mg/ml)
Neostigmine:
2 mls @ (1 mg/ml)
Suggammadex:
* 1.2 mls @ (100 mcg/ml)
 
Ephedrine:
* 3 mls @ (0.5 mg/ml)
Neosynephrine:
* 10 mls @ (10 mcg/ml)
 
Key:
* = Optional
Diluted Solution
Vital Signs 26 kg
Weight:
26 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:
144-232 mls
NPO
Food/Formula:
6 hrs
Clears:
2 hrs
Airway 26 kg
ETT Uncuffed:
6.5 mm
ETT Cuffed:
6.0 mm
ETT Dist:
17-18 cm
NETT Dist:
19-21 cm
BB/DLT:
5-6 Fr/3.5 Univent
Blade:
Miller/Mac 2/3
LMA:
#2.5
LMAVol:
2-4 mls
Mask:
Child/Small Adult
Oral Airway:
60-70 mm
NP Airway:
26 Fr
Suction Cath:
12 Fr
NG Tube:
14-18 Fr
Chest Tube:
28-32 Fr
Foley:
12-14 Fr
Pretreatments 26 kg
Atropine: Atropan ® 1mg/ml
0.02 mg/kg MAX: 2 mg
0.52 mls
 
Glycopyrrolate: Robinul ® 0.4mg/ml
0.01 mg/kg MAX: 1 mg
0.65 mls
 
Lidocaine 10 mg/ml:
1-2 mg/kg MAX: 4 mg
2.6-5.2 mls
 
Fentanyl 50 mcg/ml:
1-3 mcg/kg
0.52-1.56 mls
 
Midazolam PO 5 mg/ml:
0.2-0.50 mg/kg MAX: 5 mg
1.04-2.6 mls
 
Midazolam IN 5 mg/ml:
0.15-0.19 mg/kg MAX: 5 mg
0.78-1 mls
 
Dexmetomidine IV 10 mcg/ml:
0.05-0.2 mcg/kg
0.13-0.52 mls
 
PONV 26 kg
Dexamethasone 4 mg/ml
Dose: 3.1 mg
Amt: 0.12 mg/kg
Vol: 0.78 mls
 
Odansetron 2 mg/ml
Dose: 1.6 mg
Amt: 0.06 mg/kg
Vol: 0.78 mls
 
Dolasetron 12.5 mg/ml
Dose: 9.1 mg
Amt: 0.35 mg/kg
Vol: 0.73 mls
 
Granisetron 100 mcg/ml
Dose: 260 mcg
Amt: 10 mgc/kg
Vol: 2.6 mls
 
Famotidine 10 mg/ml
Dose: 6.5 mg
Amt: 0.25 mg/kg
Vol: 0.65 mls
 
Ranitidine 25 mg/ml
Dose: 13-26 mg
Amt: 0.5-1 mg/kg
Vol: 0.52-1.04 mls
 
Sedation 26 kg
Midazolam IV 1 mg/ml
Dose: 0.02-0.1 mg/kg MAX: 10 mg
Amt: 0.52-2.6 mg
Vol: 0.52-2.6 mls
 
Midazolam PO 5 mg/ml
Dose: 0.2-0.5 mg/kg MAX: 20 mg
Amt: 5.2-13 mg
Vol: 1.0-2.6 mls
 
Midazolam IN 5 mg/ml
Dose: 0.15-0.19 mg/kg MAX: 5 mg
Amt: 3.9-5.0 mg
Vol: 0.78-1.0 mls
 
Propofol Bolus 10 mg/ml
Dose: 0.5-1 mg/kg MAX: mg
Amt: 13-26 mg
Vol: 1.3-2.6 mls
 
Propofol gtt 10 mg/ml
Dose: 25-75 mcg/kg/min
Amt: 0.65-2.0 mg/min
Vol: 3.9-12 mls/hr
 
Fentany IV 50 mcg/ml
Dose: 1-3 mcg/kg
Amt: 26-78 mcg
Vol: 0.52-1.6 mls
 
Fentanyl IN 50 mcg/ml
Dose: 0.5-2 mcg/kg
Amt: 13-52 mcg
Vol: 0.26-1.0 mls
 
Ketamine IV 50 mg/ml
Dose: 0.5-2 mg/kg
Amt: 13-52 mg
Vol: 0.26-1.0 mls
 
Ketamine IM 50 mg/ml
Dose: 3-6 mg/kg
Amt: 78-156 mg
Vol: 1.6-3.1 mls
 
Precedex IV 10 mcg/ml
Dose: 0.5-2 mcg/kg
Amt: 13-52 mcg
Vol: 1.3-5.2 mls
 
Precedex gtt 10 mcg/ml
Dose: 0.2-0.8 mcg/kg/hr
Amt: 5.2-21 mcg/hr
Vol: 0.52-2.1mls/hr
 
Precedex IN 10 mcg/ml
Dose: 0.5-2 mcg/kg
Amt: 13-52 mcg
Vol: 1.3-5.2 mls
 
Precedex PO 100 mcg/ml
Dose: 1-4 mcg/kg
Amt: 26-104 mcg
Vol: 0.26-1.0 mls
Benadryl IV 10 mg/ml
Dose: 1-4 mg/kg
Amt: 26-104 mg
Vol: 2.6-10 mls
 
Narcotics 26 kg
Fetanyl 50 mcg/ml
Dose: 0.5-2 mcg/kg
Amt: 13-52 mcg
Vol: 0.26-1.0 mls
 
Remifentanil 20 mcg/ml
Dose: 0.5-1 mcg/kg
Amt: 13-26 mcg
Vol: 0.65-1.3 mls
 
Remifentanil gtt 20 mcg/ml
Dose: 0.1-0.2 mcg/kg/min
Amt: 2.6-5.2 mcg/min
Vol: 7.8-16 mls/hr
 
Sufentanil 10 mcg/ml
Dose: 0.1-0.2 mcg/kg
Amt: 2.6-5.2 mcg
Vol: 0.26-0.52 mls
 
Morphine 1 mg/ml
Dose: 0.05-0.15 mg/kg
Amt: 1.3-3.9 mg
Vol: 1.3-3.9 mls
 
Morphine gtt 1 mg/ml
Dose: 0.01-0.03 mg/kg/min
Amt: 0.26-0.78 mg/min
Vol: 16-47 mls/hr
 
Dilaudid 2000 mcg/ml
Dose: 5-10 mcg/kg
Amt: 130-260 mcg
Vol: 0.07-0.13 mls
 
Dilaudid gtt 100 mcg/ml
Dose: 5-10 mcg/kg/hr
Amt: 130-260 mcg/hr
Vol: 1.3-2.6 mls/hr
 
Demerol 5 mg/ml
Dose: 0.2-0.5 mg/kg
Amt: 5.2-13 mg
Vol: 1.0-2.6 mls
 
Induction 26 kg
Propofol 10 mg/ml
Dose: 2-3 mg/kg
Amt: 52-78 mg
Vol: 5.2-7.8 mls
 
Propofol gtt 10 mg/ml
Dose: 50-150 mcg/kg/min
Amt: 1.3-3.9 mg/min
Vol: 7.8-23 mls/hr
 
Etomidate 2 mg/ml
Dose: 0.2-0.4 mg/kg
Amt: 5.2-10 mg
Vol: 2.6-5.2 mls
 
Midazolam 1 mg/ml
Dose: 0.15-0.3 mg/kg
Amt: 3.9-7.8 mg
Vol: 3.9-7.8 mls
 
Remifentanil 20 mcg/ml
Dose: 0.5-1 mcg/kg
Amt: 13-26 mcg
Vol: 0.65-1.3 mls
 
Remifentanil gtt 20 mcg/ml
Dose: 0.1-0.3 mcg/kg/min
Amt: 2.6-7.8 mcg/min
Vol: 7.8-23 mls/hr
 
Ketamine IV 10 mg/ml
Dose: 1-2 mg/kg
Amt: 26-52 mg
Vol: 2.6-5.2 mls
 
Ketamine IM 10 mg/ml
Dose: 3-21 mg/kg
Amt: 78-546 mg
Vol: 7.8-55 mls
 
Ketothol 10 mg/ml 1:1
Dose: 1-2 mg/kg
Amt: 26-52 mg
Vol: 2.6-5.2 mls
 
Thiopental 10 mg/ml
Dose: 5-6 mg/kg
Amt: 130-156 mg
Vol: 13-16 mls
 
Methohexital IV 10 mg/ml
Dose: 1-1.5 mg/kg
Amt: 26-39 mg
Vol: 2.6-3.9 mls
 
Methohexital IM 50 mg/ml
Dose: 6-10 mg/kg
Amt: 156-260 mg
Vol: 3.1-5.2 mls
 
Methohexital PR 10 mg/ml
Dose: 25 mg/kg
Amt: 650 mg
Vol: 65 mls
 
Neuromuscular Blockers 26 kg
Succinylcholine IV 20 mg/ml
Dose: 1-2 mg/kg
Amt: 26-52 mg
Vol: 1.3-2.6 mls
 
Succinylcholine IM 20 mg/ml
Dose: 2.5-4 mg/kg
Amt: 65-104 mg
Vol: 3.3-5.2 mls
 
Rocuronium LD 10 mg/ml
Dose: 0.6-1 mg/kg
Amt: 16-26 mg
Vol: 1.6-2.6 mls
 
Rocuronium MD 10 mg/ml
Dose: 0.1 mg/kg
Amt: 2.6 mg
Vol: 0.26 mls
 
Nimbex LD 2 mg/ml
Dose: 0.1-0.2 mg/kg
Amt: 2.6-5.2 mg
Vol: 1.3-2.6 mls
 
Nimbex MD 2 mg/ml
Dose: 0.03 mg/kg
Amt: 0.78 mg
Vol: 0.39 mls
 
Vecuronium LD 1 mg/ml
Dose: 0.03 mg/kg
Amt: 0.78 mg
Vol: 0.78 mls
 
Vecuronium MD 1 mg/ml
Dose: 0.01-0.015 mg/kg
Amt: 0.26-0.39 mg
Vol: 0.26-0.39 mls
 
Mivacurium LD 2 mg/ml
Dose: 0.2 mg/kg
Amt: 5.2 mg
Vol: 2.6 mls
 
Mivacurium MD 2 mg/ml
Dose: 0.1 mg/kg
Amt: 2.6 mg
Vol: 1.3 mls
 
Atracurium LD 10 mg/ml
Dose: 0.4-0.5 mg/kg
Amt: 10-13 mg
Vol: 1.0-1.3 mls
 
Atracurium MD 10 mg/ml
Dose: 0.08-0.1 mg/kg
Amt: 2.1-2.6 mg
Vol: 0.21-0.26 mls
 
Atracurium gtt 10 mg/ml
Dose: 2-15 mcg/kg/min
Amt: 3.1-23 mg/min
Vol: 0.31-2.3 mls/hr
 
Pancuronium LD1 mg/ml
Dose: 0.04-0.1 mg/kg
Amt: 1.0-2.6 mg
Vol: 1.0-2.6 mls
 
Pancuronium MD 1 mg/ml
Dose: 0.01 mg/kg
Amt: 0.26 mg
Vol: 0.26 mls
 
Reversals 26 kg
Atropine 1000 mcg/ml
Atropine: Atropan ®
Dose: 10-20 mcg/kg
Amt: 260-520 mcg
Vol: 0.26-0.52 mls
 
Glycopyrrolate 200 mcg/ml
Dose: 6-9 mcg/kg
Amt: 156-234 mcg
Vol: 0.78-1.2 mls
 
Naloxone OD 0.4 mg/ml
Dose: 0.01-0.02 mg/kg
Amt: 0.26-0.52 mg
Vol: 0.65-1.3 mls
 
Naloxone 0.4mg/ml
Dose: 0.01 mg/kg
Amt: 0.26 mg
Vol: 0.65 mls
 
Nubain 10mg/ml
Dose: 0.07 mg/kg
Amt: 1.8 mg
Vol: 0.18 mls
 
Flumazenil 0.1mg/ml
Dose: 0.01 mg/kg
Amt: 0.26 mg
Vol: 2.6 mls
 
Neostigmine 1mg/ml
Dose: 0.07 mg/kg
Amt: 1.8 mg
Vol: 1.8 mls
 
Pyridostigmine 5 mg/ml
Dose: 0.05-0.25 mg/kg
Amt: 1.3-6.5 mg
Vol: 0.26-1.3 mls
 
Edrophonium 10 mg/ml
Dose: 0.5-1.5 mg/kg
Amt: 13-39 mg
Vol: 1.3-3.9 mls
 
Sugammadex 100 mcg/ml
Dose: 2-4 mcg/kg
Amt: 52-104 mcg
Vol: 0.52-1.0 mls
 
Fluids & Blood 26 kg
Maintenance Fluid Rate: 66
Dose: 4:2:1 Rule
Amt: 66 mls/hr
 
Glucose: D5 (5 g Dextrose/100 mls)
Dose: 2-3 mg/kg/min
Amt: 62.4-93.6 mls/hr
 
NPO 10 hrs
Dose: 4:2:1 Rule
Amt: 660 mls
 
Fluid Bolus
Dose: 20 mls/kg
Amt: 520 mls
 
5% Albumin 5%
Dose: 5-10 mls/kg
Amt: 130-260 mls
 
25% Albumin 25%
Dose: 4-8 mls/kg
Amt: 104-208 mls
 
Mannitol 12.5%
Dose: 2-8 mls/kg
Amt: 52-208 mls
 
Intralipid 20%
Dose: 1.5-3 mls/kg
Amt: 39-78 mls
 
Intralipid gtt 20%
Dose: 0.25 mls/kg/hr
Amt: 6.5 mls/hr
 
Estimated Blood Volume
Amt: 1690(♀) 1950(♂) mls
 
Alllowable Blood Loss
Effect: Lower Hct by 3-5%
Amt: 84.5(♀) 97.5(♂) mls
 
Transfusion Threshold
Dose: Hct to Tx
Amt: 21%
 
PRBC
Dose: 7-10 mls/kg
Amt: 182-260 mls
Effect: Raise Hct 3-5%
 
FFP
Dose: 10-20 mls/kg
Amt: 260-390 mls
Effect: Increase Factors 10-15%
 
Cryoprecipitate
Dose: 10-20 mls/kg
Amt: 78 mls
Effect: Raise FBGN 100 mg/dl
 
Platelets
Dose: 10-15 mls/kg
Amt: 260-390 mls
Effect: Increase Plt 30-50K
 
Factor VIII 1 IU/ml
Dose: 10 IU/kg
Amt: 260-403 mls
Effect: Increase VIII 20-25 %
 
Factor IX 1 IU/ml
Dose: 20 IU/kg
Amt: 260-325 mls
Effect: Increase VIII 20-25 %
 
Factor VII 1000 mcg/ml
Dose: 90 mcg/kg before incision
Amt: 2.34 mg
Vol: 2.34mls q 2 hrs
 
Humate P Rx: VIII def 50 IU/ml
Dose: 40-60 IU/kg
Amt: 1040-1560 IU x 1
Vol: 20.8-31.2 mls
Then 10.4-15.6 mls q8h
 
Humate P Rx: VWF def 120 IU/ml
Dose: 40-80 IU/kg
Amt: 1040-2080 IU x 1
Vol: 8.7-17.3 mls
Then 8.7-13.0 mls q8h Type 2/3
8.7-13.0 mls q24h Type 1
 
PPC 25 units/ml
Dose: 25-50 units/kg for INR 2-6
Amt: 650-1300 units
Vol: 26-52 mls
 
Antithrombin III 100 u/ml
Dose: 25-30 u/kg for INR 2-6
Amt: 650-780 u
Effect: Increase AT3 level 20-30%
 
Desmopressin 4 mcg/ml
Dose: 0.1-0.3 mcg/kg o 30 min
Amt: 2.6-7.8 mcg
Vol: 0.65-1.95 mls
 
Tranxemic Acid LD 100 mg/ml
Dose: 10-30 mg/kg/hr
Amt: 260-780 mg
Vol: 2.6-7.8 mls
 
Tranxemic Acid MD 10 mg/ml
Dose: 2-10 mg/kg/hr
Amt: 52-260 mg
Vol: 13-26 mls/hr
 
Amicar Bolus 250 mg/ml
Dose: 100-200 mg/kg
Amt: 2,600-5,000 mg
Max Amt: 30000 mg/d
Vol: 10-20 mls
Max Vol: 120 mls/d
 
Amicar gtt 250 mg/ml
Dose: 33.3 mg/kg/hr
Amt: 866 mg
Max Amt: 1000 mg/h
Vol: 3.5 mls
Max Vol: 4.0 mls/h
 
Ventilator 26 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: 156-208 mls
 
PCV
RR: 20-30 br/min
IT: .8 secs
PIP: 14-18 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 26 kg
Epinephrine 1 mcg/ml
Dose: 0.1 mcg/kg *Slowly!
Amt: 2.6 mcg
Vol: 2.6 mls
 
Epinephrine SQ 1 mg/ml
Dose: 0.01 mg IM/SQ
Amt: 0.26 mg IM/SQ
Vol: 0.26 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: 26 mg
Vol: 0.52 mls
 
Methylprednisolone 40 mg/ml
Dose: 0.5-2 mg/kg (÷ into q6-q12)
Amt: 13-52 mg (÷ into q6-q12)
Vol: 0.33-1.3 mls (÷ into q6-q12)
 
Dexamethasone 1 mg/ml
Dose: 0.5-1 mg/kg
Amt: 13-26 mg
Vol: 13-26 mls
 
Ketamine 100 mg/ml
Dose: 0.5-1 mg/kg
Amt: 13-26 mg
Vol: 0.13-0.26 mls
 
Magnesium 500 mg/ml
Dose: 25-50 mg/kg
Amt: 650-1300 mg
Vol: 1.3-2.6 mls (over 20 min)
 
CPR 26 kg
Defibrillation
Dose: 2-4 J/kg (Max 10 J)
Amt: 52-104 Joules
Vol: Start with 52 Joules
 
Cardioversion
Dose: 0.5-1 J/kg (Max 4 J)
Amt: 13-26Joules
Vol: Start with 13 Joules
 
Atropine: Atropan ®1 mg/ml
Dose: 0.02 mg/kg
Amt: 0.52 mg
Vol: 0.52 mls
Max Dose: 1 mg
 
Epinephrine IV/IO 1 mg/ml
Dose: 0.01 mg/kg
Amt: 0.26 mg
Vol: 0.26 mls
 
EpinephrineETT 1 mg/ml
Dose: 0.1 mg/kg
Amt:
Vol: 2.6 mls
 
Bicarbonate 1 meg/ml
Dose: 1 meg/kg
Amt: 26 meg
Vol: 26 mls
 
Adenosine 3 mg/ml
Dose: 0.10-0.23 mg/kg
Amt: 2.60-6.00 mg
Vol: 0.87-2.00 mls
Vol: MAX 6 mg
 
Enalapril 1.25 mg/ml
Dose: 0.05-0.1 mg/kg
Amt: 1.3-2.6 mg
Vol: 1.04-2.08 mls
 
Ephedrine 5 mg/ml
Dose: 0.7-1.4 mg/kg/hr
Amt: 18.2-36.4 mg/hr
Vol: 3.64-7.28 mls/hr
 
Calcium 100 mg/ml
Dose: 2-3 mg/kg
Amt: 52-78 mg
Vol: 5.2-7.8 mls
 
Calcium Gluconate 100 mg/ml
Dose: 20-40 mg/kg
Amt: 520-1040 mg
Vol: 5.2-10.4 mls
 
Dextrose 25 0.25 g/ml
Dose: 0.25-1 g/kg
Amt: 6.5-26 g
Vol: 26-104 mls
 
Dextrose 50 0.5 mg/ml
Dose: 0.25-1 g/kg
Amt: 6.5-26 g
Vol: 13-52 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: 6.5-9.1 mg
Vol: 1.3-1.82 mls
 
Diltiazem gtt 1 mg/ml
Dose: 0.07-0.14 mg/kg/hr
Amt: 1.82-3.64 mg/hr
Vol: 1.82-3.64 mls/hr
 
Hydralazine 20 mg/ml
Dose: 0.07-0.28 mg/kg, MAX 20 mg
Amt: 1.8-7.3 mg
Vol: 0.09-0.36 mls
 
Labetalol 5 mg/ml
Dose: 0.2-1 mg/kg, MAX mg
Amt: 5.2-26 mg
Vol: 1.04-5.2 mls
 
Lidocaine 10 mg/ml
Dose: 1-2 mg/kg, MAX mg
Amt: 26-52 mg
Vol: 2.6-5.2 mls
 
Magnesium 500 mg/ml
Dose: 25-96 mg/kg, MAX 2500 mg
Amt: 650-2500 mg over 10-20 minutes
Vol: 1.3-5 mls
 
Sidenafil 0.8 mg/ml
Dose: 0.25-0.5 mg/kg, MAX 20 mg
Amt: 6.5-13 mg
Vol: 8.1-16 mls
 
Aminophylline 25 mg/ml
Dose: LD: 156 mg, 1 mg/kg/hr
Amt: 26 mg/hr
Vol: 1.04 mls/hr
 
Propranolol TET 1 mg/ml
Dose: 0.05-0.1 mg/kg, MAX 3 mg
Amt: 1.3-2.6 mg
Vol: 1.3-2.6 mls
 
Propranolol Tachy 1 mg/ml
Dose: 0.05-0.075 mg/kg, MAX 3 mg
Amt: 1.3-1.95 mg
Vol: 1.3-1.95 mls
 
Propranolol 1 mg/ml
Dose: 0.05-0.1 mg/kg, MAX 3 mg
Amt: 1.3-2.6 mg
Vol: 1.3-2.6 mls
 
Tirosint 1 mcg/ml
Dose: 0.1-0.15 mcg/kg, MAX 10 mcg
Amt: 2.6-3.9 mcg
Vol: 2.6-3.9 mls
 
Inotropes 26 kg
Epinephrine 1X 4 mcg/ml
Dose: 0.1-1 mcg/kg/min
Amt: 2.6-26 mcg/min
Vol: 39-390 mls/hr
 
Epinephrine 2X 8 mcg/ml
Dose: 0.1-1 mcg/kg/min
Amt: 2.6-26 mcg/min
Vol: 20-195 mls/hr
 
Epinephrine 4X 16 mcg/ml
Dose: 0.1-1 mcg/kg/min
Amt: 2.6-26 mcg/min
Vol: 9.8-98 mls/hr
 
Epinephrine 8X 32 mcg/ml
Dose: 0.1-1 mcg/kg/min
Amt: 2.6-26 mcg/min
Vol: 4.9-49 mls/hr
 
Dopamine 1X 1600 mcg/ml
Dose: 2-20 mcg/kg/min
Amt: 52-520 mcg/min
Vol: 2.0-20 mls/hr
 
Dopamine 2X 3200 mcg/ml
Dose: 2-20 mcg/kg/min
Amt: 52-520 mcg/min
Vol: 0.98-9.8 mls/hr
 
Dopamine 4X 6400 mcg/ml
Dose: 2-20 mcg/kg/min
Amt: 52-520 mcg/min
Vol: 0.49-4.9 mls/hr
 
Dobutamine 1X 1600 mcg/ml
Dose: 2-20 mcg/kg/min
Amt: 52-520 mcg/min
Vol: 2.0-20 mls/hr
 
Dobutamine 2X 3200 mcg/ml
Dose: 2-20 mcg/kg/min
Amt: 52-520 mcg/min
Vol: 0.98-9.8 mls/hr
 
Dobutamine 4X 6400 mcg/ml
Dose: 2-20 mcg/kg/min
Amt: 52-520 mcg/min
Vol: 0.49-4.9 mls/hr
 
Isoproterenol 1X 4 mcg/ml
Dose: 0.025-0.2 mcg/kg/min
Amt: 0.65-5.2 mcg/min
Vol: 9.8-78 mls/hr
 
Isoproterenol 2X 8 mcg/ml
Dose: 0.025-0.2 mcg/kg/min
Amt: 0.65-5.2 mcg/min
Vol: 4.9-39 mls/hr
 
Milrinone 1X 200 mcg/ml
Dose: 0.25-0.75 mcg/kg/min
Amt: 6.5-20 mcg/min
Vol: 2.0-5.9 mls/hr
 
Milrinone 2X 400 mcg/ml
Dose: 0.25-0.75 mcg/kg/min
Amt: 6.5-20 mcg/min
Vol: 0.98-2.9 mls/hr
 
Vasoconstrictors 26 kg
Norepinephrine 1X 4 mcg/ml
Dose: 0.1-1 mcg/kg/min
Amt: 2.6-26 mcg/min
Vol: 39-390 mls/hr
 
Norepinephrine 2X 8 mcg/ml
Dose: 0.1-1 mcg/kg/min
Amt: 2.6-26 mcg/min
Vol: 20-195 mls/hr
 
Norepinephrine 4X 16 mcg/ml
Dose: 0.1-1 mcg/kg/min
Amt: 0.1-1 mcg/kg/min
Vol: 9.8-98 mls/hr
 
Norepinephrine 8X 32 mcg/ml
Dose: 0.1-1 mcg/kg/min
Amt: 2.6-26 mcg/min
Vol: 4.9-49 mls/hr
 
Norepinephrine 16X 64 mcg/ml
Dose: 0.1-1 mcg/kg/min
Amt: 2.6-26 mcg/min
Vol: 2.4-24 mls/hr
 
Phenylephrine 1X 40 mcg/ml
Dose: 0.1-1 mcg/kg/min
Amt: 2.6-26 mcg/min
Vol: 3.9-39 mls/hr
 
Phenylephrine 2X 80 mcg/ml
Dose: 0.1-1 mcg/kg/min
Amt: 2.6-26 mcg/min
Vol: 2.0-20 mls/hr
 
Phenylephrine 4X 160 mcg/ml
Dose: 0.1-1 mcg/kg/min
Amt: 2.6-26 mcg/min
Vol: 0.98-9.8 mls/hr
 
Phenylephrine 8X 320 mcg/ml
Dose: 0.1-1 mcg/kg/min
Amt: 2.6-26 mcg/min
Vol: 0.49-4.9 mls/hr
 
Phenylephrine 16X 640 mcg/ml
Dose: 0.1-1 mcg/kg/min
Amt: 2.6-26 mcg/min
Vol: 0.24-2.4 mls/hr
 
Vasopressin 1X 0.4 units/ml
Dose: 0.0003-0.0051 units/kg/min
Amt: 0.01-0.13 units/min
Vol: 1.2-20 mls/hr
 
Vasopressin 2X 0.88 units/ml
Dose: 0.0003-0.0051 units/kg/min
Amt: 0.01-0.13 units/min
Vol: 0.53-9.0 mls/hr
 
Vasodilators 26 kg
Nicardipine 100 mcg/ml
Dose: 0.5-5 mcg/kg/min
Amt: 13-130 mcg/min
Vol: 7.8-78 mls/hr
 
Nitroglycerin 1X 200 mcg/ml
Dose: 0.25-4 mcg/kg/min
Amt: 6.5-104 mcg/min
Vol: 2.0-31 mls/hr
 
Nitroglycerin 2X 400 mcg/ml
Dose: 0.25-4 mcg/kg/min
Amt: 6.5-104 mcg/min
Vol: 0.98-16 mls/hr
 
Nitroprusside 1X 200 mcg/ml
Dose: 0.5-10 mcg/kg/min
Amt: 13-260 mcg/min
Vol: 3.9-78 mls/hr
 
Nitroprusside 2X 400 mcg/ml
Dose: 0.5-10 mcg/kg/min
Amt: 13-260 mcg/min
Vol: 2.0-39 mls/hr
 
ProstaglandinE1 1X 1 mcg/ml
Dose: 0.01-0.1 mcg/kg/min
Amt: 0.26-2.6 mcg/min
Vol: 16-156 mls/hr
 
ProstaglandinE1 2X 2 mcg/ml
Dose: 0.01-0.1 mcg/kg/min
Amt: 0.26-2.6 mcg/min
Vol: 7.8-78 mls/hr
 
Phentolamine 1X 20 mcg/ml
Dose: 0.05-0.1 mcg/kg/min
Amt: 1.3-2.6 mcg/min
Vol: 3.9-7.8 mls/hr
 
Phentolamine 2X 40 mcg/ml
Dose: 0.05-0.1 mcg/kg/min
Amt: 1.3-2.6 mcg/min
Vol: 2.0-3.9 mls/hr
 
Antiarrythmics 26 kg
Lidocaine 1X 4000 mcg/ml
Dose: 10-60 mcg/kg/min
Amt: 260-1,560 mcg/min
Vol: 3.9-23 mls/hr
 
Lidocaine 2X 8000 mcg/ml
Dose: 10-60 mcg/kg/min
Amt: 260-1,560 mcg/min
Vol: 2.0-12 mls/hr
 
Procainamide 1X 2 mcg/ml
Dose: 20-80 mcg/kg/min
Amt: 520-2,080 mcg/min
Vol: 16-62 mls/hr
 
Procainamide 2X 4 mcg/ml
Dose: 20-80 mcg/kg/min
Amt: 520-2,080 mcg/min
Vol: 7.8-31 mls/hr
 
Esmolol 1X 10 mcg/ml
Dose: 0.1-0.5 mcg/kg/min
Amt: 2.6-13 mcg/min
Vol: 16-78 mls/hr
 
Esmolol 2X 25 mcg/ml
Dose: 0.1-0.5 mcg/kg/min
Amt: 2.6-13 mcg/min
Vol: 6.2-31 mls/hr
 
Amiodarone VTVF
Loading Dose: 130 mg bolus
}
Max: 300 mg in 24 hrs.
MD: 5-15 mcg/kg/min x 4 hrs
Main Vol: 3.9-12 ml/hr
 
Amiodarone SVT
Loading Dose: 130 mg bolus over 20-60 min
}
Max: 300 mg in 24 hrs.
MD: 5-15 mcg/kg/min x 4 hrs
Main Vol: 3.9-12 ml/hr
 
Amiodarone Heart Surgery
Loading Dose: 390 mg bolus over 20-60 min
}
Max: 300 mg in 24 hrs.
MD: 5-15 mcg/kg/min x 4 hrs
Main Vol: 3.9-12 ml/hr
 
Local Anesthetics 26 kg
Intralipid Bolus 10%
Dose: 1.5 mls/kg
Amt: 39 mls
Vol: 39 mls
 
Intralipid gtt 10%
Dose: 0.25-0.5 mls/kg/hr
Amt: 6.5-13 mls/hr
Rate: 6.5-13 mls/hr
 
Epidural Conc 0.25% Bupivacaine
Dose: 0.3-0.4 mg/kg/hr
Rate: 3.12-4.16 mls/hr
 
Exparel 1.3
Max Dose: 4 mg/kg
Max Amt: 104 mg
Max Vol: 8.0 mls
 
LevoBupivacaine 0.25 % w/o Epi
Max Dose: 2 mg/kg
Max Amt: 52 mg
Max Vol: 21 mls
 
LevoBupivacaine 0.5 % w/o Epi
Max Dose: 2 mg/kg
Max Amt: 52 mg
Max Vol: 10 mls
 
LevoBupivacaine 0.25 % w Epi 5 mcg/ml
Max Dose: 2 mg/kg
Max Amt: 52 mg
Max Vol: 21 mls
 
LevoBupivacaine 0.5 % w Epi 5 mcg/ml
Max Dose: 2 mg/kg
Max Amt: 52 mg
Max Vol: 10 mls
 
Bupivacaine : Marcaine ®
Bupivacaine 0.25 % w/o Epi
Max Dose: 2 mg/kg
Max Amt: 52 mg
Max Vol: 21 mls
 
Bupivacaine : Marcaine ®
Bupivacaine 0.25 % w Epi 5 mcg/ml
Max Dose: 2 mg/kg
Max Amt: 52 mg
Max Vol: 21 mls
 
Bupivacaine : Marcaine ®
Bupivacaine 0.5 % w/o Epi
Max Dose: 2 mg/kg
Max Amt: 52 mg
Max Vol: 10 mls
 
Bupivacaine : Marcaine ®
Bupivacaine 0.5 % w Epi 5 mcg/ml
Max Dose: 2 mg/kg
Max Amt: 52 mg
Max Vol: 10 mls
 
Lidocaine 1 % w/o Epi
Max Dose: 4 mg/kg
Max Amt: 104 mg
Max Vol: 10 mls
 
Lidocaine 1 % w Epi 5 mcg/ml
Max Dose: 7 mg/kg
Max Amt: 182 mg
Max Vol: 18 mls
 
Lidocaine 2 % w/o Epi
Max Dose: 4 mg/kg
Max Amt: 104 mg
Max Vol: 5.2 mls
 
Lidocaine 2 % w Epi 5 mcg/ml
Max Dose: 7 mg/kg
Max Amt: 182 mg
Max Vol: 9.1 mls
 
Lidocaine 4 % w/o Epi
Max Dose: 4 mg/kg
Max Amt: 104 mg
Max Vol: 2.6 mls
 
Ropivacaine 0.2 % w/o Epi
Max Dose: 2 mg/kg
Max Amt: 52 mg
Max Vol: 26 mls
 
Ropivacaine 0.5 % w/o Epi
Max Dose: 2 mg/kg
Max Amt: 52 mg
Max Vol: 10 mls
 
Mepivacaine 1 % w/o Epi
Max Dose: 5 mg/kg
Max Amt: 130 mg
Max Vol: 13 mls
 
Mepivacaine 1 % w Epi 5 mcg/ml
Max Dose: 7 mg/kg
Max Amt: 182 mg
Max Vol: 18 mls
 
Mepivacaine 2 % w/o Epi
Max Dose: 5 mg/kg
Max Amt: 130 mg
Max Vol: 6.5 mls
 
Mepivacaine 2 % w Epi 5 mcg/ml
Max Dose: 7 mg/kg
Max Amt: 182 mg
Max Vol: 9.1 mls
 
Articaine 2 % w Epi 5-10 mcg/ml
Max Dose: 7 mg/kg
Max Amt: 182 mg
Max Vol: 9.1 mls
 
Articaine 4 % w Epi 5-10 mcg/ml
Max Dose: 7 mg/kg
Max Amt: 182 mg
Max Vol: 4.6 mls
 
Procaine 1 % w/o Epi
Max Dose: 7 mg/kg
Max Amt: 182 mg
Max Vol: 18 mls
 
Procaine 1 % w Epi 5 mcg/ml
Max Dose: 10 mg/kg
Max Amt: 260 mg
Max Vol: 26 mls
 
lC-hloroprocaine 2 % w/o Epi
Max Dose: 15 mg/kg
Max Amt: 390 mg
Max Vol: 20 mls
 
2-Chloroprocaine 3 % w/o Epi
Max Dose: 15 mg/kg
Max Amt: 390 mg
Max Vol: 13 mls
 
Tetracaine 0.25 % w/o Epi
Max Dose: 1 mg/kg
Max Amt: 26 mg
Max Vol: 10 mls
 
Tetracaine 0.25 % w Epi 5 mcg/ml
Max Dose: 1.5 mg/kg
Max Amt: 39 mg
Max Vol: 16 mls
Diseases 26 kg
 
Congenital
 
 
 
 
 
Cardiac
 
 
 
Pulmonary
 
 
 
Pain/Sedation Score 26 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 26 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