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Intubation

Medication	Dose	Calculation
Pretreatment
Lidocaine	105 mg	1.5 mg/kg
Fentanyl	70 mcg	1 mcg/kg
RSI
Etomidate	21 mg	0.3 mg/kg
Succinylcholine	105 mg	1.5 mg/kg
Midazolam (Versed)	7 mg	0.1 mg/kg
Ketamine	140 mg	2 mg/kg
Vecuronium	7 mg	0.1 mg/kg
Rocuronium	70 mg	1 mg/kg
Equipment
ET Tube (cuffed)	8 ±0.5	age/4+3
Blade	3-4	Miller or MAC
cm to teeth	23	3 x ETT size

Pulseless Arrest

Medication	Dose	Calculation	Adult Max Dose
Defibrilation First Shock	200J	2 J/kg
Epinephrine (1:10,000)	0.7mg	0.01 mg/kg	1 mg
Amiodarone load (without pulse)	300 mg	5 mg/kg
Lidocaine	70 mg	1 mg/kg
Lidocaine Infusion	3500 mcg/min	50 mcg/kg/min
Magnesium sulfate	2,000 mg	50 mg/kg
CalCl (100mg/mL)	1400 mg	20 mg/kg

Cardiac with Pulse

Medication	Dose	Calculation
Adenosine	6 mg	0.1 mg/kg
Adenosine Repeat	12 mg	0.2 mg/kg
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	1.4 mg	0.02 mg/kg
Cardioversion First Shock	70 J	1 J/kg
Cardioversion Second Shock	140 J	2 J/kg
Procainamide	1050 mg	15
Diltiazem	17.5 mg	0.25 mg/kg
Esmolol	7000 mcg	100 mcg/kg/min
Magnesium sulfate	2,000 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
D50W	50mL (1 amp)	1 mL/kg
D25W	140mL	2 mL/kg
D10 W	175mL	2.5 mL/kg
Glucagon	1.75mg	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)	3.5 mg	0.05 mg/kg
Morphine	7 mg	0.1 mg/kg
Fenatnyl	70 mcg	1 mcg/kg
Ketamine	70 mg	1 mg/kg
Midazolam (Versed)	3.5 mg	0.05 mg/kg
Propofol IV (initial)	70 mg	1 mg/kg
Propofol (drip)	3500 mcg	50 mcg/kg/min

Seizure and CNS

Medication	Dose	Calculation
Lorazepam (Ativan)	3.5 mg	0.05 mg/kg
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
Mannitol	70 g	1 mg/kg
Hypoglycemia	IV dextrose	see glucose table