Room Setup 91 kg
Circut:
ETT:
7.5-8.5 Cuffed
Oral Airway:
100-110 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:
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 91 kg
Weight:
91 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:
540-792 mls
NPO
Food/Formula:
6 hrs
Clears:
2 hrs
Airway 91 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:
#4(♀), #5(♂)
LMAVol:
40 mls
Mask:
Adult/Large Adult
Oral Airway:
100-110 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 91 kg
Atropine: Atropan ® 1mg/ml
0.02 mg/kg MAX: 2 mg
1.8 mls
Glycopyrrolate: Robinul ® 0.4mg/ml
0.01 mg/kg MAX: 1 mg
2.3 mls
Lidocaine 10 mg/ml:
1-2 mg/kg MAX: 4 mg
9.1-18.2 mls
Fentanyl 50 mcg/ml:
1-3 mcg/kg
1.8-5.4 mls
Midazolam PO 5 mg/ml:
0.2-0.22 mg/kg MAX: 5 mg
3.64-4 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
0.46-1.84 mls
PONV 91 kg
Dexamethasone 4 mg/ml
Dose: 11 mg
Amt: 0.12 mg/kg
Vol: 2.7 mls
Odansetron 2 mg/ml
Dose: 5.5 mg
Amt: 0.06 mg/kg
Vol: 2.7 mls
Dolasetron 12.5 mg/ml
Dose: 32 mg
Amt: 0.35 mg/kg
Vol: 2.5 mls
Granisetron 100 mcg/ml
Dose: 910 mcg
Amt: 10 mgc/kg
Vol: 9.1 mls
Famotidine 10 mg/ml
Dose: 23 mg
Amt: 0.25 mg/kg
Vol: 2.3 mls
Ranitidine 25 mg/ml
Dose: 50 mg
Amt: mg/kg
Vol: 2.0 mls
Sedation 91 kg
Midazolam IV 1 mg/ml
Dose: 0.02-0.1 mg/kg MAX: 10 mg
Amt: 1.8-9.1 mg
Vol: 1.8-9.1 mls
Midazolam PO 5 mg/ml
Dose: 0.02-0.05 mg/kg MAX: 20 mg
Amt: 1.8-4.6 mg
Vol: 0.36-0.91 mls
Midazolam IN 5 mg/ml
Dose: 0.10989010989011-0.11 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: 46-91 mg
Vol: 4.6-9.1 mls
Propofol gtt 10 mg/ml
Dose: 25-75 mcg/kg/min
Amt: 2.3-6.8 mg/min
Vol: 14-41 mls/hr
Fentany IV 50 mcg/ml
Dose: 1-3 mcg/kg
Amt: 91-273 mcg
Vol: 1.8-5.5 mls
Fentanyl IN 50 mcg/ml
Dose: 0.5-2 mcg/kg
Amt: 46-182 mcg
Vol: 0.91-3.6 mls
Ketamine IV 50 mg/ml
Dose: 0.5-2 mg/kg
Amt: 46-182 mg
Vol: 0.91-3.6 mls
Ketamine IM 50 mg/ml
Dose: 3-6 mg/kg
Amt: 273-546 mg
Vol: 5.5-11 mls
Precedex IV 10 mcg/ml
Dose: 0.5-2 mcg/kg
Amt: 46-182 mcg
Vol: 4.6-18 mls
Precedex gtt 10 mcg/ml
Dose: 0.2-0.8 mcg/kg/hr
Amt: 18-73 mcg/hr
Vol: 1.8-7.3mls/hr
Precedex IN 10 mcg/ml
Dose: 0.5-2 mcg/kg
Amt: 46-182 mcg
Vol: 4.6-18 mls
Precedex PO 100 mcg/ml
Dose: 1-4 mcg/kg
Amt: 91-364 mcg
Vol: 0.91-3.6 mls
>
Benadryl IV 10 mg/ml
Dose: 1-4 mg/kg
Amt: 91-364 mg
Vol: 9.1-36 mls
Narcotics 91 kg
Fetanyl 50 mcg/ml
Dose: 0.5-2 mcg/kg
Amt: 46-182 mcg
Vol: 0.91-3.6 mls
Remifentanil 50 mcg/ml
Dose: 0.5-1 mcg/kg
Amt: 46-91 mcg
Vol: 0.91-1.8 mls
Remifentanil gtt 50 mcg/ml
Dose: 0.1-0.2 mcg/kg/min
Amt: 9.1-18 mcg/min
Vol: 11-22 mls/hr
Sufentanil 10 mcg/ml
Dose: 0.1-0.2 mcg/kg
Amt: 9.1-18 mcg
Vol: 0.91-1.8 mls
Morphine 1 mg/ml
Dose: 0.05-0.15 mg/kg
Amt: 4.6-14 mg
Vol: 4.6-14 mls
Morphine gtt 1 mg/ml
Dose: 0.01-0.03 mg/kg/min
Amt: 0.91-2.7 mg/min
Vol: 55-164 mls/hr
Dilaudid 2000 mcg/ml
Dose: 5-10 mcg/kg
Amt: 455-910 mcg
Vol: 0.23-0.46 mls
Dilaudid gtt 100 mcg/ml
Dose: 5-10 mcg/kg/hr
Amt: 455-910 mcg/hr
Vol: 4.6-9.1 mls/hr
Demerol 5 mg/ml
Dose: 0.2-0.5 mg/kg
Amt: 18-46 mg
Vol: 3.6-9.1 mls
Induction 91 kg
Propofol 10 mg/ml
Dose: 2-3 mg/kg
Amt: 182-273 mg
Vol: 18-27 mls
Propofol gtt 10 mg/ml
Dose: 50-150 mcg/kg/min
Amt: 4.6-14 mg/min
Vol: 27-82 mls/hr
Etomidate 2 mg/ml
Dose: 0.2-0.6 mg/kg
Amt: 18-55 mg
Vol: 9.1-27 mls
Midazolam 1 mg/ml
Dose: 0.15-0.3 mg/kg
Amt: 14-27 mg
Vol: 14-27 mls
Remifentanil 50 mcg/ml
Dose: 0.5-1 mcg/kg
Amt: 46-91 mcg
Vol: 0.91-1.8 mls
Remifentanil gtt 50 mcg/ml
Dose: 0.1-0.3 mcg/kg/min
Amt: 9.1-27 mcg/min
Vol: 11-33 mls/hr
Ketamine IV 10 mg/ml
Dose: 1-2 mg/kg
Amt: 91-182 mg
Vol: 9.1-18 mls
Ketamine IM 10 mg/ml
Dose: 3-21 mg/kg
Amt: 273-1,911 mg
Vol: 27-191 mls
Ketothol 10 mg/ml 1:1
Dose: 1-2 mg/kg
Amt: 91-182 mg
Vol: 9.1-18 mls
Thiopental 10 mg/ml
Dose: 3-4 mg/kg
Amt: 273-364 mg
Vol: 27-36 mls
Methohexital IV 10 mg/ml
Dose: 1-1.5 mg/kg
Amt: 91-137 mg
Vol: 9.1-14 mls
Methohexital IM 50 mg/ml
Dose: 6-10 mg/kg
Amt: 546-910 mg
Vol: 11-18 mls
Methohexital PR 10 mg/ml
Dose: 25 mg/kg
Amt: 2,275 mg
Vol: 228 mls
Neuromuscular Blockers 91 kg
Succinylcholine IV 20 mg/ml
Dose: 1-2 mg/kg
Amt: 91-182 mg
Vol: 4.6-9.1 mls
Succinylcholine IM 20 mg/ml
Dose: 2.5-4 mg/kg
Amt: 228-364 mg
Vol: 11-18 mls
Rocuronium LD 10 mg/ml
Dose: 0.6-1 mg/kg
Amt: 55-91 mg
Vol: 5.5-9.1 mls
Rocuronium MD 10 mg/ml
Dose: 0.1 mg/kg
Amt: 9.1 mg
Vol: 0.91 mls
Nimbex LD 2 mg/ml
Dose: 0.1-0.2 mg/kg
Amt: 9.1-18 mg
Vol: 4.6-9.1 mls
Nimbex MD 2 mg/ml
Dose: 0.03 mg/kg
Amt: 2.7 mg
Vol: 1.4 mls
Vecuronium LD 1 mg/ml
Dose: 0.08-0.1 mg/kg
Amt: 7.3-9.1 mg
Vol: 7.3-9.1 mls
Vecuronium MD 1 mg/ml
Dose: 0.01-0.015 mg/kg
Amt: 0.91-1.4 mg
Vol: 0.91-1.4 mls
Mivacurium LD 2 mg/ml
Dose: 0.2 mg/kg
Amt: 18 mg
Vol: 9.1 mls
Mivacurium MD 2 mg/ml
Dose: 0.1 mg/kg
Amt: 9.1 mg
Vol: 4.6 mls
Atracurium LD 10 mg/ml
Dose: 0.4-0.5 mg/kg
Amt: 36-46 mg
Vol: 3.6-4.6 mls
Atracurium MD 10 mg/ml
Dose: 0.08-0.1 mg/kg
Amt: 7.3-9.1 mg
Vol: 0.73-0.91 mls
Atracurium gtt 10 mg/ml
Dose: 2-15 mcg/kg/min
Amt: 11-82 mg/min
Vol: 1.1-8.2 mls/hr
Pancuronium LD1 mg/ml
Dose: 0.04-0.1 mg/kg
Amt: 3.6-9.1 mg
Vol: 3.6-9.1 mls
Pancuronium MD 1 mg/ml
Dose: 0.01 mg/kg
Amt: 0.91 mg
Vol: 0.91 mls
Reversals 91 kg
Atropine 1000 mcg/ml
Atropine: Atropan ®
Dose: 10-20 mcg/kg
Amt: 910-1,820 mcg
Vol: 0.91-1.8 mls
Glycopyrrolate 200 mcg/ml
Dose: 6-9 mcg/kg
Amt: 546-819 mcg
Vol: 2.7-4.1 mls
Naloxone OD 0.4 mg/ml
Dose: 0.01-0.02 mg/kg
Amt: 0.91-1.8 mg
Vol: 2.3-4.6 mls
Naloxone 0.4mg/ml
Dose: 0.01 mg/kg
Amt: 0.91 mg
Vol: 2.3 mls
Nubain 10mg/ml
Dose: 0.07 mg/kg
Amt: 6.4 mg
Vol: 0.64 mls
Flumazenil 0.1mg/ml
Dose: 0.01 mg/kg
Amt: 0.91 mg
Vol: 9.1 mls
Neostigmine 1mg/ml
Dose: 0.043956043956044 mg/kg
Amt: 4 mg
Vol: 4 mls
Pyridostigmine 5 mg/ml
Dose: 0.05-0.25 mg/kg
Amt: 4.6-23 mg
Vol: 0.91-4.6 mls
Edrophonium 10 mg/ml
Dose: 0.5-1.5 mg/kg
Amt: 46-137 mg
Vol: 4.6-14 mls
Sugammadex 100 mcg/ml
Dose: 2-4 mcg/kg
Amt: 182-364 mcg
Vol: 1.8-3.6 mls
Fluids & Blood 91 kg
Maintenance Fluid Rate: 131
Dose: 4:2:1 Rule
Amt: 131 mls/hr
Glucose: D5 (5 g Dextrose/100 mls)
Dose: 1-2 mg/kg/min
Amt: 109.2-218.4 mls/hr
NPO 10 hrs
Dose: 4:2:1 Rule
Amt: 1310 mls
Fluid Bolus
Dose: 20 mls/kg
Amt: 1820 mls
5% Albumin 5%
Dose: 5-10 mls/kg
Amt: 455-910 mls
25% Albumin 25%
Dose: 4-8 mls/kg
Amt: 364-728 mls
Mannitol 12.5%
Dose: 2-8 mls/kg
Amt: 182-728 mls
Intralipid 20%
Dose: 1.5-3 mls/kg
Amt: 136.5-273 mls
Intralipid gtt 20%
Dose: 0.25 mls/kg/hr
Amt: 22.75 mls/hr
Estimated Blood Volume
Amt: 5915(♀) 6825(♂) mls
Alllowable Blood Loss
Effect: Lower Hct by 3-5%
Amt: 295.75(♀) 341.25(♂) mls
Transfusion Threshold
Dose: Hct to Tx
Amt: 21%
PRBC
Dose: 7-10 mls/kg
Amt: 637-910 mls
Effect: Raise Hct 3-5%
FFP
Dose: 10-20 mls/kg
Amt: 910-1365 mls
Effect: Increase Factors 10-15%
Cryoprecipitate
Dose: 10-20 mls/kg
Amt: 273 mls
Effect: Raise FBGN 100 mg/dl
Platelets
Dose: 10-15 mls/kg
Amt: 910-1365 mls
Effect: Increase Plt 30-50K
Factor VIII 1 IU/ml
Dose: 10 IU/kg
Amt: 910-1410.5 mls
Effect: Increase VIII 20-25 %
Factor IX 1 IU/ml
Dose: 20 IU/kg
Amt: 910-1137.5 mls
Effect: Increase VIII 20-25 %
Factor VII 1000 mcg/ml
Dose: 90 mcg/kg before incision
Amt: 8.19 mg
Vol: 8.19mls q 2 hrs
Humate P Rx: VIII def 50 IU/ml
Dose: 40-60 IU/kg
Amt: 3640-5460 IU x 1
Vol: 72.8-109.2 mls
Then 36.4-54.6 mls q8h
Humate P Rx: VWF def 120 IU/ml
Dose: 40-80 IU/kg
Amt: 3640-7280 IU x 1
Vol: 30.3-60.7 mls
Then 30.3-45.5 mls q8h Type 2/3
30.3-45.5 mls q24h Type 1
PPC 25 units/ml
Dose: 25-50 units/kg for INR 2-6
Amt: 2275-4550 units
Vol: 91-182 mls
Antithrombin III 100 u/ml
Dose: 25-30 u/kg for INR 2-6
Amt: 2275-2730 u
Effect: Increase AT3 level 20-30%
Desmopressin 4 mcg/ml
Dose: 0.1-0.3 mcg/kg o 30 min
Amt: 9.1-27.3 mcg
Vol: 2.275-6.825 mls
Tranxemic Acid LD 100 mg/ml
Dose: 10-30 mg/kg/hr
Amt: 910-2730 mg
Vol: 9.1-27.3 mls
Tranxemic Acid MD 10 mg/ml
Dose: 2-10 mg/kg/hr
Amt: 182-910 mg
Vol: 45.5-91 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 91 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: 546-728 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 91 kg
Epinephrine 1 mcg/ml
Dose: 0.1 mcg/kg *Slowly!
Amt: 9.1 mcg
Vol: 9.1 mls
Epinephrine SQ 1 mg/ml
Dose: 0.01 mg IM/SQ
Amt: 0.91 mg IM/SQ
Vol: 0.91 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: 91 mg
Vol: 1.8 mls
Methylprednisolone 125 mg/ml
Dose: 0.5-2 mg/kg (÷ into q6-q12)
Amt: 46-182 mg (÷ into q6-q12)
Vol: 0.36-1.5 mls (÷ into q6-q12)
Dexamethasone 1 mg/ml
Dose: 0.5-1 mg/kg
Amt: 46-92 mg
Vol: 46-92 mls
Ketamine 100 mg/ml
Dose: 0.5-1 mg/kg
Amt: 46-92 mg
Vol: 0.46-0.92 mls
Magnesium 500 mg/ml
Dose: 25-50 mg/kg
Amt: 2,275-4 mg
Vol: 4.6-9.2 mls (over 20 min)
CPR 91 kg
Defibrillation
Dose: 2-4 J/kg (Max 10 J)
Amt: 182-364 Joules
Vol: Start with 182 Joules
Cardioversion
Dose: 0.5-1 J/kg (Max 4 J)
Amt: 45.5-91Joules
Vol: Start with 45.5 Joules
Atropine: Atropan ®1 mg/ml
Dose: 0.02 mg/kg
Amt: 1.82 mg
Vol: 1.82 mls
Max Dose: 2 mg
Epinephrine IV/IO 1 mg/ml
Dose: 0.01 mg/kg
Amt: 0.91 mg
Vol: 0.91 mls
EpinephrineETT 1 mg/ml
Dose: 0.1 mg/kg
Amt:
Vol: 9.1 mls
Bicarbonate 1 meg/ml
Dose: 1 meg/kg
Amt: 91 meg
Vol: 91 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: 4.55-9.1 mg
Vol: 3.64-7.28 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: 182-273 mg
Vol: 18-27 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: 22.75-91 g
Vol: 91-364 mls
Dextrose 50 0.5 mg/ml
Dose: 0.25-1 g/kg
Amt: 22.75-91 g
Vol: 45.5-182 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: 22.75-31.85 mg
Vol: 4.55-6.37 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: 0.25-3.2967032967033 mg/kg
Amt: 22.75-300 mg
Vol: 4.55-60 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: 546 mg, 0.5 mg/kg/hr
Amt: 45.5 mg/hr
Vol: 1.82 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: 0.1-0.11 mcg/kg, MAX 10 mcg
Amt: 9.1-10 mcg
Vol: 9.1-10 mls
Inotropes 91 kg
Epinephrine 1X 4 mcg/ml
Dose: 0.1-1 mcg/kg/min
Amt: 9.1-91 mcg/min
Vol: 137-1,365 mls/hr
Epinephrine 2X 8 mcg/ml
Dose: 0.1-1 mcg/kg/min
Amt: 9.1-91 mcg/min
Vol: 68-683 mls/hr
Epinephrine 4X 16 mcg/ml
Dose: 0.1-1 mcg/kg/min
Amt: 9.1-91 mcg/min
Vol: 34-341 mls/hr
Epinephrine 8X 32 mcg/ml
Dose: 0.1-1 mcg/kg/min
Amt: 9.1-91 mcg/min
Vol: 17-171 mls/hr
Dopamine 1X 1600 mcg/ml
Dose: 2-20 mcg/kg/min
Amt: 182-1,820 mcg/min
Vol: 6.8-68 mls/hr
Dopamine 2X 3200 mcg/ml
Dose: 2-20 mcg/kg/min
Amt: 182-1,820 mcg/min
Vol: 3.4-34 mls/hr
Dopamine 4X 6400 mcg/ml
Dose: 2-20 mcg/kg/min
Amt: 182-1,820 mcg/min
Vol: 1.7-17 mls/hr
Dobutamine 1X 1600 mcg/ml
Dose: 2-20 mcg/kg/min
Amt: 182-1,820 mcg/min
Vol: 6.8-68 mls/hr
Dobutamine 2X 3200 mcg/ml
Dose: 2-20 mcg/kg/min
Amt: 182-1,820 mcg/min
Vol: 3.4-34 mls/hr
Dobutamine 4X 6400 mcg/ml
Dose: 2-20 mcg/kg/min
Amt: 182-1,820 mcg/min
Vol: 1.7-17 mls/hr
Isoproterenol 1X 4 mcg/ml
Dose: 0.025-0.2 mcg/kg/min
Amt: 2.3-18 mcg/min
Vol: 34-273 mls/hr
Isoproterenol 2X 8 mcg/ml
Dose: 0.025-0.2 mcg/kg/min
Amt: 2.3-18 mcg/min
Vol: 17-137 mls/hr
Milrinone 1X 200 mcg/ml
Dose: 0.25-0.75 mcg/kg/min
Amt: 23-68 mcg/min
Vol: 6.8-20 mls/hr
Milrinone 2X 400 mcg/ml
Dose: 0.25-0.75 mcg/kg/min
Amt: 23-68 mcg/min
Vol: 3.4-10 mls/hr
Vasoconstrictors 91 kg
Norepinephrine 1X 4 mcg/ml
Dose: 0.1-1 mcg/kg/min
Amt: 9.1-91 mcg/min
Vol: 137-1,365 mls/hr
Norepinephrine 2X 8 mcg/ml
Dose: 0.1-1 mcg/kg/min
Amt: 9.1-91 mcg/min
Vol: 68-683 mls/hr
Norepinephrine 4X 16 mcg/ml
Dose: 0.1-1 mcg/kg/min
Amt: 0.1-1 mcg/kg/min
Vol: 34-341 mls/hr
Norepinephrine 8X 32 mcg/ml
Dose: 0.1-1 mcg/kg/min
Amt: 9.1-91 mcg/min
Vol: 17-171 mls/hr
Norepinephrine 16X 64 mcg/ml
Dose: 0.1-1 mcg/kg/min
Amt: 9.1-91 mcg/min
Vol: 8.5-85 mls/hr
Phenylephrine 1X 40 mcg/ml
Dose: 0.1-1 mcg/kg/min
Amt: 9.1-91 mcg/min
Vol: 14-137 mls/hr
Phenylephrine 2X 80 mcg/ml
Dose: 0.1-1 mcg/kg/min
Amt: 9.1-91 mcg/min
Vol: 6.8-68 mls/hr
Phenylephrine 4X 160 mcg/ml
Dose: 0.1-1 mcg/kg/min
Amt: 9.1-91 mcg/min
Vol: 3.4-34 mls/hr
Phenylephrine 8X 320 mcg/ml
Dose: 0.1-1 mcg/kg/min
Amt: 9.1-91 mcg/min
Vol: 1.7-17 mls/hr
Phenylephrine 16X 640 mcg/ml
Dose: 0.1-1 mcg/kg/min
Amt: 9.1-91 mcg/min
Vol: 0.85-8.5 mls/hr
Vasopressin 1X 0.4 units/ml
Dose: 0.0003-0.0051 units/kg/min
Amt: 0.03-0.46 units/min
Vol: 4.1-70 mls/hr
Vasopressin 2X 0.88 units/ml
Dose: 0.0003-0.0051 units/kg/min
Amt: 0.03-0.46 units/min
Vol: 1.9-32 mls/hr
Vasodilators 91 kg
Nicardipine 100 mcg/ml
Dose: 0.5-5 mcg/kg/min
Amt: 46-455 mcg/min
Vol: 27-273 mls/hr
Nitroglycerin 1X 200 mcg/ml
Dose: 0.25-4 mcg/kg/min
Amt: 23-364 mcg/min
Vol: 6.8-109 mls/hr
Nitroglycerin 2X 400 mcg/ml
Dose: 0.25-4 mcg/kg/min
Amt: 23-364 mcg/min
Vol: 3.4-55 mls/hr
Nitroprusside 1X 200 mcg/ml
Dose: 0.5-10 mcg/kg/min
Amt: 46-910 mcg/min
Vol: 14-273 mls/hr
Nitroprusside 2X 400 mcg/ml
Dose: 0.5-10 mcg/kg/min
Amt: 46-910 mcg/min
Vol: 6.8-137 mls/hr
ProstaglandinE1 1X 1 mcg/ml
Dose: 0.01-0.1 mcg/kg/min
Amt: 0.91-9.1 mcg/min
Vol: 55-546 mls/hr
ProstaglandinE1 2X 2 mcg/ml
Dose: 0.01-0.1 mcg/kg/min
Amt: 0.91-9.1 mcg/min
Vol: 27-273 mls/hr
Phentolamine 1X 20 mcg/ml
Dose: 0.05-0.1 mcg/kg/min
Amt: 4.6-9.1 mcg/min
Vol: 14-27 mls/hr
Phentolamine 2X 40 mcg/ml
Dose: 0.05-0.1 mcg/kg/min
Amt: 4.6-9.1 mcg/min
Vol: 6.8-14 mls/hr
Antiarrythmics 91 kg
Lidocaine 1X 4000 mcg/ml
Dose: 10-60 mcg/kg/min
Amt: 910-5,460 mcg/min
Vol: 14-82 mls/hr
Lidocaine 2X 8000 mcg/ml
Dose: 10-60 mcg/kg/min
Amt: 910-5,460 mcg/min
Vol: 6.8-41 mls/hr
Procainamide 1X 2 mcg/ml
Dose: 20-80 mcg/kg/min
Amt: 1,820-7,280 mcg/min
Vol: 55-218 mls/hr
Procainamide 2X 4 mcg/ml
Dose: 20-80 mcg/kg/min
Amt: 1,820-7,280 mcg/min
Vol: 27-109 mls/hr
Esmolol 1X 10 mcg/ml
Dose: 0.1-0.5 mcg/kg/min
Amt: 9.1-46 mcg/min
Vol: 55-273 mls/hr
Esmolol 2X 25 mcg/ml
Dose: 0.1-0.5 mcg/kg/min
Amt: 9.1-46 mcg/min
Vol: 22-109 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 91 kg
Intralipid Bolus 10%
Dose: 1.5 mls/kg
Amt: 137 mls
Vol: 137 mls
Intralipid gtt 10%
Dose: 0.25-0.5 mls/kg/hr
Amt: 23-46 mls/hr
Rate: 23-46 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: 182 mg
Max Vol: 73 mls
LevoBupivacaine 0.5 % w/o Epi
Max Dose: 2 mg/kg
Max Amt: 182 mg
Max Vol: 36 mls
LevoBupivacaine 0.25 % w Epi 5 mcg/ml
Max Dose: 3 mg/kg
Max Amt: 273 mg
Max Vol: 109 mls
LevoBupivacaine 0.5 % w Epi 5 mcg/ml
Max Dose: 3 mg/kg
Max Amt: 273 mg
Max Vol: 55 mls
Bupivacaine : Marcaine ®
Bupivacaine 0.25 % w/o Epi
Max Dose: 2.5 mg/kg
Max Amt: 228 mg
Max Vol: 91 mls
Bupivacaine : Marcaine ®
Bupivacaine 0.25 % w Epi 5 mcg/ml
Max Dose: 3 mg/kg
Max Amt: 273 mg
Max Vol: 109 mls
Bupivacaine : Marcaine ®
Bupivacaine 0.5 % w/o Epi
Max Dose: 2.5 mg/kg
Max Amt: 228 mg
Max Vol: 46 mls
Bupivacaine : Marcaine ®
Bupivacaine 0.5 % w Epi 5 mcg/ml
Max Dose: 3 mg/kg
Max Amt: 273 mg
Max Vol: 55 mls
Lidocaine 1 % w/o Epi
Max Dose: 4 mg/kg
Max Amt: 364 mg
Max Vol: 36 mls
Lidocaine 1 % w Epi 5 mcg/ml
Max Dose: 7 mg/kg
Max Amt: 637 mg
Max Vol: 64 mls
Lidocaine 2 % w/o Epi
Max Dose: 4 mg/kg
Max Amt: 364 mg
Max Vol: 18 mls
Lidocaine 2 % w Epi 5 mcg/ml
Max Dose: 7 mg/kg
Max Amt: 637 mg
Max Vol: 32 mls
Lidocaine 4 % w/o Epi
Max Dose: 4 mg/kg
Max Amt: 364 mg
Max Vol: 9.1 mls
Ropivacaine 0.2 % w/o Epi
Max Dose: 2 mg/kg
Max Amt: 182 mg
Max Vol: 91 mls
Ropivacaine 0.5 % w/o Epi
Max Dose: 2 mg/kg
Max Amt: 182 mg
Max Vol: 36 mls
Mepivacaine 1 % w/o Epi
Max Dose: 5 mg/kg
Max Amt: 455 mg
Max Vol: 46 mls
Mepivacaine 1 % w Epi 5 mcg/ml
Max Dose: 7 mg/kg
Max Amt: 637 mg
Max Vol: 64 mls
Mepivacaine 2 % w/o Epi
Max Dose: 5 mg/kg
Max Amt: 455 mg
Max Vol: 23 mls
Mepivacaine 2 % w Epi 5 mcg/ml
Max Dose: 7 mg/kg
Max Amt: 637 mg
Max Vol: 32 mls
Articaine 2 % w Epi 5-10 mcg/ml
Max Dose: 7 mg/kg
Max Amt: 637 mg
Max Vol: 32 mls
Articaine 4 % w Epi 5-10 mcg/ml
Max Dose: 7 mg/kg
Max Amt: 637 mg
Max Vol: 16 mls
Procaine 1 % w/o Epi
Max Dose: 7 mg/kg
Max Amt: 637 mg
Max Vol: 64 mls
Procaine 1 % w Epi 5 mcg/ml
Max Dose: 10 mg/kg
Max Amt: 910 mg
Max Vol: 91 mls
lC-hloroprocaine 2 % w/o Epi
Max Dose: 15 mg/kg
Max Amt: 1,365 mg
Max Vol: 68 mls
2-Chloroprocaine 3 % w/o Epi
Max Dose: 15 mg/kg
Max Amt: 1,365 mg
Max Vol: 46 mls
Tetracaine 0.25 % w/o Epi
Max Dose: 1 mg/kg
Max Amt: 91 mg
Max Vol: 36 mls
Tetracaine 0.25 % w Epi 5 mcg/ml
Max Dose: 1.5 mg/kg
Max Amt: 137 mg
Max Vol: 55 mls
Diseases 91 kg
Congenital
Cardiac
Pulmonary
Pain/Sedation Score 91 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 91 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