Use Peds Lexi-Comp (up to date) as gold standard

Rapid sequence intubation (RSI)

 Cardiac Patients    
Atropine 0.02 mg/kg/dose (1 cc, infants)
Fentanyl 2.5-5 mcg/kg/dose (May cause chest wall rigidity)
Rocuronium 1 mg/kg/dose
High ICPs  
Lidocaine 1 mg/kg/dose
Etomidate  0.1-0.3 mg/kg
Rocuronium 1 mg/kg/dose
Asthma  
Ketamine 1-2 mg/kg/dose (Bronchodilator, raises SVR)
Atropine 0.02mg/kg/dose
Rocuronium 1 mg/kg/dose
Respiratory Failure (Not Asthma)  
Propofol 1-2 mg/kg/dose
Atropine 0.02 mg/kg/dose
Rocuronium 1 mg/kg/dose
Sepsis  
Ketamine 1-2 mg/kg/dose (raises SVR)
Rocuronium 1 mg/kg/dose
**Avoid Etomidate (cortisol suppression) and Propofol (hypotension)

Above are general guidelines for RSI. Decision should be made based on provider preference.

Sedatives and paralytics

Ativan 0.05-0.1 mg/kg/dose, max 2-4 mg
Dexmedetomidine 0.5 mcg/kg bolus over 10 min, then 0.25-1 mcg/kg/hr
Fentanyl 1-2 mcg/kg/dose
Methadone 0.05 -0.2 mg/kg/day PO Q12hr, dose based on prior narcotics
Propofol 0.5-1 mg/kg/dose boluses, 25-100 mcg/kg/min for most infusions
Rocuronium 1 mg/kg/dose (max blockade <5 mins)
Vecuronium 0.1 mg/kg/dose
Versed 0.05-0.1 mg/kg/dose, max 2-4 mg

GI medications

Famotidine 0.5mg/kg/dose IV/PO BID, max 20 mg BID
Omeprazole 1-3 mg/kg/day PO divided BID or daily
Pantoprazole 1-3 mg/kg/day IV divided BID
Reglan 0.1 mg/kg/dose IV
Ursodiol 10-15 mg/kg/day PO

Fluids and electrolytes

5 % Albumin 5-10 cc/kg IV (hypotension, volume replacement)
25% Albumin 1 g/kg IV over 60 min (for hypoalbuminemia)
NaHCO3 1-2 meq/kg IV over 20-30 min (central line)
Chlorothiazide 5-10 mg/kg/dose PO/IV Q 12 hr
D10W & D 25W 2 cc/kg IV push
Diamox 5 mg/kg/dose IV Q 12 hr
Furosemide

1 mg/kg/dose IV Q 6 to Q 12 hrs
Infusion rates 0.1-0.4 mg/kg/hr

Metolozone 0.2-0.4 mg/kg/day
NS Bolus 10-20 cc/kg over 30-60 min
Spironolactone 1 mg/kg/dose PO Q 12 hr
THAM 3 cc/kg IV (equivalent to 1 meq/kg Bicarb)

Cardiac medications

Ca Chloride 20 mg/kg IV (must be central line, for iCa <4)
Captopril 0.25-1 mg/kg/dose Q 8 hr (test dose 0.1mg/kg)
Digoxin 5 mcg/kg/dose PO Q 12 hr
Enalapril 0.1-0.4 mg/kg/day divided BID (start w/ low dose)
Epinephrine 0.1 cc/kg of 1:10,000 IV
KCl 0.5-1 meq/kg/dose, max 20 meq
Mg Sulfate 25 mg/kg/dose IV Q 6 hr X 3 dose (for Mg < 2)

Heme/Onc medications

Aspirin 5 mg/kg/day (anti-plt effect for shunts)
Enoxaparin 1.5 mg/kg/dose BID for clot tx, daily for prophylaxis
Factor VIIa 90 mcg/kg/dose, may repeat Q 2-3 hrs X 3 doses prn
FFP 10cc/kg IV over 1 hr
IVIG 1 g/kg IV over 3-4 hrs
pRBCs 10-15 cc/kg IV over 2-3 hr (unless Hgb < 5-6)
Vit K 1 mg IM infants, Adults 10 mg IM

Neurologic medications

Dilantin 15-20 mg/kg IV load, then 3-6 mg/kg/day PO/IV divided BID or TID
Keppra 10 mg/kg/dose PO/IV BID, adolescent 500 mg BID
Mannitol 0.5-1 g/kg/dose IV
3% NaCl 3 cc/kg/dose IV over 30 min for high ICPs
Phenobarbital 15-20 mg/kg IV load, then 4-6 mg/kg/day PO/IV divided Q 12