View source for Pediatric Quick Emergency Reference Card

== Intubation ==

*'''Atropine 0.02 mg/kg''' (min 0.1mg; max 1mg; Always for pts &lt;5yrs or before 2nd dose of Succinylcholine)

*'''Lidocaine 1 mg/kg''' (blunts increase in ICP)

*'''Succinylcholine 1.5-2 mg/kg''' (avoid in incr K, renal failure, h/o neuromuscular disorder or malignant hyperthermia)

*'''Rocuronium 1 mg/kg''' (onset 1min, lasts 30min)

*'''Etomidate 0.3 mg/kg''' (less hypotension than other sedatives)

*'''Versed 0.05-0.1 mg/kg''' (decreases BP,HR,RR)

*'''Fentanyl 2-5 mcg/kg''' (can cause chest wall rigidity if given rapidly)

*'''Ketamine 2 mg/kg''' (preferred in Asthma)

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== Cards ==

*'''Epinephrine 0.1 cc/kg of 1:10,000''' (ETT dose is 0.1 cc/kg of 1:1000 epi)

*'''Atropine 0.02 mg/kg''' (min 0.1mg; max 1mg; may repeat once after 5min)

*'''Adenosine 0.1-0.2 mg/kg''' (max 1mg; may repeat x2 at 0.2 mg/kg)

*'''Defib 2J/4J/4J per kg'''

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== AMS/SZ ==

*'''D25W 2 cc/kg''' (repeat as needed)

*'''Ativan 0.05-0.1 mg/kg''' (may repeat 1-2 times) 

*'''Fosphenytoin 18-20 mg PE/kg''' (rate 150mg PE/min; PE=Phenytoin equivalent)

*'''Phenytoin 18-20 mg/kg'''  (give SLOW, max rate 1mg/kg/min, 2nd choice after Fosphenytoin) 

*'''Phenobarb 10-20 mg/kg''' (rate 1mg/kg/min slow)

*'''Valium rectal 0.5 mg/kg''' 

*'''Mannitol 1 gm/kg''' 

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== Tubes ==
*'''Endotracheal tube (ETT) = (age-in-years/4) + 4 (uncuffed)  OR  (Age/4)+3 (cuffed)'
*'''ETT depth at the lips = ETT size x 3'''
*'''Foley = ETT size x 2)'''
*'''Chest Tube = ETT size x 4'''

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== See Also ==

[[Adult Quick Drug Card]] 

== Source ==

2/8/06 DONALDSON (from 'Peds board') 

[[Category:Drugs]] [[Category:Airway/Resus]] [[Category:Peds]]