Drug Dose Pediatric

Front 1

ACTIVATED CHARCOAL

(Aqua, Actidose, Liqui-Char)

Back 1

1 gm/kg

PO

Front 2

ADENOSINE

(Adenocard)

Back 2

SVT & Monomorphic Wide Complex Tachycardia: 0.1-0.2 mg/kgIV, IO rapidly, up to 6 mg. If no effect, may double dose.Maximum: 12 mg total dose

Front 3

ALBUTEROL

(Proventil, Ventolin)

Back 3

Bronchospasm secondary to reactive airway disease: Asthma, Bronchiolitis,Croup: 0.03 ml/kg nebulized; maximum: 1 ml of fluid (Some physiciansrecommend using the adult dose in pediatric patients older than 5 yrs. of age.)When in doubt consult medical control.

Front 4

AMIODARONE

(Cordarone)

Back 4

Cardiac Arrest V Tach: 5 mg/kg IV/IO (administer over 10 minutes for V Tachwith pulse)

Front 5

ATROPINE SULFATE

Back 5

Bradydysrhythmias: 0.02 mg/kg IV, IO. Minimum dose is 0.1 mg. May berepeated in 5 minutes for a maximum total dose of 1.0 mg for a child and 2.0mg for an adolescent Organophospate or Carbamate Insecticide poisoning: 0.05 mg/kg IV/IO q 5min. Minimum dose is 0.1 mg. Until secretions dry or HR increases. Maxdose is 5 mg

Front 6

Cefazolin

(Ancef)

Back 6

Open Fracture:

weight < 20 kg give 50 mg/kg

Front 7

DEXAMETHASONE

(DECADRON, HEXADROL)

Back 7

Asthma, Stridor, Croup, COPD, Severe Allergic Reaction (Anaphylaxis):.5mg/kg IV/IO or IM Max dose 10mg

Front 8

DEXTROSE 50% & 25%

Back 8

Hypoglycemia, Seizures if Blood glucose level unknown: Dilute 1:1 withsterile water or NS for a concentration of 25% dextrose in water. Administer0.5-1.0 g/kg (2 – 4 ml/kg D-25) slow IV or IO.

Neonate:D12.5W: Dilute 1 part D50 with three equal parts of sterile water or NS.Administer .625 – 1.25 mg/kg (5 - 10 ml/kg D-12.5) slow IV or IO

Front 9

DIAZEPAM

(Valium)

Back 9

Status Seizures: Infants-5 yrs of age: 0.2-0.5 mg/kg slow IV, IO q 2-5minutes to maximum dose of 5 mg. Children > 5 yrs: 1 mg IV slow q 2-5 minutes to maximum dose of 10 mgRectal Valium: (PR) Double recommended IV dose

Front 10

DILTIAZEM

(Cardizem)

Back 10

Not indicated for use in pediatric patients.

Front 11

DIPHENHYDRAMINE

(Benadryl)

Back 11

Allergic Reactions, Anaphylaxis: 1mg/kg IV (max initial dose 25mg) 2mg/kg IM (max initial dose 50mg)

Front 12

DOPAMINE

(Intropin)

Back 12

Hypotension:2-20 µg/kg/min. Use premix or mix 400 mg in 250 ml D5W (1600 µg/ml) use 60gtt set.

Front 13

EPINEPHRINE

(Adrenalin)

Back 13

Cardiac Arrest: 0.01 mg/kg IV/IO q 3-5 minutes. 1:10,000 (0.1ml/kg)

Allergic Reaction/ Severe Asthma/ upper airway edema: 0.01mg/kg1:1000 IM or Nebulized – mix with 3cc NS

Anaphylaxis with hypoperfusion 0.01mg/kg slow IV (1:10,000)

Bradycardia/hypotension: 0.01 - .0.03 mg/kg IV, IO (1:10,000) Q 3 – 5minutes

Child hypoperfusion- 0.1mcg/kg/min drip up to 1 mcg/kg/min titrate toeffect

Neonatal: 0.01 -0.03 mg/kg (0.1 –[ 0.3 ml/kg) (IV, IO, UV) All 1:10,000.

Croup/Stridor – 0.5 mL/kg of 1:1000 epi Nebulized, Max of 5 ml dilute in3 ml NS

Front 14

ETOMIDATE

(Amidate)

Back 14

not used

Front 15

FENTANYL CITRATE

(SUBLIMAZE)

Back 15

Analgesia: 0.5 – 3.0 mcg/kg IV or IM – may repeat one time Intra Nasal administration 1 -2 mcg/kg – ½ in each nostril

Front 16

FUROSEMIDE

(Lasix)

Back 16

CHF with Pulmonary Edema 1 mg/kg IV, IO slowly

Front 17

GLUCAGON

Back 17

< 20 kg: Hypoglycemia 0.5 – 1.0 mg IV, IO, IM, SQ

Front 18

IPRATROPIUM

(Atrovent)

Back 18

Bronchial Asthma, Chronic Bronchitis: 0.5mg nebulized – max 3 dosesCan be administered with a B2 agonist in a nebulized treatment

Front 19

KETAMINE

(Ketalar)

Back 19

> 2years old: Pain: 0.5 – 1.0 mg/kg IV over 1 minute may repeat one time, or 2 – 4 mg/kgIM, IN

Front 20

LABETALOL

(Normodyne, Trandate)

Back 20

Not Used

Front 21

LIDOCAINE

(Xylocaine)

Back 21

VF/VT: 1 mg/kg IV, IO. Followed by drip of 20 – 50 µg/kg/min (SeeLength Based Tape, Pedi-Wheel, or EMS Field Guide for PediatricInfusions of Lidocaine)

IO Pain: 0.5mg/kg up to max of 40 mg

Front 22

MAGNESIUM SULFATE

Back 22

Asthma, Cardiac Arrest (Torsades, Hypomagnesemia, Refractory VF/VT):25—50 mg/kg IV, IO, Nebulized over 15-30 minutes. Maximum: 2 gm

Front 23

MIDAZOLAM HYDROCHLORIDE

(Versed)

Back 23

Seizures: 0.1 mg/kg IV. Maximum 2.5 mg. If unable to start IVmay give 0.2 mg/kg IM. Or 0.1mg/kg IN ½ of dose in each nostril (Maximum IM dose: 5 mg)

Front 24

MORPHINE SULFATE

Back 24

Analgesia, pulmonary edema 0.1-0.2 mg/kg IV, SQ, IO, IM

Front 25

NALOXONE

(Narcan)

Back 25

Narcotic OD, Coma, Decreased LOC: 0.1 mg/kg IV, IO, ET, IM, SQ, IN(see Broselow Tape®, Pedi-wheel®

Front 26

NITROGLYCERIN

(Nitrostat and others)

Back 26

Not recommended

Front 27

ONDANSETRON HYDROCHLORIDE

(ZOFRAN)

Back 27

Nausea: 0.15mg/kg up to 4mg per dose IV Slow (over 1 minute). May repeat once up to max of 8mg

Front 28

PROMETHAZINE

(Phenergan)

Back 28

Nausea :Because of potential adverse reactions consider consulting medicalcontrol prior to administration in children (if administered: 0.5mg/kgIM)

Front 29

RACEMIC EPINEPHRINE

Back 29

Bronchospasm/Croup - < 4 years old – 0.25 mL of 2.25% Solution NEBq2-4h; Max 0.5 mL/dose q 1-2hBronchospasm- > 4 Year old- 0.5 mL of 2.25% solution NEB Q 3- 4h

Front 30

SODIUM BICARBONATE 8.4%

Back 30

Prolonged Cardiac Arrest with good ventilation: (1 mEq/kg ) infuse slowlythrough good vein and only if ventilations are adequate (See Broselow Tape,Pedi wheel, or EMS Field Guide)Use 4.2% solution in neonates

Front 31

SUCCINYLCHOLINE

(Anectine)

Back 31

(Age 9 to puberty)

PAI: 2 mg/kg IV -

Front 32

TRANEXAMIC ACID

(TXA)

Back 32

Not indicated