Room Setup 84 kg
Circut:
ETT:
7.5-8.5 Cuffed
Oral Airway:
90-100 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:
* 0.9 mls @ (100 mcg/ml)
Succinylcholine:
10 mls @ (20 mg/ml)
Rocuonium:
10 mls @ (10 mg/ml)
Zofran:
2 mls @ (2 mg/ml)
Dexamethasone:
2 mls @ (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 84 kg
Weight:
84 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:
480-712 mls
NPO
Food/Formula:
6 hrs
Clears:
2 hrs
Airway 84 kg
ETT Uncuffed:
NA mm
ETT Cuffed:
7.5-8.5 mm
ETT Dist:
22-24 cm
NETT Dist:
25-27 cm
BB/DLT:
7-9 Fr/7.0-8.0 Univent/35 DLT
Blade:
Miller/Mac 2/3
LMA:
#4(♀), #5(♂)
LMAVol:
40 mls
Mask:
Adult/Large Adult
Oral Airway:
90-100 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 84 kg
Atropine: Atropan ® 1mg/ml
0.02 mg/kg MAX: 2 mg
1.7 mls
Glycopyrrolate: Robinul ® 0.4mg/ml
0.01 mg/kg MAX: 1 mg
2.1 mls
Lidocaine 10 mg/ml:
1-2 mg/kg MAX: 4 mg
8.4-16.8 mls
Fentanyl 50 mcg/ml:
1-3 mcg/kg
1.7-5.1 mls
Midazolam PO 5 mg/ml:
0.2-0.24 mg/kg MAX: 5 mg
3.36-4 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
0.42-1.68 mls
PONV 84 kg
Dexamethasone 4 mg/ml
Dose: 10 mg
Amt: 0.12 mg/kg
Vol: 2.5 mls
Odansetron 2 mg/ml
Dose: 5.0 mg
Amt: 0.06 mg/kg
Vol: 2.5 mls
Dolasetron 12.5 mg/ml
Dose: 29 mg
Amt: 0.35 mg/kg
Vol: 2.4 mls
Granisetron 100 mcg/ml
Dose: 840 mcg
Amt: 10 mgc/kg
Vol: 8.4 mls
Famotidine 10 mg/ml
Dose: 21 mg
Amt: 0.25 mg/kg
Vol: 2.1 mls
Ranitidine 25 mg/ml
Dose: 50 mg
Amt: mg/kg
Vol: 2.0 mls
Sedation 84 kg
Midazolam IV 1 mg/ml
Dose: 0.02-0.1 mg/kg MAX: 10 mg
Amt: 1.7-8.4 mg
Vol: 1.7-8.4 mls
Midazolam PO 5 mg/ml
Dose: 0.02-0.05 mg/kg MAX: 20 mg
Amt: 1.7-4.2 mg
Vol: 0.34-0.84 mls
Midazolam IN 5 mg/ml
Dose: 0.11904761904762-0.12 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: 42-84 mg
Vol: 4.2-8.4 mls
Propofol gtt 10 mg/ml
Dose: 25-75 mcg/kg/min
Amt: 2.1-6.3 mg/min
Vol: 13-38 mls/hr
Fentany IV 50 mcg/ml
Dose: 1-3 mcg/kg
Amt: 84-252 mcg
Vol: 1.7-5.0 mls
Fentanyl IN 50 mcg/ml
Dose: 0.5-2 mcg/kg
Amt: 42-168 mcg
Vol: 0.84-3.4 mls
Ketamine IV 50 mg/ml
Dose: 0.5-2 mg/kg
Amt: 42-168 mg
Vol: 0.84-3.4 mls
Ketamine IM 50 mg/ml
Dose: 3-6 mg/kg
Amt: 252-504 mg
Vol: 5.0-10 mls
Precedex IV 10 mcg/ml
Dose: 0.5-2 mcg/kg
Amt: 42-168 mcg
Vol: 4.2-17 mls
Precedex gtt 10 mcg/ml
Dose: 0.2-0.8 mcg/kg/hr
Amt: 17-67 mcg/hr
Vol: 1.7-6.7mls/hr
Precedex IN 10 mcg/ml
Dose: 0.5-2 mcg/kg
Amt: 42-168 mcg
Vol: 4.2-17 mls
Precedex PO 100 mcg/ml
Dose: 1-4 mcg/kg
Amt: 84-336 mcg
Vol: 0.84-3.4 mls
>
Benadryl IV 10 mg/ml
Dose: 1-4 mg/kg
Amt: 84-336 mg
Vol: 8.4-34 mls
Narcotics 84 kg
Fetanyl 50 mcg/ml
Dose: 0.5-2 mcg/kg
Amt: 42-168 mcg
Vol: 0.84-3.4 mls
Remifentanil 50 mcg/ml
Dose: 0.5-1 mcg/kg
Amt: 42-84 mcg
Vol: 0.84-1.7 mls
Remifentanil gtt 50 mcg/ml
Dose: 0.1-0.2 mcg/kg/min
Amt: 8.4-17 mcg/min
Vol: 10-20 mls/hr
Sufentanil 10 mcg/ml
Dose: 0.1-0.2 mcg/kg
Amt: 8.4-17 mcg
Vol: 0.84-1.7 mls
Morphine 1 mg/ml
Dose: 0.05-0.15 mg/kg
Amt: 4.2-13 mg
Vol: 4.2-13 mls
Morphine gtt 1 mg/ml
Dose: 0.01-0.03 mg/kg/min
Amt: 0.84-2.5 mg/min
Vol: 50-151 mls/hr
Dilaudid 2000 mcg/ml
Dose: 5-10 mcg/kg
Amt: 420-840 mcg
Vol: 0.21-0.42 mls
Dilaudid gtt 100 mcg/ml
Dose: 5-10 mcg/kg/hr
Amt: 420-840 mcg/hr
Vol: 4.2-8.4 mls/hr
Demerol 5 mg/ml
Dose: 0.2-0.5 mg/kg
Amt: 17-42 mg
Vol: 3.4-8.4 mls
Induction 84 kg
Propofol 10 mg/ml
Dose: 2-3 mg/kg
Amt: 168-252 mg
Vol: 17-25 mls
Propofol gtt 10 mg/ml
Dose: 50-150 mcg/kg/min
Amt: 4.2-13 mg/min
Vol: 25-76 mls/hr
Etomidate 2 mg/ml
Dose: 0.2-0.6 mg/kg
Amt: 17-50 mg
Vol: 8.4-25 mls
Midazolam 1 mg/ml
Dose: 0.15-0.3 mg/kg
Amt: 13-25 mg
Vol: 13-25 mls
Remifentanil 50 mcg/ml
Dose: 0.5-1 mcg/kg
Amt: 42-84 mcg
Vol: 0.84-1.7 mls
Remifentanil gtt 50 mcg/ml
Dose: 0.1-0.3 mcg/kg/min
Amt: 8.4-25 mcg/min
Vol: 10-30 mls/hr
Ketamine IV 10 mg/ml
Dose: 1-2 mg/kg
Amt: 84-168 mg
Vol: 8.4-17 mls
Ketamine IM 10 mg/ml
Dose: 3-21 mg/kg
Amt: 252-1,764 mg
Vol: 25-176 mls
Ketothol 10 mg/ml 1:1
Dose: 1-2 mg/kg
Amt: 84-168 mg
Vol: 8.4-17 mls
Thiopental 10 mg/ml
Dose: 3-4 mg/kg
Amt: 252-336 mg
Vol: 25-34 mls
Methohexital IV 10 mg/ml
Dose: 1-1.5 mg/kg
Amt: 84-126 mg
Vol: 8.4-13 mls
Methohexital IM 50 mg/ml
Dose: 6-10 mg/kg
Amt: 504-840 mg
Vol: 10-17 mls
Methohexital PR 10 mg/ml
Dose: 25 mg/kg
Amt: 2,100 mg
Vol: 210 mls
Neuromuscular Blockers 84 kg
Succinylcholine IV 20 mg/ml
Dose: 1-2 mg/kg
Amt: 84-168 mg
Vol: 4.2-8.4 mls
Succinylcholine IM 20 mg/ml
Dose: 2.5-4 mg/kg
Amt: 210-336 mg
Vol: 11-17 mls
Rocuronium LD 10 mg/ml
Dose: 0.6-1 mg/kg
Amt: 50-84 mg
Vol: 5.0-8.4 mls
Rocuronium MD 10 mg/ml
Dose: 0.1 mg/kg
Amt: 8.4 mg
Vol: 0.84 mls
Nimbex LD 2 mg/ml
Dose: 0.1-0.2 mg/kg
Amt: 8.4-17 mg
Vol: 4.2-8.4 mls
Nimbex MD 2 mg/ml
Dose: 0.03 mg/kg
Amt: 2.5 mg
Vol: 1.3 mls
Vecuronium LD 1 mg/ml
Dose: 0.08-0.1 mg/kg
Amt: 6.7-8.4 mg
Vol: 6.7-8.4 mls
Vecuronium MD 1 mg/ml
Dose: 0.01-0.015 mg/kg
Amt: 0.84-1.3 mg
Vol: 0.84-1.3 mls
Mivacurium LD 2 mg/ml
Dose: 0.2 mg/kg
Amt: 17 mg
Vol: 8.4 mls
Mivacurium MD 2 mg/ml
Dose: 0.1 mg/kg
Amt: 8.4 mg
Vol: 4.2 mls
Atracurium LD 10 mg/ml
Dose: 0.4-0.5 mg/kg
Amt: 34-42 mg
Vol: 3.4-4.2 mls
Atracurium MD 10 mg/ml
Dose: 0.08-0.1 mg/kg
Amt: 6.7-8.4 mg
Vol: 0.67-0.84 mls
Atracurium gtt 10 mg/ml
Dose: 2-15 mcg/kg/min
Amt: 10-76 mg/min
Vol: 1.0-7.6 mls/hr
Pancuronium LD1 mg/ml
Dose: 0.04-0.1 mg/kg
Amt: 3.4-8.4 mg
Vol: 3.4-8.4 mls
Pancuronium MD 1 mg/ml
Dose: 0.01 mg/kg
Amt: 0.84 mg
Vol: 0.84 mls
Reversals 84 kg
Atropine 1000 mcg/ml
Atropine: Atropan ®
Dose: 10-20 mcg/kg
Amt: 840-1,680 mcg
Vol: 0.84-1.7 mls
Glycopyrrolate 200 mcg/ml
Dose: 6-9 mcg/kg
Amt: 504-756 mcg
Vol: 2.5-3.8 mls
Naloxone OD 0.4 mg/ml
Dose: 0.01-0.02 mg/kg
Amt: 0.84-1.7 mg
Vol: 2.1-4.2 mls
Naloxone 0.4mg/ml
Dose: 0.01 mg/kg
Amt: 0.84 mg
Vol: 2.1 mls
Nubain 10mg/ml
Dose: 0.07 mg/kg
Amt: 5.9 mg
Vol: 0.59 mls
Flumazenil 0.1mg/ml
Dose: 0.01 mg/kg
Amt: 0.84 mg
Vol: 8.4 mls
Neostigmine 1mg/ml
Dose: 0.047619047619048 mg/kg
Amt: 4 mg
Vol: 4 mls
Pyridostigmine 5 mg/ml
Dose: 0.05-0.25 mg/kg
Amt: 4.2-21 mg
Vol: 0.84-4.2 mls
Edrophonium 10 mg/ml
Dose: 0.5-1.5 mg/kg
Amt: 42-126 mg
Vol: 4.2-13 mls
Sugammadex 100 mcg/ml
Dose: 2-4 mcg/kg
Amt: 168-336 mcg
Vol: 1.7-3.4 mls
Fluids & Blood 84 kg
Maintenance Fluid Rate: 124
Dose: 4:2:1 Rule
Amt: 124 mls/hr
Glucose: D5 (5 g Dextrose/100 mls)
Dose: 1-2 mg/kg/min
Amt: 100.8-201.6 mls/hr
NPO 10 hrs
Dose: 4:2:1 Rule
Amt: 1240 mls
Fluid Bolus
Dose: 20 mls/kg
Amt: 1680 mls
5% Albumin 5%
Dose: 5-10 mls/kg
Amt: 420-840 mls
25% Albumin 25%
Dose: 4-8 mls/kg
Amt: 336-672 mls
Mannitol 12.5%
Dose: 2-8 mls/kg
Amt: 168-672 mls
Intralipid 20%
Dose: 1.5-3 mls/kg
Amt: 126-252 mls
Intralipid gtt 20%
Dose: 0.25 mls/kg/hr
Amt: 21 mls/hr
Estimated Blood Volume
Amt: 5460(♀) 6300(♂) mls
Alllowable Blood Loss
Effect: Lower Hct by 3-5%
Amt: 273(♀) 315(♂) mls
Transfusion Threshold
Dose: Hct to Tx
Amt: 21%
PRBC
Dose: 7-10 mls/kg
Amt: 588-840 mls
Effect: Raise Hct 3-5%
FFP
Dose: 10-20 mls/kg
Amt: 840-1260 mls
Effect: Increase Factors 10-15%
Cryoprecipitate
Dose: 10-20 mls/kg
Amt: 252 mls
Effect: Raise FBGN 100 mg/dl
Platelets
Dose: 10-15 mls/kg
Amt: 840-1260 mls
Effect: Increase Plt 30-50K
Factor VIII 1 IU/ml
Dose: 10 IU/kg
Amt: 840-1302 mls
Effect: Increase VIII 20-25 %
Factor IX 1 IU/ml
Dose: 20 IU/kg
Amt: 840-1050 mls
Effect: Increase VIII 20-25 %
Factor VII 1000 mcg/ml
Dose: 90 mcg/kg before incision
Amt: 7.56 mg
Vol: 7.56mls q 2 hrs
Humate P Rx: VIII def 50 IU/ml
Dose: 40-60 IU/kg
Amt: 3360-5040 IU x 1
Vol: 67.2-100.8 mls
Then 33.6-50.4 mls q8h
Humate P Rx: VWF def 120 IU/ml
Dose: 40-80 IU/kg
Amt: 3360-6720 IU x 1
Vol: 28.0-56.0 mls
Then 28.0-42.0 mls q8h Type 2/3
28.0-42.0 mls q24h Type 1
PPC 25 units/ml
Dose: 25-50 units/kg for INR 2-6
Amt: 2100-4200 units
Vol: 84-168 mls
Antithrombin III 100 u/ml
Dose: 25-30 u/kg for INR 2-6
Amt: 2100-2520 u
Effect: Increase AT3 level 20-30%
Desmopressin 4 mcg/ml
Dose: 0.1-0.3 mcg/kg o 30 min
Amt: 8.4-25.2 mcg
Vol: 2.1-6.3 mls
Tranxemic Acid LD 100 mg/ml
Dose: 10-30 mg/kg/hr
Amt: 840-2520 mg
Vol: 8.4-25.2 mls
Tranxemic Acid MD 10 mg/ml
Dose: 2-10 mg/kg/hr
Amt: 168-840 mg
Vol: 42-84 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 84 kg
The Ventilator settings have not been vetted or checked.
Preferred Vent Method: VCV
RR: 12-16 br/min
Vt Dose: 6-8 mls/kg
Vt: 504-672 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 84 kg
Epinephrine 1 mcg/ml
Dose: 0.1 mcg/kg *Slowly!
Amt: 8.4 mcg
Vol: 8.4 mls
Epinephrine SQ 1 mg/ml
Dose: 0.01 mg IM/SQ
Amt: 0.84 mg IM/SQ
Vol: 0.84 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: 84 mg
Vol: 1.7 mls
Methylprednisolone 125 mg/ml
Dose: 0.5-2 mg/kg (÷ into q6-q12)
Amt: 42-168 mg (÷ into q6-q12)
Vol: 0.34-1.3 mls (÷ into q6-q12)
Dexamethasone 1 mg/ml
Dose: 0.5-1 mg/kg
Amt: 42-84 mg
Vol: 42-84 mls
Ketamine 100 mg/ml
Dose: 0.5-1 mg/kg
Amt: 42-84 mg
Vol: 0.42-0.84 mls
Magnesium 500 mg/ml
Dose: 25-50 mg/kg
Amt: 2,100-4 mg
Vol: 4.2-8.4 mls (over 20 min)
CPR 84 kg
Defibrillation
Dose: 2-4 J/kg (Max 10 J)
Amt: 168-336 Joules
Vol: Start with 168 Joules
Cardioversion
Dose: 0.5-1 J/kg (Max 4 J)
Amt: 42-84Joules
Vol: Start with 42 Joules
Atropine: Atropan ®1 mg/ml
Dose: 0.02 mg/kg
Amt: 1.68 mg
Vol: 1.68 mls
Max Dose: 2 mg
Epinephrine IV/IO 1 mg/ml
Dose: 0.01 mg/kg
Amt: 0.84 mg
Vol: 0.84 mls
EpinephrineETT 1 mg/ml
Dose: 0.1 mg/kg
Amt:
Vol: 8.4 mls
Bicarbonate 1 meg/ml
Dose: 1 meg/kg
Amt: 84 meg
Vol: 84 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: 4.2-8.4 mg
Vol: 3.36-6.72 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: 168-252 mg
Vol: 17-25 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: 21-84 g
Vol: 84-336 mls
Dextrose 50 0.5 mg/ml
Dose: 0.25-1 g/kg
Amt: 21-84 g
Vol: 42-168 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: 21-29.4 mg
Vol: 4.2-5.88 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: 0.25-3.5714285714286 mg/kg
Amt: 21-300 mg
Vol: 4.2-60 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: 504 mg, 0.5 mg/kg/hr
Amt: 42 mg/hr
Vol: 1.68 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: 0.1-0.12 mcg/kg, MAX 10 mcg
Amt: 8.4-10 mcg
Vol: 8.4-10 mls
Inotropes 84 kg
Epinephrine 1X 4 mcg/ml
Dose: 0.1-1 mcg/kg/min
Amt: 8.4-84 mcg/min
Vol: 126-1,260 mls/hr
Epinephrine 2X 8 mcg/ml
Dose: 0.1-1 mcg/kg/min
Amt: 8.4-84 mcg/min
Vol: 63-630 mls/hr
Epinephrine 4X 16 mcg/ml
Dose: 0.1-1 mcg/kg/min
Amt: 8.4-84 mcg/min
Vol: 32-315 mls/hr
Epinephrine 8X 32 mcg/ml
Dose: 0.1-1 mcg/kg/min
Amt: 8.4-84 mcg/min
Vol: 16-158 mls/hr
Dopamine 1X 1600 mcg/ml
Dose: 2-20 mcg/kg/min
Amt: 168-1,680 mcg/min
Vol: 6.3-63 mls/hr
Dopamine 2X 3200 mcg/ml
Dose: 2-20 mcg/kg/min
Amt: 168-1,680 mcg/min
Vol: 3.2-32 mls/hr
Dopamine 4X 6400 mcg/ml
Dose: 2-20 mcg/kg/min
Amt: 168-1,680 mcg/min
Vol: 1.6-16 mls/hr
Dobutamine 1X 1600 mcg/ml
Dose: 2-20 mcg/kg/min
Amt: 168-1,680 mcg/min
Vol: 6.3-63 mls/hr
Dobutamine 2X 3200 mcg/ml
Dose: 2-20 mcg/kg/min
Amt: 168-1,680 mcg/min
Vol: 3.2-32 mls/hr
Dobutamine 4X 6400 mcg/ml
Dose: 2-20 mcg/kg/min
Amt: 168-1,680 mcg/min
Vol: 1.6-16 mls/hr
Isoproterenol 1X 4 mcg/ml
Dose: 0.025-0.2 mcg/kg/min
Amt: 2.1-17 mcg/min
Vol: 32-252 mls/hr
Isoproterenol 2X 8 mcg/ml
Dose: 0.025-0.2 mcg/kg/min
Amt: 2.1-17 mcg/min
Vol: 16-126 mls/hr
Milrinone 1X 200 mcg/ml
Dose: 0.25-0.75 mcg/kg/min
Amt: 21-63 mcg/min
Vol: 6.3-19 mls/hr
Milrinone 2X 400 mcg/ml
Dose: 0.25-0.75 mcg/kg/min
Amt: 21-63 mcg/min
Vol: 3.2-9.5 mls/hr
Vasoconstrictors 84 kg
Norepinephrine 1X 4 mcg/ml
Dose: 0.1-1 mcg/kg/min
Amt: 8.4-84 mcg/min
Vol: 126-1,260 mls/hr
Norepinephrine 2X 8 mcg/ml
Dose: 0.1-1 mcg/kg/min
Amt: 8.4-84 mcg/min
Vol: 63-630 mls/hr
Norepinephrine 4X 16 mcg/ml
Dose: 0.1-1 mcg/kg/min
Amt: 0.1-1 mcg/kg/min
Vol: 32-315 mls/hr
Norepinephrine 8X 32 mcg/ml
Dose: 0.1-1 mcg/kg/min
Amt: 8.4-84 mcg/min
Vol: 16-158 mls/hr
Norepinephrine 16X 64 mcg/ml
Dose: 0.1-1 mcg/kg/min
Amt: 8.4-84 mcg/min
Vol: 7.9-79 mls/hr
Phenylephrine 1X 40 mcg/ml
Dose: 0.1-1 mcg/kg/min
Amt: 8.4-84 mcg/min
Vol: 13-126 mls/hr
Phenylephrine 2X 80 mcg/ml
Dose: 0.1-1 mcg/kg/min
Amt: 8.4-84 mcg/min
Vol: 6.3-63 mls/hr
Phenylephrine 4X 160 mcg/ml
Dose: 0.1-1 mcg/kg/min
Amt: 8.4-84 mcg/min
Vol: 3.2-32 mls/hr
Phenylephrine 8X 320 mcg/ml
Dose: 0.1-1 mcg/kg/min
Amt: 8.4-84 mcg/min
Vol: 1.6-16 mls/hr
Phenylephrine 16X 640 mcg/ml
Dose: 0.1-1 mcg/kg/min
Amt: 8.4-84 mcg/min
Vol: 0.79-7.9 mls/hr
Vasopressin 1X 0.4 units/ml
Dose: 0.0003-0.0051 units/kg/min
Amt: 0.03-0.43 units/min
Vol: 3.8-64 mls/hr
Vasopressin 2X 0.88 units/ml
Dose: 0.0003-0.0051 units/kg/min
Amt: 0.03-0.43 units/min
Vol: 1.7-29 mls/hr
Vasodilators 84 kg
Nicardipine 100 mcg/ml
Dose: 0.5-5 mcg/kg/min
Amt: 42-420 mcg/min
Vol: 25-252 mls/hr
Nitroglycerin 1X 200 mcg/ml
Dose: 0.25-4 mcg/kg/min
Amt: 21-336 mcg/min
Vol: 6.3-101 mls/hr
Nitroglycerin 2X 400 mcg/ml
Dose: 0.25-4 mcg/kg/min
Amt: 21-336 mcg/min
Vol: 3.2-50 mls/hr
Nitroprusside 1X 200 mcg/ml
Dose: 0.5-10 mcg/kg/min
Amt: 42-840 mcg/min
Vol: 13-252 mls/hr
Nitroprusside 2X 400 mcg/ml
Dose: 0.5-10 mcg/kg/min
Amt: 42-840 mcg/min
Vol: 6.3-126 mls/hr
ProstaglandinE1 1X 1 mcg/ml
Dose: 0.01-0.1 mcg/kg/min
Amt: 0.84-8.4 mcg/min
Vol: 50-504 mls/hr
ProstaglandinE1 2X 2 mcg/ml
Dose: 0.01-0.1 mcg/kg/min
Amt: 0.84-8.4 mcg/min
Vol: 25-252 mls/hr
Phentolamine 1X 20 mcg/ml
Dose: 0.05-0.1 mcg/kg/min
Amt: 4.2-8.4 mcg/min
Vol: 13-25 mls/hr
Phentolamine 2X 40 mcg/ml
Dose: 0.05-0.1 mcg/kg/min
Amt: 4.2-8.4 mcg/min
Vol: 6.3-13 mls/hr
Antiarrythmics 84 kg
Lidocaine 1X 4000 mcg/ml
Dose: 10-60 mcg/kg/min
Amt: 840-5,040 mcg/min
Vol: 13-76 mls/hr
Lidocaine 2X 8000 mcg/ml
Dose: 10-60 mcg/kg/min
Amt: 840-5,040 mcg/min
Vol: 6.3-38 mls/hr
Procainamide 1X 2 mcg/ml
Dose: 20-80 mcg/kg/min
Amt: 1,680-6,720 mcg/min
Vol: 50-202 mls/hr
Procainamide 2X 4 mcg/ml
Dose: 20-80 mcg/kg/min
Amt: 1,680-6,720 mcg/min
Vol: 25-101 mls/hr
Esmolol 1X 10 mcg/ml
Dose: 0.1-0.5 mcg/kg/min
Amt: 8.4-42 mcg/min
Vol: 50-252 mls/hr
Esmolol 2X 25 mcg/ml
Dose: 0.1-0.5 mcg/kg/min
Amt: 8.4-42 mcg/min
Vol: 20-101 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 84 kg
Intralipid Bolus 10%
Dose: 1.5 mls/kg
Amt: 126 mls
Vol: 126 mls
Intralipid gtt 10%
Dose: 0.25-0.5 mls/kg/hr
Amt: 21-42 mls/hr
Rate: 21-42 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: 168 mg
Max Vol: 67 mls
LevoBupivacaine 0.5 % w/o Epi
Max Dose: 2 mg/kg
Max Amt: 168 mg
Max Vol: 34 mls
LevoBupivacaine 0.25 % w Epi 5 mcg/ml
Max Dose: 3 mg/kg
Max Amt: 252 mg
Max Vol: 101 mls
LevoBupivacaine 0.5 % w Epi 5 mcg/ml
Max Dose: 3 mg/kg
Max Amt: 252 mg
Max Vol: 50 mls
Bupivacaine : Marcaine ®
Bupivacaine 0.25 % w/o Epi
Max Dose: 2.5 mg/kg
Max Amt: 210 mg
Max Vol: 84 mls
Bupivacaine : Marcaine ®
Bupivacaine 0.25 % w Epi 5 mcg/ml
Max Dose: 3 mg/kg
Max Amt: 252 mg
Max Vol: 101 mls
Bupivacaine : Marcaine ®
Bupivacaine 0.5 % w/o Epi
Max Dose: 2.5 mg/kg
Max Amt: 210 mg
Max Vol: 42 mls
Bupivacaine : Marcaine ®
Bupivacaine 0.5 % w Epi 5 mcg/ml
Max Dose: 3 mg/kg
Max Amt: 252 mg
Max Vol: 50 mls
Lidocaine 1 % w/o Epi
Max Dose: 4 mg/kg
Max Amt: 336 mg
Max Vol: 34 mls
Lidocaine 1 % w Epi 5 mcg/ml
Max Dose: 7 mg/kg
Max Amt: 588 mg
Max Vol: 59 mls
Lidocaine 2 % w/o Epi
Max Dose: 4 mg/kg
Max Amt: 336 mg
Max Vol: 17 mls
Lidocaine 2 % w Epi 5 mcg/ml
Max Dose: 7 mg/kg
Max Amt: 588 mg
Max Vol: 29 mls
Lidocaine 4 % w/o Epi
Max Dose: 4 mg/kg
Max Amt: 336 mg
Max Vol: 8.4 mls
Ropivacaine 0.2 % w/o Epi
Max Dose: 2 mg/kg
Max Amt: 168 mg
Max Vol: 84 mls
Ropivacaine 0.5 % w/o Epi
Max Dose: 2 mg/kg
Max Amt: 168 mg
Max Vol: 34 mls
Mepivacaine 1 % w/o Epi
Max Dose: 5 mg/kg
Max Amt: 420 mg
Max Vol: 42 mls
Mepivacaine 1 % w Epi 5 mcg/ml
Max Dose: 7 mg/kg
Max Amt: 588 mg
Max Vol: 59 mls
Mepivacaine 2 % w/o Epi
Max Dose: 5 mg/kg
Max Amt: 420 mg
Max Vol: 21 mls
Mepivacaine 2 % w Epi 5 mcg/ml
Max Dose: 7 mg/kg
Max Amt: 588 mg
Max Vol: 29 mls
Articaine 2 % w Epi 5-10 mcg/ml
Max Dose: 7 mg/kg
Max Amt: 588 mg
Max Vol: 29 mls
Articaine 4 % w Epi 5-10 mcg/ml
Max Dose: 7 mg/kg
Max Amt: 588 mg
Max Vol: 15 mls
Procaine 1 % w/o Epi
Max Dose: 7 mg/kg
Max Amt: 588 mg
Max Vol: 59 mls
Procaine 1 % w Epi 5 mcg/ml
Max Dose: 10 mg/kg
Max Amt: 840 mg
Max Vol: 84 mls
lC-hloroprocaine 2 % w/o Epi
Max Dose: 15 mg/kg
Max Amt: 1,260 mg
Max Vol: 63 mls
2-Chloroprocaine 3 % w/o Epi
Max Dose: 15 mg/kg
Max Amt: 1,260 mg
Max Vol: 42 mls
Tetracaine 0.25 % w/o Epi
Max Dose: 1 mg/kg
Max Amt: 84 mg
Max Vol: 34 mls
Tetracaine 0.25 % w Epi 5 mcg/ml
Max Dose: 1.5 mg/kg
Max Amt: 126 mg
Max Vol: 50 mls
Diseases 84 kg
Congenital
Cardiac
Pulmonary
Pain/Sedation Score 84 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 84 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