70kg (ADULT): Difference between revisions
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==[[Critical Care Quick Reference]] Group==
==[[Critical Care Quick Reference]] Group==
{| class="wikitable"
{{#vardefine:weight|70}}{{vardefine:50}}
| kg||70kg
{{CCQuickRef}}
|-
| Age||ADULT
|-
| [[Broselow Color]]||NA
|-
|}
==Normal [[Vital Signs]]==
{| class="wikitable"
| Heart Rate||60 - 100
|-
| Respiratory Rate||10 - 20
|-
| Systolic BP||90 -140
|-
|}
==[[Intubation]]==
{| class="wikitable"
|-
| '''Pretreatment'''||
|-
| [[Lidocaine]]||100mg
|-
| [[Fentanyl]]||200mcg
|-
| [[Atropine]]||NA
|-
| '''[[RSI]]'''||
|-
| [[Etomidate]]||20mg
|-
| [[Succinylcholine]]||100mg
|-
| [[Midazolam]] (Versed)||7mg
|-
| [[Ketamine]]||140mg
|-
| [[Vecuronium]]||7mg
|-
| [[Rocuronium]]||70mg
|-
| '''Equipment'''||
|-
| ET Tube||7.5c
|-
| Blade||4
|-
| cm to teeth||22-25
|-
|}
 
==[[Adult pulseless arrest|Pulseless Arrest]]==
{| class="wikitable"
| [[Defibrilation]]||200J
|-
| [[Epinephrine]] (1:10,000)||1 amp
|-
| [[Amiodarone]]||300mg
|-
| [[Lidocaine]]||70mg
|-
| [[Magnesium]]||2gm
|-
| [[CalCl]] (100mg/cc)||1gm
|-
| [[Glucose]]||1.5 amp D50W
|-
|}
 
==[[ACLS (Main)|Cardiac with Pulse]]==
{| class="wikitable"
| [[Adenosine]]||6, 12mg
|-
| [[Amiodarone]]||150 mg over 10 min, then 1mg/min x 6 hrs
|-
| [[Atropine]]||1mg
|-
| [[Cardioversion]] ||100J, 200J, 300J, 360J (sync)
|-
| [[Procainamide]] (max)||1200mg
|-
| [[Diltiazem]]||20mg IV over 2min [0.25mg/kg ], may repeat 25mg after 15min
|-
| [[Esmolol]] ||500ug/kg (slow load then 50ug/kg/min)
|-
| [[Magnessium]]|| 2gm IVP (4cc of 50% solu) diluted in 10mL D5W
|-
| [[Metoprolol]] ||5mg IVP Q5min (x 3)
|-
| Nitroglycerine drip||10ug/min (titrate up to 200 ug/min, mix 50mg/250cc D5W)
|-
| [[Glucagon]] ||1-5 mg IV
|-
|}
 
==[[Vasopressors]]==
{{Vasopressor critical care table}}
 
==Sedation==
{| class="wikitable"
| [[Lorazepam]] (Ativan)||2mg
|-
| [[Morphine]]||7mg
|-
| [[Fenatnyl]]||70mcg
|-
| [[Ketamine]]||NA
|-
| [[Midazolam]] (Versed)||2mg
|-
|}
==[[Seizure]] and CNS==
{| class="wikitable"
| [[Lorazepam]] (Ativan)||2mg
|-
| [[Fosphenytoin]]||
|-
| [[Phenytoin]] (Dilantin)||
|-
| [[Phenobarbitol]]||
|-
| [[Diazepam]] (Valium) rectal||
|-
| [[Mannitol]]||70gm
|-
| [[Glucose]]||1.5 amp D50W
|-
| [[Naloxone]] (Narcan)||0.4-2mg
|-
|}
 
==Trauma==
{| class="wikitable"
| Normal saline 0.9% bolus||1.5L
|-
| PRBCs (1u=250cc)||1 unit
|-
| [[Chest tube]] (fr)||40
|-
| [[Central line]]||
|-
| NG tube (fr)||18
|-
|}


==Equipment==
==Equipment==

Revision as of 02:27, 30 March 2015

Critical Care Quick Reference Group

Template:Vardefine:50


Intubation

Medication Dose Calculation
Pretreatment
Lidocaine 105 mg 1.5 mg/kg[1]
Fentanyl 70 mcg 1 mcg/kg

Expression error: Unexpected < operator.

RSI
Etomidate 21 mg 0.3 mg/kg
Succinylcholine 105 mg 1.5 mg/kg
Midazolam (Versed) 2 mg 0.1 mg/kg
(max 2 mg per dose)
Ketamine 140 mg 2 mg/kg
Vecuronium 7 mg 0.1 mg/kg
Rocuronium 70 mg 1 mg/kg
Equipment
ET Tube (cuffed) Expression error: Unexpected < operator. ±0.5 age/4+3

Expression error: Unexpected < operator.

Blade Expression error: Unexpected < operator. Expression error: Unexpected = operator. Expression error: Unexpected = operator. Expression error: Unexpected = operator. Expression error: Unexpected = operator. Expression error: Unexpected > operator. Miller or MAC
cm to teeth Expression error: Unexpected < operator. 3 x ETT size

Pulseless Arrest

Medication Dose Calculation
Defibrillation Expression error: Unexpected < operator. 2 J/kg
(max 200)
Epinephrine (1:10,000) 0.7 mg 0.01 mg/kg
(max 1 mg)
Amiodarone load (without pulse) 300 mg 5 mg/kg
(max 300)
Lidocaine 70 mg 1 mg/kg
Lidocaine Infusion 3500 mcg/min 50 mcg/kg/min
Magnesium sulfate 2000 mg 50 mg/kg
(max 2000 mg)
CalCl (100mg/mL) 1000 mg 20 mg/kg
(max 1000 mg)
Sodium Bicarbonate (8.4%) 50 mL 1 mL/kg
(max 50 mL)

Cardiac with Pulse

Medication Dose Calculation
Adenosine 6 mg 0.1 mg/kg
(max 6 mg)
Adenosine Repeat 12 mg 0.2 mg/kg
(max 12 mg)
Amiodarone load (with pulse) 150 mg 5 mg/kg
Amiodarone 2nd/3rd dose repeat loading dose up to total 3 times 15 mg/kg max
Atropine 1 mg 0.02 mg/kg
(max 1 mg)

Expression error: Unexpected < operator. Expression error: Unexpected > operator.

Procainamide 1050 mg 15 mg/kg
(max 1500 mg)
Diltiazem 17.5 mg 0.25 mg/kg
Esmolol 7000 mcg/min 100 mcg/kg/min
Magnesium sulfate 2000 mg 50 mg/kg
Nitroglycerin drip 3.5 mcg 0.05 mcg/kg/min
Glucagon 1.75 mg 0.025 mg/kg

Hypoglycemia

Medication Dose Calculation

Expression error: Unexpected > operator. Expression error: Unexpected > operator.

D10 W 175 mL 2.5 mL/kg
Glucagon 1.75 mg 0.025 mg/kg

Vasopressors

Medication IV Dose (mcg/kg/min) Concentration
Norepinephrine (Levophed) 0.1-2 mcg/kg/min 8mg in 500mL D5W
Dopamine 2-20 mcg/kg/min 400mg in 250 D5W
Dobutamine 2-20 mcg/kg/min 250mg in 250 mg D5W
Epinephrine 0.1-1 mcg/kg/min 1mg in 250 D5W

Sedation

Medication Dose Calculation
Lorazepam (Ativan) 2 mg 0.05 mg/kg
(max 2 mg per dose)
Morphine 7 mg 0.1 mg/kg
Fenatnyl 70 mcg 1 mcg/kg
Ketamine 70 mg 1 mg/kg
Midazolam (Versed) 2 mg 0.1 mg/kg
(max 2 mg per dose)
Propofol IV (initial) 70 mg 1 mg/kg
Propofol (drip) 3500 mcg 50 mcg/kg/min

Seizure and CNS

Medication Dose Calculation
Lorazepam (Ativan) 2 mg 0.05 mg/kg
(max 2 mg per dose)
Fosphenytoin (PE = phenytoin equivalent) 1400 PE 20 PE/kg
Phenytoin (Dilantin) 1400 mg 20 mg/kg
Phenobarbitol 700 mg 10 mg/kg
Diazepam (Valium) rectal 7 mg 0.1 mg/kg every 2 min
Levetiracetam (Keppra) 1400 mg 20 mg/kg
Mannitol 70 g 1 g/kg
Hypoglycemia IV dextrose see glucose table

Equipment

ET Tube 7.5c
Blade 4
cm to teeth 22-25
Chest tube (fr) 40
Central line
NG tube (fr) 18

Fluids

Normal saline 0.9% bolus 1.5L
Maintenance 110cc/hr
PRBCs (1u=250cc) 1 unit

See Also

Quick Reference Groups[2]

Adult
Category Weight
Large adult 100kg
ADULT 70kg
Small adult 50kg
Pediatric
Broslow Color Weight (Age)
Green 35kg (10yr)
Orange 25kg (8yr)
Blue 20kg (6yr)
White 15kg (4yr)
Yellow 12kg (2yr)
Purple 10kg (1yr)
Red 8kg (6mo)
Pink 6kg (4mo)
Gray 5kg (2mo)
3.5kg (newborn)
Preemie 2kg (preemie)
  1. ↑ Robinson N, Clancy M. Emerg Med J. 2001 Nov; 18(6): 453–457. In patients with head injury undergoing rapid sequence intubation, does pretreatment with intravenous lignocaine/lidocaine lead to an improved neurological outcome? A review of the literature doi:10.1136/emj.18.6.453 PMCID:PMC1725712
  2. ↑ Unless otherwise noted, all pediatric dosing per AAP guidelines: AAP Committee on Drugs. Drugs for Pediatric Emergencies full text
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