Israeli Paramedics Association | |||||||||||||||||||||||||
Pediatric Drugs Doses | |||||||||||||||||||||||||
Senior Instructor / Paramedic Neomi Zvi | |||||||||||||||||||||||||
Acamol Syr / Acamol Supp. 15-20 mg / kg , P.O / P.R . Every 4 Hours. Total Dose per 24 H: 90 mg / kg Adenosine 0.1-0.2 mg / kg , Rapid IV Max Single Dose: 12 mg Atropine Sulphate 0.02 mg / kg (Min Single Dose: 0.1 mg , Max: Child- 0.5 mg, Adolescent-1 mg ) IV,IO Repeat: Every 5 min. Total Dose: Child- 1 mg , Adolescent- 2 mg. ETT: 0.01 mg / kg (Dilute with Saline to Volium of 3 cc) Amiodarone 5 mg / kg IV , IO. Loading Dose: 5 mg / kg IV , in 20-60 min Max: 15 mg / Kg / 24 H Bretylium 5-10 mg / kg , Rapid IV . (Every 15-30 min) Calcium Chloride 10 % / 10 cc (1000 mg / 10 cc > 10 mg / 1 cc) 20 mg / kg Slowly Charocoal 1 GM / kg , P.O Diazepam IV , IO , IM: 0.1 � 0.3 mg / kg with in 1-2 min. Repeat: 10-15 min. Max: 10 mg Total P.R: 0.5 mg / kg , with 3 cc Saline Dopamine 2-20 mcg / kg / min Baby: Insert 4 mg (0.1 cc) of Dopamine (200 mg / 5 cc) to Sodium Chloride 0.9% / 100 cc bag Connect infusion set of 1 cc = 60 drops. > 40 mcg = 60 drops. Child: Insert 20 mg (0.5 cc) of Dopamine (200 mg / 5 cc) to Sodium Chloride 0.9% / 100 cc bag Connect infusion set of 1 cc = 60 drops > 200 mcg = 60 drops Epinephrine CPR: 0.01 mg / kg , IV , IO . ETT: 0.1 mg / kg . Subsequent Doses: 0.1 mg / kg , repeat every 3-5 min Bradycardia: Bulus: 5-20 mcg / kg , IV Drip: 0.1-1 mcg / kg / min Insert 0.1 mg (0.1 cc) to 100cc Sodium Chloride 0.9% bag. Connect infusion set of 1cc=20 drops. You get a solution of 100 mcg / 100 cc > 1mcg=1cc=20 drops. Fusid (Lasix) 20 mg / 2 cc 1 mg / kg , IV / IO. Max Single Dose: 6 mg / kg Glucose 0.5-1 GM / kg , IV (D25W) A) 10-20 cc / kg of Dextrose 5% B) Add 1 cc of Saline to each 1 cc (0.5 GM) of Dextrose 50% Heparin 50-100 IU / kg (Max: 250 mg , IV ) Isoket Drip 1 mcg / min Insert 0.1 mg (0.1 cc) of Isoket (10 % / 10 cc) to a Sodium Chloride 0.9 % / 100 cc bag Connect infusion set of 1 cc = 20 drops > 1 mcg = 20 drop Ketamine IV: 1-2 mg / kg IM: 6-10 mg / kg Hypovolemia: 0.5 mg / kg Lidocaine Bulus: 1 mg / kg Drip: 20-50 mcg / kg / min Up to 15 kg: Insert 10 mg (0.5 cc) of Lidocaine (2 % / 10 cc) to a Sodium Chloride 0.9 % / 100 cc bag Connect infusion set of 1 cc = 20 drops > 100 mcg = 20 drops Above 15 kg: Insert 100 mg (5 cc) of Lidocaine (2 % / 10 cc) to a Sodium Chloride 0.9% / 100 cc bag Connect infusion set of 1 cc = 20 drops > 1000 mcg = 20 drops Magnesium 50% / 5 cc (500 mg / 1 cc) IV , IO: 25-50 mg / kg Max Single Dose: 2 GM Asthma: Slowly , with in 10-20 min Midazolam IV: 0.2-0.3 mg / kg IM: 0.1-0.15 mg / kg Rectally: 0.5-1 mg / kg Morphine IV , IM , IO , S.C : 0.1-0.2 mg / kg Narcan 0.4 mg / 1 cc IV , IM , S.C , ET: 0.1 mg / kg Phenytoin 0.05-0.1 mg / kg in 2-10 min Repeat: 10-15 min. Max: 4 mg Total Procainamide 1000 mg / 10 cc Infant: 7 mg / kg slowly (1 hour) Child: 7-15 mg / kg Baby: Insert 500 mg (2 cc) of Procaineamide to a Sodium Chloride 0.9 % / 100 cc bag Connect infusion set of 1 cc = 20 drops > 5 mg = 20 drops Sodium Bicarbonate IV , IO : 1 meq / kg Succinylcholine IV , ETT: 1 mg / kg SuloMedrol 1-2 mg / kg Verapamil 0.05 � 1 mg / kg Repeat: 15 min Total: 5 mg Nebulization: Brycaline: 1 mg / 1 cc 0.2 mg / kg add 2.5 cc Saline . Repeat x 3 every 30 min . Max Dose: 10 mg Ventolin 5 mg / 1 cc 1st dose: 0.15 mg / kg (Max: 2 mg) add 2.5 cc Saline 2nd dose: 0.05 mg / kg (Max: 2 mg) add 2.5 cc Saline Atropine 1 mg / 1 cc 0.01 mg / kg (Min: 0.1 mg , Max: 0.5 mg) add 2.5 cc Saline Epinephrine 1 mg / 1 cc 0.3 � 0.5 mg add 2.5 cc Saline General Ventilation Volium: 10-15 cc / kg Defibrillation : 1st dose: 2 J / kg , 2nd dose: 4 J / kg Cardioversion : 0.5 J / kg ETT: age (years) + 16 4 Fluids Resuscitation: 20 cc / kg up to X 4 times |
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Paramedic Neomi Zvi - Jan 2003 |