Basic Pediatric Equipment And Dosing Guide Page 2
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2Pediatric Emergency Care
Calculation of maintenance fluids:
First 10 kg = 4 mL/kg/hr
Second 10 kg = 2 mL/kg/hr
Remaining kg = 1 mL/kg/hr
Examples:
5 kg child = 5 kg x 4 mL= 20 mL/hr
29 kg child = 10 kg x 4 mL= 40 mL/hr PLUS
10 kg x 2 mL= 20 mL/hr PLUS
9 kg x 1 mL= 9 mL/hr Total + 69 mL/hr
Burn Resuscitation – this is the fluid you titrate to maintain urinary output during burn resuscitation > 15% TBSA in children
3-4 ml LR x wt in kg x % TBSA burned = fluid needed in first 24 hours from time of injury PLUS add maintenance fluids
Infusion References Ranges:
LR/NS Fluid
20 mL/kg bolus
50 – 100 mcg/kg/hr
Midazolam
Dobutamine
2 - 20 mcg/kg/min
PRBC
10 mL/kg
10 – 100 mcg/kg/hr
Morphine
Dopamine
2 - 20 mcg/kg/min
nd
Defibrillation
2 J/kg (2
shock 4J/kg)
0.05 – 1 mcg/kg/min
Norepinephrine
Epinephrine
0.05 - 5 mcg/kg/min
0.5 – 1 J/kg
Cardioversion
0.05 – 1 mcg/kg/min
Phenylephrine
1 – 3 mcg/kg/hr
Fentanyl
20 – 50 mcg/kg/min
0.1 – 0.3 units/kg/hr
Propofol
Insulin
0.2 – 0.7 mcg/kg/hr
Dexmedetomidine
Vecuronium 1 – 3 mcg/kg/min (bolus 0.1mg/kg)
Lorazepam
10 - 40 mcg/kg/hr
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