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Pediatric Doses

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