Paramedic Drug Cards - Pediatric Doses Ii

Front 1

Tetracaine

Back 1

1 - 2 drops.

Front 2

Diazepam

Back 2

Anxiety: 0.04 - 0.3 mg / kg / dose IV/IM q 4 hrs (MAX: 0.6 mg / kg) ; Seizure (5 yrs+): 1 mg IV/IO over 3 min q 2 - 5 min (MAX: 10 mg) ; Seizure (30 days - 5 yrs): 0.2 - 0.5 mg IV/IO over 3 min q 2 - 5 min (MAX: 5 mg) ; Seizure (Neonate): 0.1 - 0.3 mg / kg IV / IO over 3 - 5 min q 15 - 30 min (MAX: 2 mg) ; Seizure (12 yrs+): 0.2 mg / kg PR ; Seizure (6 - 11 yrs): 0.3 mg / kg PR ; Seizure (2 - 5 yrs): 0.5 mg/kg PR ; Seizure (<2 yrs): Not Recommended PR

Front 3

Aspirin

Back 3

MI: 3 - 5 mg / kg / day up to 5 mg / kg / day

Pain or Fever: 60 - 90 mg / kg / day divided into doses q 4 - 6 hrs.

Front 4

Atropine

Back 4

Adolescent, Symptomatic Bradycardia: 0.02 mg / kg (min: 0.1 mg / dose, MAX: 1 mg / dose) IV / IO every 3 - 5 min, MAX 2 mg

Pediatric: Symptomatic Bradycardia: 0.02 mg / kg (min: 0.1 mg / dose, MAX: 1 mg / dose) IV/IO every 3 - 5 min (MAX: 1 mg) ; Nerve Agent Poisoning: 0.05 mg / kg IV / IM q 10 - 30 min.

Infant: Nerve Agent Poisoning: 0.05 mg / kg IV / IM q 5 - 20 min.

Front 5

Bumetanide

Back 5

0.01 mg / kg SQ

MDI: 2 inhalations (400 mcg) q 4 - 6 hrs, 1 - 2 min between inhalations

Neb: 0.03 - 0.05 mg / kg / 2 mL

Front 6

Acetaminophen

Back 6

Pedi: 5 - 10 mg / kg PO q 4 - 6 hrs.

Pedi under 3 yrs: Not recommended.

Front 7

Magnesium Sulfate

Back 7

Acute Nephritis: 20 - 40 mg / kg IM PRN

RAD: 25 - 100 mg / kg IV over 10 - 20 min

Torsades: 25 - 50 mg / kg IV/IM

Front 8

Midazolam

Back 8

Any: 0.03 mg / kg

Front 9

Heparin

Back 9

Any: 50 U / kg IVP, then 25 U / kg / hr Infusion

Front 10

Etomidate

Back 10

Any: 0.1 - 0.3 mg / kg IVP over 15 - 30 sec

Front 11

Vecuronium

Back 11

Any: 0.08 - 0.10 mg / kg (MAX: 3.6 mg / kg)

Front 12

Amiodarone

Back 12

VFib / VTach: 5 mg / kg IV/IO bolus

Stable w / PVCs: 5 mg / kg very slow IV/IO over 20 - 60 min, repeat up to 15 mg / kg

(MAX PEDI DOSE: 300 mg)

Front 13

Odanestron

Back 13

Any, >6 mos: 0.15 mg / kg q 4 - 8 hrs

Front 14

Furosemide

Back 14

Any: 1 mg / kg IV

Front 15

Calcium Chloride

Back 15

Any, >1 yr: 20 mg / kg IV / IO slow IVP

(MAX: 500 mg)

Front 16

Epinephrine

Back 16

Cardiac Arrest: 0.01 mg / kg IVP q 3 - 5 min

Anaphylaxis: 0.15 mg SQ

Asthma: 0.15 mg SQ

Front 17

Bumetanide

Back 17

Any: 0.015 - 0.1 mg / kg PO

Front 18

Adenosine

Back 18

Any, <50 kg: 0.1 mg / kg rapid IVP with 10 cc ND flush, repeat: 0.2 mg / kg rapid IVP with 10 cc NS Flush

MAX: 12 mg

Front 19

Labetalol

Back 19

Any: 0.3 - 1 mg / kg slow IVP q 10 min

(MAX: 20 mg)

Front 20

Albuterol

Back 20

MDI (over 4 yrs): 2 puffs q 4 - 6 hrs

Neb (over 12 yrs): 0.5 mg / kg / hr

Neb (under 12 yrs): 0.15 mg / kg / hr OR 0.5 mg / kg / hr.

(MAX: 3 doses)

MDI: 2 - 4 puffs q 4 hrs

Neb: 2.5 mg / 0.5 mL by 0.5% sol over 5 - 20 min

Front 21

Procainamide

Back 21

Any: Not indicated.

Front 22

Dextrose 50%

Back 22

Hyperkalemia: 0.5 - 1 mg / kg D50 IV/IO

Hypoglycemia (>2 yrs): 2 mL / kg D50 IV/IO

Hypoglycemia (<2 yrs): 2 - 4 mL / kg D10 IV/IO

Front 23

Oral Glucose

Back 23

Any: 7.5 g PO

(MAX: 20 g)

Front 24

Glucagon

Back 24

Any: 0.03 mg / kg IV/IM

Front 25

Diltiazem

Back 25

Any: Not recommended.

Front 26

Ketorolac

Back 26

Any: 0.5 mg / kg IM/IV

Front 27

Methylprednisolone

Back 27

Any: 2 mg / kg IVP

Front 28

Ketamine

Back 28

Any: 1 - 2 mg / kg IV over 1 - 2 min

4 - 5 mg / kg IM

Front 29

Ibuprofen

Back 29

5 - 10 mg / kg q 4 - 6 hrs

(MAX: 40 mg / kg)

Front 30

Lorazepam

Back 30

Any: 0.1 mg / kg IV/IM, 0.05 mg / kg q 10 min.

Front 31

Fentanyl

Back 31

Any: 1.7 - 3.3 mcg / kg

Front 32

Lidocaine

Back 32

Any: 1 mg / kg IV up to 3 mg / kg

Front 33

Nitroglycerin Sublingual

Back 33

Any: Not Recommended.

Front 34

Vasopressin

Back 34

Any: Not Recommended.

Front 35

Flumazenil

Back 35

Any: Not Indicated.

Front 36

Morphine Sulfate

Back 36

Any: 0.1 - 0.2 mg / kg

Front 37

Naloxone

Back 37

Any: 0.1 mg / kg

Front 38

Sodium Bicarbonate

Back 38

Any: 1 mEq / kg, repeat with 0.5 mEq / kg q 10 min

Front 39

Clopidogrel

Back 39

Any: Not Indicated.

Front 40

Succinylcholine

Back 40

Any: 1 mg / kg rapid IVP, repeat once if needed

Front 41

Ipatropium Bromide

Back 41

Any: Not Recommended

Front 42

Eptifibatide

Back 42

Any: Not Indicated.

Front 43

Norepinephrine

Back 43

Any: 0.01 - 0.5 mcg / kg / min infusion

Front 44

Nitroglycerin Paste

Back 44

Any: Not Recommended

Front 45

Metoprolol

Back 45

Any: 1 mg / kg slow IVP

Front 46

Promethazine

Back 46

Any: 0.5 mg / kg

Front 47

Thiamine

Back 47

Any: Not Recommended

Front 48

Dopamine

Back 48

Any: 2 - 20 mcg / kg / min

Front 49

Haloperidol

Back 49

Any: 1 - 3 mg IM q 2 - 4 hr

Front 50

Diphenhydramine

Back 50

Any: 2 - 5 mg / kg IVP or deep IM