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Emergency Pediatric Dosing 15-18 kilogram
Aka: Emergency Pediatric Dosing 15-18 kilogram, Broselow White
- See Also
- Emergency Pediatric Dosing (Broselow Tape)
- Advanced Airway
- Adult Resuscitation
- Pediatric Resuscitation
- Newborn Resuscitation
- Obstetrical Resuscitation
- Criteria: Body habitus
- Age: 3-4 years
- Length: 97.5 to 110 cm
- Weight: 15-18 kg (mean 16.5 kg)
- Findings: Vital Signs (normal)
- Heart Rate: 75-135/minute
- Respiratory Rate: 20-30/minute
- Systolic Blood Pressure: 80-110 mmHg
- Medications: Rapid Sequence Intubation (RSI) and intubation and ventilation
- Induction (Sedation)
- Etomidate 5 mg
- Ketamine 33 mg
- Propofol 50 mg
- Paralytic
- Succinylcholine 33 mg
- Rocuronium 17 mg
- Vecuronium 1.7 mg
- Sedation Maintenance
- Lorazepam 0.8 mg
- Equipment
- ET Size cuffed (preferred): 4.5 mm
- ET Size uncuffed: 5.0 mm
- ET Insertion depth (at lips): 14-15 cm
- Laryngoscope Blade: 2 Miller (straight) or Macintosh (curved)
- Suction catheter: 10 F
- LMA: 2
- Tidal Volume: 100-165 cc
- Breath rate: 15-25/min
- Inspiratory time: 0.7 sec
- Protocol: Miscellaneous Equipment
- Urinary Catheter: 10-12 F
- Nasogastric Tube: 10-12 F
- Chest Tube: 22-24 F
- Protocol: Fluids
- IV Fluid Crystalloid Bolus (20 cc/kg NS, LR): 300-34- ml
- IV Fluid Crystalloid Maintenance: 51-55 ml/h
- Medications: Resuscitation
- Cardioversion
- First (1 J/kg): 17 J
- Next (2 J/kg): 33 J
- Defibrillation
- First (2 J/kg): 33 J
- Next (4 J/kg): 66 J
- Next (4-10 J/kg): 66-160 J
- Lidocaine
- Intravenous (100 mg/5 ml = 2%): 17 mg (0.85 ml)
- Endotracheal (100 mg/5 ml = 2%): 34-50 mg (1.7 to 2.5 ml)
- Epinephrine
- Intravenous (1:10,000): 0.17 mg (1.7 ml)
- Endotracheal (1:1000): 1.7 mg (1.7 ml)
- Atropine
- Intravenous (0.1 mg/ml): 0.33 mg (3.3 ml)
- Endotracheal (0.4 mg/ml) 0.85 mg (2.1 ml)
- Naloxone
- Intravenous (0.4 mg/ml) 0.17 mg (0.43 ml)
- Endotracheal (0.4 mg/ml) 0.17 mg (0.43 ml)
- Adenosine
- Initial dose (6 mg/2ml): 1.7 mg (0.57 ml)
- Next dose (6 mg/2ml): 3.3 mg (1.1 ml)
- Amiodarone
- Intravenous (50 mg/ml): 80 mg (1.6 ml)
- Calcium Chloride
- Intravenous (100 mg/ml = 10%): 330 mg (3.3 ml)
- Magnesium Sulfate
- Intravenous (5 g/10 ml = 500 mg/ml = 4 meq Mg/ml = 50%) 820 mg (1.6 ml)
- Sodium Bicarbonate
- Intravenous (1 meq/ml = 84 mg/ml = 8.4%) 16.5 meq (16.5 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