RT Book, Section
A1 Shah, Samir S.
A1 Zaoutis, Lisa B.
A1 Catallozzi, Marina
A1 Frank, Gary
SR Print(0)
ID 1122458771
T1 Pediatric Dosages for Emergency, Airway, and Rapid Sequence Intubation Medications
T2 The Philadelphia Guide: Inpatient Pediatrics, 2e
YR 2016
FD 2016
PB McGraw-Hill Education
PP New York, NY
SN 9780071829212
LK accesspediatrics.mhmedical.com/content.aspx?aid=1122458771
RD 2024/04/24
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.