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Intubation

Medication	Dose	Calculation
Pretreatment
Lidocaine	mg	mg/kg
Fentanyl	mcg	mcg/kg
RSI
Etomidate	mg	mg/kg
Succinylcholine	mg	mg/kg
Midazolam (Versed)	mg	mg/kg
Ketamine	mg	mg/kg
Vecuronium	mg	mg/kg
Rocuronium	mg	mg/kg
Equipment
ET Tube (cuffed)	6 ±0.5	age/4+3
Blade	3-4	Miller or MAC
cm to teeth	18	3 x ETT size

Intubation

Medication	Dose	Calculation
Pretreatment
Lidocaine	53 mg	1.5 mg/kg
Fentanyl	35 mcg	1 mcg/kg
RSI
Etomidate	10.5 mg	0.3 mg/kg
Succinylcholine	53 mg	1.5 mg/kg
Midazolam (Versed)	2 mg	0.1 mg/kg (max 2 mg per dose)
Ketamine	70 mg	2 mg/kg
Vecuronium	3.5 mg	0.1 mg/kg
Rocuronium	35 mg	1 mg/kg
Equipment
ET Tube (cuffed)	6 ±0.5	age/4+3
Blade	3-4	Miller or MAC
cm to teeth	18	3 x ETT size

Pulseless Arrest

Medication	Dose	Calculation
Defibrillation	70 J	2 J/kg (max 200)
Epinephrine (1:10,000)	0.35 mg	0.01 mg/kg (max 1 mg)
Amiodarone load (without pulse)	175 mg	5 mg/kg (max 300)
Lidocaine	35 mg	1 mg/kg
Lidocaine Infusion	1750 mcg/min	50 mcg/kg/min
Magnesium sulfate	1750 mg	50 mg/kg (max 2000 mg)
CalCl (100mg/mL)	700	20 mg/kg (max 1000 mg)
Sodium Bicarbonate (8.4%)	35mL	1 mL/kg (max 50 mL)

Cardiac with Pulse

Medication	Dose	Calculation
Adenosine	3.5 mg	0.1 mg/kg (max 6 mg)
Adenosine Repeat	7 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	0.7 mg	0.02 mg/kg (max 1 mg)
Cardioversion First Shock	35 J	1 J/kg
Cardioversion Second Shock	70 J	2 J/kg
Procainamide	525 mg	15 mg/kg (max 1500 mg)
Diltiazem	8.75 mg	0.25 mg/kg
Esmolol	3500 mcg/min	100 mcg/kg/min
Magnesium sulfate	1750 mg	50 mg/kg
Nitroglycerin drip	1.75 mcg	0.05 mcg/kg/min
Glucagon	0.88 mg	0.025 mg/kg

Hypoglycemia

Medication	Dose	Calculation
D50W	50 mL (1 amp)	1 mL/kg
D25W	70 mL	2 mL/kg
D10 W	87.5 mL	2.5 mL/kg
Glucagon	0.88 mg	0.025 mg/kg

Vasopressors

Medication	IV Dose (mcg/kg/min)	Standard Concentration	Final Concentration
Norepinephrine (Levophed)	0.01-2 mcg/kg/min	8 mg in 500 mL D5W	16 mcg/mL
Dopamine	2-20 mcg/kg/min	400 mg in 250 mL D5W	1,600 mcg/mL
Dobutamine	2-20 mcg/kg/min	250 mg in 250 mL D5W	1,000 mcg/mL
Epinephrine	0.01-1 mcg/kg/min	1 mg in 250 mL D5W	4 mcg/mL

Sedation

Medication	Dose	Calculation
Lorazepam (Ativan)	1.8 mg	0.05 mg/kg (max 2 mg per dose)
Morphine	3.5 mg	0.1 mg/kg
Fenatnyl	35 mcg	1 mcg/kg
Ketamine	35 mg	1 mg/kg
Midazolam (Versed)	2 mg	0.1 mg/kg (max 2 mg per dose)
Propofol IV (initial)	35 mg	1 mg/kg
Propofol (drip)	1750 mcg	50 mcg/kg/min

Seizure and CNS

Medication	Dose	Calculation
Lorazepam (Ativan)	1.8 mg	0.05 mg/kg (max 2 mg per dose)
Fosphenytoin (PE = phenytoin equivalent)	700 PE	20 PE/kg
Phenytoin (Dilantin)	700 mg	20 mg/kg
Phenobarbitol	350 mg	10 mg/kg
Diazepam (Valium) rectal	3.5 mg	0.1 mg/kg every 2 min
Levetiracetam (Keppra)	700 mg	20 mg/kg
Mannitol	35 g	1 g/kg
Hypoglycemia	IV dextrose	see glucose table