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Emergency Pediatric Dosing 10-11 kilogram

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Emergency Pediatric Dosing 10-11 kilogram, Broselow Purple

  • See Also
  1. Emergency Pediatric Dosing (Broselow Tape)
  2. Advanced Airway
  3. Adult Resuscitation
  4. Pediatric Resuscitation
  5. Newborn Resuscitation
  6. Obstetrical Resuscitation
  • Criteria
  • Body habitus
  1. Age: 11-18 months
  2. Length: 74 to 84.5 cm
  3. Weight: 10-11 kg (mean 10.5 kg)
  1. Heart Rate: 110-170/minute
  2. Respiratory Rate: 20-30/minute
  3. Systolic Blood Pressure: 70-110 mmHg
  1. Induction (Sedation)
    1. Etomidate 3.2 mg
    2. Ketamine 20 mg
    3. Propofol 32 mg
  2. Paralytic
    1. Succinylcholine 20 mg
    2. Rocuronium 10 mg
    3. Vecuronium 1 mg
  3. Sedation Maintenance
    1. Lorazepam 0.5 mg
  4. Equipment
    1. ET Size cuffed (preferred): 3.5 mm
    2. ET Size uncuffed: 4.0 mm
    3. ET Insertion depth (at lips): 11-12 cm
    4. Laryngoscope Blade: 1 Miller (straight)
    5. Suction catheter: 8-10 F
    6. LMA: 2
    7. Tidal Volume: 65-105 cc
    8. Breath rate: 15-25/min
    9. Inspiratory time: 0.7 sec
  • Protocol
  • Miscellaneous Equipment
  1. Urinary Catheter: 8-10 F
  2. Nasogastric Tube: 8-10 F
  3. Chest Tube: 16-20 F
  • Protocol
  • Fluids
  1. IV Fluid Crystalloid Bolus (20 cc/kg NS, LR): 200-220 ml
  2. IV Fluid Crystalloid Maintenance: 41-43 ml/h
  1. Cardioversion
    1. First (1 J/kg): 10 J
    2. Next (2 J/kg): 20 J
  2. Defibrillation
    1. First (2 J/kg): 20 J
    2. Next (4 J/kg): 40 J
    3. Next (4-10 J/kg): 40-100 J
  3. Lidocaine
    1. Intravenous (100 mg/5 ml = 2%): 10 mg (0.5 ml)
    2. Endotracheal (100 mg/5 ml = 2%): 20-30 mg (1.0-1.5 ml)
  4. Epinephrine
    1. Intravenous (1:10,000): 0.1 mg (1 ml)
    2. Endotracheal (1:1000): 1 mg (1 ml)
  5. Atropine
    1. Intravenous (0.1 mg/ml): 0.21 mg (2.1 ml)
    2. Endotracheal (0.4 mg/ml) 0.5 mg (1.3 ml)
  6. Naloxone
    1. Intravenous (0.4 mg/ml) 0.11 mg (0.28 ml)
    2. Endotracheal (0.4 mg/ml) 0.11 mg (0.28 ml)
  7. Adenosine
    1. Initial dose (6 mg/2ml): 1 mg (0.33 ml)
    2. Next dose (6 mg/2ml): 2.1 mg (0.7 ml)
  8. Amiodarone
    1. Intravenous (50 mg/ml): 50 mg (1 ml)
  9. Calcium Chloride
    1. Intravenous (100 mg/ml = 10%): 210 mg (2.1 ml)
  10. Magnesium Sulfate
    1. Intravenous (5 g/10 ml = 500 mg/ml = 4 meq Mg/ml = 50%) 525 mg (1.1 ml)
  11. Sodium Bicarbonate
    1. Intravenous (1 meq/ml = 84 mg/ml = 8.4%) 10 meq (10 ml)
  • References
  1. eBroselow
    1. http://www.ebroselow.com
  2. Broselow (2011) Broselow Pediatric Emergency Tape, Vital Signs, Inc, Totowa, NJ
  3. LA County EMS Color Coded Pediatric Drugs
    1. http://ems.dhs.lacounty.gov/ManualsProtocols/3colordrug.pdf
  4. Difficult Airway Course
    1. http://www.theairwaysite.com
  5. (2008) Fairview University - Childrens Hospital, Pediatric Emergency Drug Guide