TY - CHAP M1 - Book, Section TI - Pediatric Dosages for Emergency, Airway, and Rapid Sequence Intubation Medications A1 - Shah, Samir S. A1 - Zaoutis, Lisa B. A1 - Catallozzi, Marina A1 - Frank, Gary PY - 2016 T2 - The Philadelphia Guide: Inpatient Pediatrics, 2e AB - Table Graphic Jump LocationTable 1Emergency MedicationsView Table||Download (.pdf)Table 1Emergency MedicationsMedicationDose (IV)Max doseCommentsAdenosine:1st dose2nd dose0.1 mg/kg0.2 mg/kg6 mg12 mgRapid IV push followed immediately by 5-10 mL normal saline flush.May repeat every 2 minutes.Calcium Gluconate30-100 mg/kg3.7 gFor hypocalcemia, administer q6 hours. 1g CaGluc = 4.5 mEq elemental Ca.Dobutamine2-15 mcg/kg/min40 mcg/kg/minTitrate to desired effect.Dopamine1-20 mcg/kg/min50 mcg/kg/min2-5 mcg/kg/min increases renal blood flow with minimal cardiac effect.Epinephrine:Initial doseHigh doseInfusion0.1 mL/kg, 1:10,0000.1 mL/kg, 1:1,0000.05-1 mcg/kg/min1 mg5 mL = 5 mg–May be given IV, IO. May repeat every 3-5 minutes PRN up to max dose.May be given IV, IO, and ETT. May repeat every 3-5 min PRN.Lower doses may be considered in neonates.Flumazenil0.01 mg/kg0.2 mgMay repeat every 1 minute to max cumulative dose of 1 mg.Glucagon0.025-0.1 mg/kg1 mgMay repeat in 20 minutes. May be given IV, IM, SC.Glucose:NeonateChild2-4 mL/kg of D10W2-4 mL/kg of D25W––Then start continuous infusion of D10W at 6-8 mg/kg/min and titrat –Hydrocortisone:Stress doseAcute adrenalinsufficiency0.3-0.6 mg/kg1-2 mg/kg 100 mg Alternative dose: 25-100 mg/m2 IV or 50 mg/m2/dose IM q12 hours.May be given IV, IM.Insulin infusion for DKA0.1 unit/kg/hour–Only regular insulin should be given IV. Consider 0.1 unit/kg initial bolus.Lidocaine:Loading doseInfusion1 mg/kg20-50 mcg/kg/min–2-4 mg/minAntiarrhythmic dose. May be given IV, IO. ETT dose is 2-2.5 times higher. –Mannitol Increased ICP1.5-2 g/kg–Decreases ICP in approximately 15 minutes and lasts 4-6 hours. 20% solution given over at least 30 minutes.Naloxone0.1 mg/kg2 mgMay be given IV, IM, ETT, SC. May repeat every 2-3 minutes.Prostaglandin E10.01-0.1 mcg/kg/min0.1 mcg/kg/minStart at 0.05 – 0.1 mcg/kg/min and reduce to lowest effective dose.Sodium Bicarbonate1-2 mEq/kg–Use ½ strength formulation (0.5 mEq/ml) in neonates. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/28 UR - accesspediatrics.mhmedical.com/content.aspx?aid=1122458771 ER -