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Emergency Pediatric Dosing 15-18 kilogram
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Emergency Pediatric Dosing 15-18 kilogram
, Broselow White
See Also
Emergency Pediatric Dosing
(
Broselow Tape
)
Advanced Airway
Adult Resuscitation
Pediatric Resuscitation
Newborn Resuscitation
Obstetrical Resuscitation
Criteria
Body habitus
Age: 3-4 years
Length: 97.5 to 110 cm
Weight: 15-18 kg (mean 16.5 kg)
Findings
Vital Sign
s (normal)
Heart Rate
: 75-135/minute
Respiratory Rate
: 20-30/minute
Systolic
Blood Pressure
: 80-110 mmHg
Medications
Rapid Sequence Intubation
(RSI) and intubation and ventilation
Induction (Sedation)
Etomidate
5 mg
Ketamine
33 mg
Propofol
50 mg
Paralytic
Succinylcholine
33 mg
Rocuronium
17 mg
Vecuronium
1.7 mg
Sedation Maintenance
Lorazepam
0.8 mg
Equipment
ET Size cuffed (preferred): 4.5 mm
ET Size uncuffed: 5.0 mm
ET Insertion depth (at lips): 14-15 cm
Laryngoscope Blade
: 2 Miller (straight) or Macintosh (curved)
Suction catheter: 10 F
LMA: 2
Tidal Volume
: 100-165 cc
Breath rate: 15-25/min
Inspiratory time: 0.7 sec
Protocol
Miscellaneous Equipment
Urinary Catheter
: 10-12 F
Nasogastric Tube
: 10-12 F
Chest Tube
: 22-24 F
Protocol
Fluids
IV Fluid Crystalloid Bolus (20 cc/kg NS, LR): 300-34- ml
IV Fluid Crystalloid Maintenance: 51-55 ml/h
Medications
Resuscitation
Cardioversion
First (1 J/kg): 17 J
Next (2 J/kg): 33 J
Defibrillation
First (2 J/kg): 33 J
Next (4 J/kg): 66 J
Next (4-10 J/kg): 66-160 J
Lidocaine
Intravenous (100 mg/5 ml = 2%): 17 mg (0.85 ml)
Endotracheal (100 mg/5 ml = 2%): 34-50 mg (1.7 to 2.5 ml)
Epinephrine
Intravenous (1:10,000): 0.17 mg (1.7 ml)
Endotracheal (1:1000): 1.7 mg (1.7 ml)
Atropine
Intravenous (0.1 mg/ml): 0.33 mg (3.3 ml)
Endotracheal (0.4 mg/ml) 0.85 mg (2.1 ml)
Naloxone
Intravenous (0.4 mg/ml) 0.17 mg (0.43 ml)
Endotracheal (0.4 mg/ml) 0.17 mg (0.43 ml)
Adenosine
Initial dose (6 mg/2ml): 1.7 mg (0.57 ml)
Next dose (6 mg/2ml): 3.3 mg (1.1 ml)
Amiodarone
Intravenous (50 mg/ml): 80 mg (1.6 ml)
Calcium Chloride
Intravenous (100 mg/ml = 10%): 330 mg (3.3 ml)
Magnesium Sulfate
Intravenous (5 g/10 ml = 500 mg/ml = 4 meq Mg/ml = 50%) 820 mg (1.6 ml)
Sodium Bicarbonate
Intravenous (1 meq/ml = 84 mg/ml = 8.4%) 16.5 meq (16.5 ml)
References
eBroselow
http://www.ebroselow.com
Broselow (2011) Broselow Pediatric Emergency Tape,
Vital Sign
s, Inc, Totowa, NJ
LA County EMS Color Coded Pediatric Drugs
http://ems.dhs.lacounty.gov/ManualsProtocols/3colordrug.pdf
Difficult Airway Course
http://www.theairwaysite.com
(2008) Fairview University - Childrens Hospital, Pediatric Emergency Drug Guide
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