Emergency Pediatric Dosing 24-28 kilogram

Aka: Emergency Pediatric Dosing 24-28 kilogram, Broselow Orange

advertisement

II. Criteria: Body habitus

  1. Age: 7-9 years
  2. Length: 122-137 cm
  3. Weight: 24-28 kg (mean 27 kg)

III. Findings: Vital Signs (normal)

  1. Heart Rate: 60-120/minute
  2. Respiratory Rate: 12-25/minute
  3. Systolic Blood Pressure: 90-115 mmHg

IV. Medications: Rapid Sequence Intubation (RSI) and intubation and ventilation

  1. Induction (Sedation)
    1. Etomidate 8 mg
    2. Ketamine 53 mg
    3. Propofol 80 mg
  2. Paralytic
    1. Succinylcholine 53 mg
    2. Rocuronium 27 mg
    3. Vecuronium 2.7 mg
  3. Sedation Maintenance
    1. Lorazepam 1.3 mg
  4. Equipment
    1. ET Size cuffed: 6 mm
    2. ET Insertion depth (at lips): 17-18 cm
    3. Laryngoscope Blade: 2-3 Miller (straight) or Macintosh (curved)
    4. Suction catheter: 10 F
    5. LMA: 2.5
    6. Tidal Volume: 160-265 cc
    7. Breath rate: 12-20/min
    8. Inspiratory time: 0.8 sec

V. Protocol: Miscellaneous Equipment

  1. Urinary Catheter: 12 F
  2. Nasogastric Tube: 14-18 F
  3. Chest Tube: 28-32 F

VI. Protocol: Fluids

  1. IV Fluid Crystalloid Bolus (20 cc/kg NS, LR): 500-540 ml
  2. IV Fluid Crystalloid Maintenance: 66-68 ml/h

VII. Medications: Resuscitation

  1. Cardioversion
    1. First (1 J/kg): 27 J
    2. Next (2 J/kg): 53 J
  2. Defibrillation
    1. First (2 J/kg): 53 J
    2. Next (4 J/kg): 106 J
    3. Next (4-10 J/kg): 106-250 J
  3. Lidocaine
    1. Intravenous (100 mg/5 ml = 2%): 27 mg (1.35 ml)
    2. Endotracheal (100 mg/5 ml = 2%): 54 to 80 mg (2.7 to 4 ml)
  4. Epinephrine
    1. Intravenous (1:10,000): 0.27 mg (2.7 ml)
    2. Endotracheal (1:1000): 2.7 mg (2.7 ml)
  5. Atropine
    1. Intravenous (0.1 mg/ml): 0.5 mg (5 ml)
    2. Endotracheal (0.4 mg/ml) 1 mg (2.5 ml)
  6. Naloxone
    1. Intravenous (0.4 mg/ml) 0.27 mg (0.65 ml)
    2. Endotracheal (0.4 mg/ml) 0.27 mg (0.65 ml)
  7. Adenosine
    1. Initial dose (6 mg/2ml): 2.7 mg (0.9 ml)
    2. Next dose (6 mg/2ml): 5.4 mg (1.8 ml)
  8. Amiodarone
    1. Intravenous (50 mg/ml): 130 mg (2.6 ml)
  9. Calcium Chloride
    1. Intravenous (100 mg/ml = 10%): 530 mg (5.3 ml)
  10. Magnesium Sulfate
    1. Intravenous (5 g/10 ml = 500 mg/ml = 4 meq Mg/ml = 50%) 1325 mg (2.65 ml)
  11. Sodium Bicarbonate
    1. Intravenous (1 meq/ml = 84 mg/ml = 8.4%) 27 meq (27 ml)

VIII. References

  1. eBroselow
    1. http://www.ebroselow.com
  2. Broselow (2011) Broselow Pediatric Emergency Tape, Vital Signs, Inc, Totowa, NJ
  3. LA County EMS Color Coded Pediatric Drugs
    1. http://ems.dhs.lacounty.gov/ManualsProtocols/3colordrug.pdf
  4. Difficult Airway Course
    1. http://www.theairwaysite.com
  5. (2008) Fairview University - Childrens Hospital, Pediatric Emergency Drug Guide

Images: Related links to external sites (from Bing)

These images are a random sampling from a Bing search on the term "Emergency Pediatric Dosing 24-28 kilogram." Click on the image (or right click) to open the source website in a new browser window. Search Bing for all related images

Related Studies

Related Topics in Pharmacology

advertisement