| Medication | Dosage |
| Sodium Bicarb | < 3 mo = 1 mEq/kg of 4.2%
> 3 mo = 1 mEq/kg of 8.4% |
| Lidocaine
VF, pVT | 1 mg/kg repeat in 3-5 min
max 3 mg/kg |
| Lidocaine
VT w/ pulse | 1 mg/kg every 5-10 min
pkg: 100 mg/5 ml |
| Lidocaine
IV drip | 20-50 mcg/kg/min |
| Amiodarone
VF, pVT | 5 mg/kg IV/IO
max 15 mg/kg |
| Amiodarone
SVT, Ventricular arrhythmias | 5 mg/kg over 20-60 minutes |
| Atropine
OGP | begin with .05 mg/kg
repeat with .05 mg/kg 5-10 min |
| Adenosine
SVT/PSVT | 1st = .1 mg/kg to max 6 mg
2nd = .2 mg/kg to max 12 mg
may repeat 2nd dose 1 more X |
| Epinephrine (1:1,000)
Asthma-severe distress/ Allergic reaction | .01 mg/kg IM/SQ
may repeat in 20 min - max of .3 mg |
| Epinephrine (1:1,000)
Anaphalaxis | < 30 kg: 0.01 mg/kg IM /SQ anterolateral thigh;
repeat every 5 to 10 min prn - Max 0.3 mg
> 30 kg: 0.3 to 0.5 mg IM /SQ anterolateral thigh;
repeat every 5 to 10 minutes prn - Max 0.5 mg |
| Epinephrine (1:10,000)
Pulseless Arrest (PEA, VF, pVT, Asystole, or HR <60 in neonates and Bradycardia) | .01 mg/kg IV/IO |
| Epinephrine (1:10,000)
Anaphalaxis | - Neonate: 0.01 mg/kg IV slowly once
- Infant: 0.05 mg IV slowly once; may repeat at 20 to 30 min intervals prn |
| Calcium Chloride | 2-4 mg/kg
pkg: 1 g in prefilled 10 ml, 10% solution |
| Phenergan | .5-1.0 mg/kg PR |
| Mannitol
To decrease ICP | .5 g/kg slow over 30-60 min 100 g/10mL must use inline filter, can crystallize |
| Succinylcholine | 1-2 mg/kg IV/IM/IO
pkg: 200 mg/10mL |
| Veccuronium | .1 mg/kg to a max single dose of 10 mg/kg
pkg: 10 mg/10mL |
| Diazepam
seizures | .25 mg/kg IVP slow over 2 min,
max 1 mg/kg titrate to effect |
| Midazolam | .05 mg/kg or 3 mg IN
pkg: 1 mg/kg or 5 mg/mL |
| Fentanyl | > 2 yrs = 2 mcg/kg slow over 1 min |
| Morphine
Pain | .1 mg/kg repeat q 5 min prn
pkg: 2 mg/mL ampule |
| Dextrose | .5 g/kg of 25% ( take D-50 empty 25 cc's and refill w/ NS)
Neonates .5 g/kg of D-10 |
| Naloxone | < 5 yrs .4 - 2 mg - may repeat after 3 min if no change seen.
> 5 yrs .1 mg/kg
pkg: 2 mg/mL |
| Glucagon
Hypoglycemia | 1 unit IM
may repeat q 3 min. |
| Glucagon
Beta Blocker OD | 1-3 units – may repeat q 20 min.
pkg: 1 unit with solute |
| Activated Charcoal | 1 g/kg ( typically 25 g) PO
pkg: 25 g/125mL |
| Diphenhydramine | 1 mg/kg (max single dose 50 mg)
pkg: 50 mg/1mL |
| Ipratropium Bromide | .15 -. 25 mg nebulizer (One time only)
pkg: .5 mg/3mL |
| Terbutaline | .01 mg/kg SQ
pkg: 1 mg/1mL |
