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Emergency Pediatric Dosing 4 kilogram
Aka: Emergency Pediatric Dosing 4 kilogram, Broselow Grey 4 kg
- See Also
- Emergency Pediatric Dosing (Broselow Tape)
- Advanced Airway
- Adult Resuscitation
- Pediatric Resuscitation
- Newborn Resuscitation
- Obstetrical Resuscitation
- Criteria: Body habitus
- Age: 0-2 months
- Length: 52-57 cm
- Weight: 4 kg
- Findings: Vital Signs (normal)
- Heart Rate: 120-180/minute
- Respiratory Rate: 40-60/minute
- Systolic Blood Pressure: 65-95 mmHg
- Medications: Rapid Sequence Intubation (RSI) and intubation and ventilation
- Pretreatment
- Atropine 0.1 mg
- Induction (Sedation)
- Etomidate 1.2 mg
- Ketamine 8 mg
- Propofol 12 mg
- Paralytic
- Succinylcholine 8 mg
- Rocuronium 4 mg
- Vecuronium 0.4 mg
- Sedation Maintenance
- Lorazepam 0.2 mg
- Equipment
- ET Size cuffed (preferred): 3.0 mm
- ET Size uncuffed: 3.5 mm
- ET Insertion depth (at lips): 9.5 to 10 cm
- Laryngoscope Blade: 1 Miller (straight)
- Suction catheter: 8 F
- LMA: 1
- Tidal Volume: 24-40 cc
- Breath rate: 20-25/min
- Inspiratory time: 0.6 sec
- Protocol: Miscellaneous Equipment
- Urinary Catheter: 5-6 F
- Nasogastric Tube: 5-6 F
- Chest Tube: 10-12 F
- Protocol: Fluids
- IV Fluid Crystalloid Bolus (20 cc/kg NS, LR): 80 ml
- IV Fluid Crystalloid Maintenance: 16 ml/h
- Protocol: Resuscitation
- Cardioversion
- First (1 J/kg): 4 J
- Next (2 J/kg): 8 J
- Defibrillation
- First (2 J/kg): 8 J
- Next (4 J/kg): 16 J
- Next (4-10 J/kg): 16-40 J
- Lidocaine
- Intravenous (100 mg/5 ml = 2%): 4 mg (0.2 ml)
- Endotracheal (100 mg/5 ml = 2%): 8-12 mg (0.4 to 0.6 ml)
- Epinephrine
- Intravenous (1:10,000): 0.04 mg (0.4 ml)
- Endotracheal (1:1000): 0.4 mg (0.4 ml)
- Atropine
- Intravenous (0.1 mg/ml): 0.1 mg (1 ml)
- Endotracheal (0.4 mg/ml) 0.2 mg (0.5 ml)
- Naloxone
- Intravenous (0.4 mg/ml) 0.04 mg (0.1 ml)
- Endotracheal (0.4 mg/ml) 0.04 mg (0.1 ml)
- Adenosine
- Initial dose (6 mg/2ml): 0.4 mg (0.13 ml)
- Next dose (6 mg/2ml): 0.8 mg (0.26 ml)
- Amiodarone
- Intravenous (50 mg/ml): 20 mg (0.4 ml)
- Calcium Chloride
- Intravenous (100 mg/ml = 10%): 80 mg (0.8 ml)
- Magnesium Sulfate
- Intravenous (5 g/10 ml = 500 mg/ml = 4 meq Mg/ml = 50%) 200 mg (0.4 ml)
- Sodium Bicarbonate (use 4.2% bicarbonate for under age 3 months)
- Intravenous (2.5 meq/5ml = 42 mg/ml = 4.2%) 4 meq (8 ml)
- References
- eBroselow
- http://www.ebroselow.com
- Broselow (2011) Broselow Pediatric Emergency Tape, Vital Signs, Inc, Totowa, NJ
- LA County EMS Color Coded Pediatric Drugs
- http://ems.dhs.lacounty.gov/ManualsProtocols/3colordrug.pdf
- Difficult Airway Course
- http://www.theairwaysite.com
- (2008) Fairview University - Childrens Hospital, Pediatric Emergency Drug Guide