Drug Dosing Chart

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Steroids
Benzos/Barbs/Sedatives
Glucocorticoid
Mineralicorticoid
Hydrocortisone
Sepsis: 2-50 mg/kg/day IV titrated to response
1
1
Diazepam
Sed:0.05-0.2mg/kg IV Status:0.5mg/kg PR
(adults:50-100mg IV q6)
Premed:0.2-0.5mg/kg PO
Methylprednisolone Asthma: 2mg/kg load then 1mg/kg q6 IV
4
0.8
Etomidate
0.2-0.3 mg/kg IV
Ketamine
Ind: 1-2mg/kg IV 3-5mg/kg IM Pain: 0.1-0.5 mg/kg
Decadron
PONV: 0.1mg/kg (adult: 4-8mg) IV
25
0
IV Dart: ket 2-3mg/kg, versed 0.1mg/kg, glycopyrollate 0.01mg/kg
Croup: 0.6mg/kg IV x1
Lorazepam
Premed: 0.05mg/kg PO
Florinef
0.005-0.2 mg/day PO
0
14
Sed:0.01-0.1mg/kg IV (max 2mg) 0.1mg/kg IM (max 4mg)
Antiarrhythmics
Midazolam
Pre: 0.4-0.8mg/kg PO Sed:0.1-0.2mg/kg IM,0.05-0.15mg/kg IV
Adenosine
0.1mg/kg then 0.2 mg/kg fast IV (adults: 6mg, then 12mg)
Status: 0.1-0.2mg/kg IV
Amiodarone
5mg/kg(mr x1)then 5-15mcg/kg/min (adults:150-300mg then 1mg/min)
Precedex
0.1-0.7mcg/kg/HOUR bolus:0.25-1 mcg/kg for sedation/delirium
Propofol
Ind: 2-3mg/kg (adult: 1-2.5mg/kg) Inf: 50-200 mcg/kg/min
Lidocaine
0.5-1mg/kg pre-intub:1.5mg/kg (ok via ETT)
Thiopental
3-6mg/kg IV
Procainamide
5mg/kg (MR q5 to 15mg/kg) then 40-80mcg/kg/min (max 100mg,then 6mg/min)
Flumazenil
titrate 1mcg/kg (full 10mcg/kg) (adults: 0.2mg increments)
Miscellaneous
Opioids and Analgesics
Albuterol
0.15mg/kg/dose (2.5-5mg) continuous:0.3-0.45mg/kg/hr (10-15mg/h)
Acetaminophen
40mg/kg PR or 15mg/kg PO,IV q6h (max 90mg/kg/day)
Dantrolene
1-2mg/kg q10, (max 10mg/kg) then 1mg/kg IV q6 x1-2d
Alfentanil
Pain: 5-10 mcg/kg (adult: 250-500 mcg)
Diphenhydramine
0.5-1 mg/kg IV q6 (adults: 25-50mg)
Induction: 10-50 mcg/kg
Prostaglandin E1
0.05-0.2 mcg/kg/min
Fentanyl
Ind: 2-5 mcg/kg
Pain: 0.5-1 mcg/kg
Racemic Epi
2.25% solution 0.05 ml/kg/dose (max 0.5ml/dose) in 3cc NS
Hydromorphone
Pain: 0.015mg/kg IV (adults: 0.2-1mg) titrate to effect
Ibuprofen
10mg/kg PO q6h (800-1000mg)
Antibiotic
Ampicillin Cefazolin Cefoxitin Clindamycin Gentamycin Flagyl Vancomycin
Meperidine
Shivering: 0.2 mg/kg
Pre incision dose 50mg/kg 40mg/kg 40mg/kg 10mg/kg
2.5mg/kg
10mg/kg 15mg/kg
Morphine
Pain: 0.1 mg/kg IV
Repeat Dose
3 hours
3 hours
3 hours 3 hours
6 hours
6 hours 6 hours
Remifentanil
Ind: 0.5-1 mcg/kg GA: 0.1-0.3 mcg/kg/min
Max single Dose 2000mg
2000mg 2000mg 900mg
100mg
1000mg 1000mg
Sufentanil
Ind: 0.3-1mcg/kg GA: 0.3 mcg/kg/hr (dc 40min pre end)
Toradol
0.5 mg/kg q6h (max 15mg <50kg, 30mg >50kg)
Equivalent Doses
PO
IV
Naloxone
Full:0.1 mg/kg (0.4-0.8mg)
Part:0.01mg/kg (0.04mg)
Methadone
20mg acute (2-4mg chronic) 10mg acute (2-4mg chronic)
Morphine
30mg
10mg
Paralytics
Hydromorphone
7.5mg
1.5mg
Cisatracurium
0.2mg/kg IV
Fentanyl
-
100mcg single dose
Pancuronium
0.1mg/kg (adult: 0.12mg/kg IV)
Demerol
300mg
75-100mg
Rocuronium
Kids/adults:0.6 mg/kg RSI:1.2mg/kg IV, 2mg/kg IM
Oxy/Hydrocodone
20-30mg
-
Succinylcholine
Kids/adults: 2mg/kg IV, 4mg/kg IM Laryngospasm: 0.5mg/kg
Oxymorphone
10mg
1mg
Vecuronium
0.1mg/kg IV
Estimated Weight = (AGE x 2) + 8 (up to 9yrs old)
ETT Size = Age/4 + 4
(<1000g:2.5, 1000-2000g:3.0, 2000-3000g:3.5, >3000g:4.0)
ETT depth = 3 x ETT size or Age + 10
Neo = Kg + 6 at lip
(adults: M 23cm; F 20cm)
Courtesy of UCSD Pediatric Anesthesia Department
Antihypertensives
NMB reversal/anticholinergic
Clonidine
0.5-2 mcg/kg IV (T1/2 of 9hr) 2mcg/kg for emergence delirium
Atropine
0.02 mg/kg (min:0.1mg) (2x dose via ETT)
Esmolol
50-300 mcg/kg/min bolus: 10-30mg
Neostigmine
Neostigmine
0.07 mg/kg
Fenoldopam
0.05-0.2 mcg/kg/min
Glycopyrrolate
Glycopyrrolate
0.01 mg/kg IV/IM
Hydralazine
0.05-0.1mg/kg q20min, then q4-6h (adults: 2-5 mg)
Physostigmine
0.01-0.03mg/kg, then 0.03mg/kg/hr for cholinergic syndrome
Labetalol
0.1-0.3mg/kg/dose (adults: 10-20mg) to effect
Metoprolol
(adult: 5-10mg IV in 1mg increments)
Inotropes and Vasopressors
Children
adults
Nicardipine
inf: 0.5-5 mcg/kg/min, bolus: 0.1mg/kg (adult: 5-15 mg/hr, bolus: 0.5-2mg)
Dopamine
2-20 mcg/kg/min
2-20 mcg/kg/min
Nitroglycerin
Inf:0.1-10 mcg/kg/min bolus:0.1-0.2mcg/kg
Dobutamine
2-10 mcg/kg/min
2-10 mcg/kg/min
(adults: 5-200mcg/min, bolus:10-20mcg)
Epinephrine
0.01-1 mcg/kg/min
0.01-1 mcg/kg/min
Nitroprusside
Inf:0.3-5 mcg/kg/min bolus:0.1-0.2mcg/kg (adults:25-50mcg)
1mcg/kg hypotension
0.5-1mg code
Can use in ETT (2x dose)
10mcg/kg code
Fluids/Diuretics
0.01 mg/kg SC (max 0.3mg)
0.5mg SC/IM
3% NaCl
5-10 cc/kg (5cc/kg inc [Na] by ~4) monitor Na carefully
Ephedrine
0.1 mg/kg
2.5-10 mg
Hetastarch
10-15 cc/kg
Glucagon
50 mcg/kg over 1-2mins then 50 mcg/kg/hr (max 10mg/hr)
50 mcg/kg over 1-2mins then 50 mcg/kg/hr (max 10mg/hr)
Mannitol
0.25-1 g/kg
Isoproterenol
0.1-1 mcg/kg/min
1-5 mcg/min
Bumex
0.015-0.1 mg/kg/dose (~1/40
th
lasix dose,1/10
th
for bad bean)
Methylene Blue
1-2mg/kg ovr 15min, then 0.5-2 mcg/kg/hr (consider iNO)
1-2mg/kg ovr 15min, then 0.5-2 mcg/kg/hr (consider iNO)
Diuril
2-4 mg/kg/day q6-12 (adults: 250-500mg q8-12)
Milrinone
Load: 50-75 mcg/kg
Load: 50-75 mcg/kg
Inf: 0.25-0.75 mcg/kg/min
Inf: 0.375-0.75 mcg/kg/min
Lasix
0.5-2mg/kg q6-12 (adults: 10-40mg q6-12)
Neosynephrine
Inf: 0.1-1 mcg/kg/min bolus: 1 mcg/kg
Inf: 0.1-1 mcg/kg/min bolus: 1 mcg/kg
Nesiritide
0.005-0.02 mcg/kg/min
0.005-0.02 mcg/kg/min
Electrolytes
Norepinephrine
0.01-0.3 mcg/kg/min
0.01-0.3 mcg/kg/min
Bicarb
Neo: 0.5meq/kg ped/adult:1-2 meq/kg or 1/3
rd
base deficit x wt(kg)
Octreotide
Inf: 1 mcg/kg/hr
Calcium Chloride
10-20 mg/kg
Terbutaline
0.4-2 mcg/kg/min
0.4-2 mcg/kg/min
Calcium Gluconate
100mg/kg (max 4g/ dose)
T3
0.4 mcg/kg/day over 4 hr
0.4 mcg/kg/day over 4 hr
Dextrose
hypoglycemia: 2-4cc/kg D25W
Vasopressin
DI 0.0005 Units/kg/hr
DI: same
Insulin
1 unit of NPH Insulin will lower [Glc] by ~30-50 mg/dl
Shock 0.03-0.12 U/kg/hr
Shock: 0.01-0.04 units/min
Insulin and glucose
glucose 0.5-1g/kg with insulin 0.1U/kg
GI Bleed 0.002-0.005 U/kg/min
GI Bleed: 0.2-0.4 units/min
Magnesium Sulfate
25-50mg/kg IV (max 2g) may use 50-70 mg/kg for status asthmatic
Code 0.4 Units/kg
Code: 40 units IV push x 1
Potassium
0.5-1 meq/kg IV over 1-2 hrs
Hypotension: titrate by 1 Unit steps
THAM acetate (0.3M)
Dose in mls = lean body wt (kgs) x base deficit (mmol/L)
Blood, etc.
Kayexelate
1 g/kg/dose c 5cc 20% sorbital NG/PR
Cryoprecipititate
1 unit/5kg (70kg adult, 6 units increases fibrinogen by ~45)
FFP
10-15 ml/kg
inc factor by 15-20%
Antiepileptics (not benzos)
Platelets
5-10 ml/kg
inc platlets by 50-100k
Keppra
Status: 50 mg/kg IV over 15 min (adults: 30mg/kg)
PRBC
10-15 ml/kg
inc Hgb by 2-3g/dL
Fosphenytoin
Dosed like phenytoin (max:1.5gm) May be given IM
DDAVP
0.3mcg/kg over 30 min
Phenobarb
Load:15-20mg/kg, then 3mg/kg q12
Factor VIIa
90 mcg/kg/dose (start with ¼ - ½ dose)
Phenytoin
Load: 15-20mg/kg IV Maint: 3mg/kg q12
Protamine
1 mg neutralizes 100 units heparin

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