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 |
