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Patient Name:Medications
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Emergency Medications
mg IV
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Muscle Relaxants
mg IV
Adenosine (PRN to 0.25mg/kg)
0.1 mg/kg2.0
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Data Entry BoxPre-operativemgAtracurium Amiodarone5 mg/kg100.0
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AtropineIM0.02 mg/kg0.40Intubation0.5 mg/kg10.0Atropine mg (PRN X2)0.02 mg/kg0.40
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Age - Months (0-24) AtropineIV0.01 mg/kg0.20Maintenance0.1 mg/kg2.0Atropine minimum dose 0.1 mg, maximum single dose 0.5 mg
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Age - Years (> 2) 5.0CimetidinePO/Slow IV7.5 mg/kg150.0Cisatracurium
Calcium Cl (max dose 500 mg)
20 mg/kg400.0
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Weight - Kilograms20 ClonidinePO4 mcg/kg0.080 Intubation range0.1 mg/kg2.0Dantrolene (to 10 mg/kg)2 mg/kg 40.0
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Height - Inches GlycopyrrolateIV/IM0.01 mg/kg0.200.2 mg/kg4.0Dexamethasone0.5 mg/kg10.0
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Hours NPO Ketamine Stun IM5 mg/kg100.0Maintenance0.02 mg/kg0.40 Dextrose0.5 gms/kg10000.0
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Respiratory Rate MetoclopramideIV0.1 mg/kg2.0MivacuriumEpinephrine mg (1:10,000)0.01 mg/kg0.20
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Hematocrit Midazolam IV0.05 mg/kg1.00 Intubation0.3 mg/kg6.0Subsequent dose (1:1000)0.1 mg/kg2.0
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Minimum Allowable Hct
Midazolam PO0.5 mg/kg10.0Maintenance0.08 mg/kg1.60
Physostigmine (max dose 2 mg)
20 mcg/kg0.40
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MidazolamIM0.08 mg/kg1.60 PancuroniumSodium Bicarbonate1 mEq/kg20.0 mEq
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Midazolam Nasal0.3 mg/kg6.0Intubation0.1 mg/kg2.0Fluid Bolus PRN10 ml/kg200 ml
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CalculationsMorphineIM0.1 mg/kg2.0Maintenance0.05 mg/kg1.00Crystalloid / 5% Albumin20 ml/kg400 ml
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RanitidineIV (up to 50 mg)1 mg/kg20.0RocuroniumDefibrillation Joules2 J/kg40 J
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Weight Kilograms -
20.0Intubation0.6 mg/kg12.0Extubation Croup - Racemic Epinephine 2.25% Sol Nebulizer
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Height Centimeters -
0.00 Inductionmg IVRapid sequence1.2 mg/kg24.0Mix in 2 mL NSS0.25 mL
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BSA Square Meter -
0.000 KetamineMaintenance0.15 mg/kg3.0
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Range = 0.5-3 mg/kg10.060.0VecuroniumAntibioticsmg IV
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VentilationPropofol Intubation0.1 mg/kg2.0Ampicillin 25-50 mg/kg IV q6h
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Range = 2-3.5 mg/kg40.070.0Maintenance0.025 mg/kg0.50 range =500.01000.0
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Dead Space ml »
44Thiopental
Cefazolin (Ancef, Kefzol®)
8.3-33.3 mg/kg IV q8h
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Minute Ventilation ml/min »
0Range = 2-5 mg/kg40.0100.0Reversalmg IVrange =166.0666.0
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Alveolar Ventilation ml/min »
0Edrophonium range0.3 mg/kg6.0Cefotetan (Cefotan®) 20-40 mg/kg IV q12h
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Tidal Volume ml (resting) »
120Intubationmg(Plus Atropine)1 mg/kg20.0 range =400.0800.0
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Tidal Volume ml @10mL/kg »
200SuccinylcholineIV2 mg/kg40.0Neostigmine0.06 mg/kg1.20 Cefoxitin (Mefoxin®)13.3-26.6 mg/kg IV q4-6h
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Endotracheal tube size mm »
5.3Atropine IV0.01 mg/kg0.20(Plus Glycopyrrolate)
Start with ½ dose & repeat X1
range =266.0532.0
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ET-Tube Length @ nose cm »
18LidocaineIV1 mg/kg20.0Flumazenil PRN10 mcg/kg0.20 Ceftriaxone (Rocephin®)25-37.5 mg/kg q12-24 hrs
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ET-Tube Length @ teeth cm
SuccinylcholineIM4 mg/kg80.0Naloxone PRN5 mcg/kg0.100 range =500.0750.0
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Minimum »
13Rocuronium IM1.8 mg/kg36.0Clindamycin (Cleocin®)6.25-10 mg/kg IV q6-8h
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Maximum »
15Peri-operativemg IV(Slow IV) range =125.0200.0
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Newborn/Infant length @ lips »
0Narcotics mcg IVAminophylline5 mg/kg100Gentamicin (Garmycin®)1.5-2.5 mg/kg IV q8h
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Sufentanil *BalancedClonidine2 mcg/kg0.040 range =30.050.0
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Fluids/Blood1 hour range=
0.125-0.25 mcg/kg
2.55.0Diphenhydramine0.25 mg/kg5.00 Vancomycin (Vancocin®)10-15 mg/kg IV q6-8h
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Maintenance ml/hr -
602 hour range=0.25-2 mcg/kg5.040.0Dolasetron0.35 mg/kg7.00 (Slow IV) range =200.0300.0
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NPO Deficit Total ml -
0
Extended case =
2-4 mcg/kg40.080.0Droperidol 0.05 mg/kg1.00
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Deficit Replacement ml
CardiacEphedrine PRN0.2 mg/kg4.0Analgesicsmg IV
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1st Hour -
0Range =10-15 mcg/kg200.0300.0Furosemide PRN0.1 mg/kg2.0
Acetaminophen PO
15 mg/kg300
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2nd Hour -
0* Total dose 1 mcg/kg/hr of surgery for extubation at end of caseGranisetron10 mcg/kg0.20
Acetaminophen PR
40 mg/kg800
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3rd Hour -
0FentanylBalanced
Hydrocortisone Prep
2 mg/kg40.0Ibuprofen PO10 mg/kg200
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Surgical Requirement ml/hr
Standard range =
1-3 mcg/kg20.060.0Ketorlac0.5 mg/kg10.0
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Minor (3 ml/kg/hr) -
60
High dose range =
4-10 mcg/kg80.0200.0Labetalol0.2 mg/kg4.0
SBE prophylaxis within 30 minutes of procedure
mg
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Moderate (5 ml/kg/hr) -
100Cardiac
Meperidine (to 1 mg/kg)
0.5 mg/kg 10.0Ampicillin IV/IM50 mg/kg1000
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Major (7 ml/kg/hr) -
140Range =10-50 mcg/kg200.01000.0Morphine Sulfate0.1 mg/kg2.0Clindamycin IV20 mg/kg slow400
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Blood Replacement
Remifentanil (2 y/o and older; loading dose over 60 seconds)
Ondansetron0.1 mg/kg2.0Cefazolin IV/IM25 mg/kg500
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Estimated Blood Vol ml »
1300Balanced Anesthesia / Concentration 20 mcg/mLPhenylephrine PRN2 mcg/kg0.040 Vancomycin IV Moderate Risk20 mg/kg slow400
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Allowable Blood Loss ml »
0Loading dose =1 mcg/kg20.0Cryoprecipitate1 unit/5 kg4.0 unitsAmpicillin IV/IM (or Vanc)50 mg/kg1000
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Packed RBC (ml) to ­ Hb 1 Gm »
80
Maintenance range=
0.2-0.5 mcg/kg/min
12.0 mL/hr30.0 mL/hr
FFP (Monitor PT/aPTT)
15 mL/kg300.0 mL PLUSHigh Risk
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Packed RBC (ml) to ­ Hb 10% or 3 Gm »
200
Extended range=
0.05-1.3 mcg/kg/min
3.0 mL/hr78.0 mL/hr
Platelets (to 30K-50K)
1 unit/10 kg2.0 unitsGentamicin IV/IM1.5 mg/kg30.0
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The authors have exerted every effort to ensure that the drug dosages set forth are in accordance with current recommendations at the time of publication.
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The user is urged to check the drug's package insert for any changes in indications and dosages as well as for warnings and precautions.
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The responsibility is ultimately that of the prescribing clinician.
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