Pediatric Quick Emergency Reference Card
Intubation
- Atropine 0.02 mg/kg (min 0.1mg; max 1mg; Always for pts <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 1.2 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)
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
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
Tubes
- Endotracheal tube (ETT) = (age-in-years/4) + 4 (uncuffed) OR (Age/4)+3 (cuffed)'
- ETT depth at the lips = ETT size x 3
- OG/NG/Foley = ETT size x 2)
- Chest Tube = ETT size x 4
See Also
Source
2/8/06 DONALDSON (from 'Peds board')