100kg (large adult)

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Critical Care Quick Reference Group

Weight 100 kg
Age Large adult
Broselow Color NA

Normal Vital Signs

Heart Rate 60 - 100 bpm
Respiratory Rate 10 - 20 rpm
Systolic BP 90 - 140 mmHg


Intubation

Medication Dose Calculation
Pretreatment
Lidocaine 150 mg 1.5 mg/kg[1]
Fentanyl 100 mcg 1 mcg/kg
RSI
Etomidate 30 mg 0.3 mg/kg
Succinylcholine 150 mg 1.5 mg/kg
Midazolam (Versed) 2 mg 0.1 mg/kg
(max 2 mg per dose)
Ketamine 200 mg 2 mg/kg
Vecuronium 10 mg 0.1 mg/kg
Rocuronium 100 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
Defibrillation 200 J 2 J/kg
(max 200)
Epinephrine (1:10,000) 1 mg 0.01 mg/kg
(max 1 mg)
Amiodarone load (without pulse) 300 mg 5 mg/kg
(max 300)
Lidocaine 100 mg 1 mg/kg
Lidocaine Infusion 5000 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)
Cardioversion (sync) 100J, 200J, 300J, 360J Increase Joules with each cardioversion
Procainamide 1500 mg 15 mg/kg
(max 1500 mg)
Diltiazem 25 mg 0.25 mg/kg
Esmolol 10000 mcg/min 100 mcg/kg/min
Magnesium sulfate 2000 mg 50 mg/kg
Nitroglycerin drip 5 mcg 0.05 mcg/kg/min
Glucagon 2.5 mg 0.025 mg/kg

Hypoglycemia

Medication Dose Calculation
D50W 50 mL (1 amp) 1 mL/kg
D25W 200 mL 2 mL/kg
D10 W 250 mL 2.5 mL/kg
Glucagon 2.5 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 10 mg 0.1 mg/kg
Fenatnyl 100 mcg 1 mcg/kg
Ketamine 100 mg 1 mg/kg
Midazolam (Versed) 2 mg 0.1 mg/kg
(max 2 mg per dose)
Propofol IV (initial) 100 mg 1 mg/kg
Propofol (drip) 5000 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) 2000 PE 20 PE/kg
Phenytoin (Dilantin) 2000 mg 20 mg/kg
Phenobarbitol 1000 mg 10 mg/kg
Diazepam (Valium) rectal 10 mg 0.1 mg/kg every 2 min
Levetiracetam (Keppra) 2000 mg 20 mg/kg
Mannitol 100 g 1 g/kg
Hypoglycemia IV dextrose see glucose table

Trauma

Medication Dose Calculation
Normal saline 0.9% bolus 2L
PRBCs (1u=250cc) 1 unit
Chest tube (fr) 42
Central line
NG tube (fr) 18

Equipment

Medication Dose Calculation
Chest tube (fr) 42
Central line
NG tube (fr) 18

Fluids

Medication Dose Calculation
Normal saline 0.9% bolus 2L 20 mL/kg
Maintenance 140cc/hr 4-2-1 Rule
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)

References

  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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