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Pedi Drugs
Medications
| Question | Answer |
|---|---|
| Adenosine Dosage: Pedi >50kg | Adult dosing. |
| Adenosine Dosage: Pedi <50kg | Initial dose 0.1mg/kg IV, IO (max dose 6mg) followed by >/= 5ml saline flush; may repeat at 0.2mg/kg (max dose 12mg). |
| Albuterol Dosage: MDI: Pedi < 4yrs | <4yrs Adinister by nebulization. |
| Albuterol Dosage: Nebulizer Pedi > 12yrs | 0.15mg/kg every 20 minutes for maximum of 3 doses. Alternatively, continuous nebulization @ 0.5 mg/kg/hr can be delivered to children > 12yrs. |
| Amiodarone Indications | • Treatment of V-fib or V-Tach, Chemical cardioversion of A-fib or A-flutter |
| Amiodarone Dosage: Pedi Pulseless V-tach or V-fib cardiac arrest: | 5 mg/kg IV/IO push. May repeat at 5 mg/kg IV/IO push to a max dose of 15 mg/kg IV/IO push. Max single dose of 300mg |
| Atropine Indications | Asystole and PEA, Increase HR in unstable bradycardia, Improve conduction in 2nd and 3rd degree block, Insecticide exposure and nerve gases, Asthma, Counteract excessive vagal influences in RSI |
| Atropine Dosage: Pedi: | 0.02 mg/kg IV/IO push |
| Epinephrine Class | Sympathomimetic |
| Epinephrine Indications | PEA, Asystole, Symptomatic bradycardia refractory to atropine, pacing, and dopamine, Severe allergic reactions and anaphylaxis, V-Fib, Acute asthma attacks, Hypotension not responsive to dopamine |
| Epinephrine Dosage: Pedi w/ cardiac arrest and bradycardia: | .01 mg/kg 1:10,000 IV/IO push q 3-5 mins (ETT at 0.1 mg/kg 1:1000) |
| Epinephrine Dosage: Pedi Allergic/Anaphalaxis | 0.01 mg/kg 1:1000 SQ/IM |
| Promethazine Class | Antiemetic, antihistamine |
| Promethazine Indications | Nausea/vomiting |
| Promethazine Dosage: Pedi >2 yrs: | 0.25-1mg/kg IV, IO, IM (max rate of iv, IO administration is 25mg/min) |
| Zofran, also known known as | Ondansetron |
| Zofran Class | Antiemetic |
| Zofran Indications | Nausea/vomiting |
| Zofran Dosage: Pedi: | .15mg/kg every 4 hrs w/ max dose of 4mg. |
| Dextrose Class | Hyperglycemic |
| Dextrose Indications | hyperglycemia and hyperkalemia |
| Dextrose Dosage: Pedi w/ hyperkalemia: | 0.5-1g/kg IV, IO. |
| Dextrose Dosage: Pedi w/ hyperglycemia: > 2yrs: | 2ml/kg of dextrose 50%. |
| Dextrose Dosage: Pedi w/ hyperglycemia; < 2yrs: | 2-4ml/kg of dextrose 10%. |
| Fentanyl, also known as | Sublimaze |
| Fentanyl Class | Narcotic analgesic; schedule C-II. |
| Fentanyl Indications | Pain |
| Fentanyl Dosage: Pedi: | 1-2mcg/kg IM or slow IV, IO (admin'd over 1-2 min). |
| Morphine Sulfate Class | Opiate agonist, schedule C-II. |
| Morphine Sulfate Indications: | Moderate to severe pain, including chest pain associated with ACS, CHF, and pulmonary edema. |
| Morphine Sulfate Dosage: Pedi w/ pain: | 6months-12 years; 0.05-0.2mg/kg IV, IO, IM, sub-Q. Younger than 6 months: 0.03-0.05mg/kg IV, IO, IM, sub-Q. |
| Morphine Sulfate Dosage: Pedi w/ Chest pain associated with acute coronary syndrome, CHF, and pulmonary edema (Small doses and reevaluate patient. Large doses may lead to respiratory depression and worsen the patient’s hypoxia): | 0.1-0.2mg/kg/dose IV, IO. |
| Racemic Epinephrine/Racepinephrine, also known as | microNefrin, S2 |
| Racemic Epinephrine Class | Bronchodilator, adrenergic agent. |
| Racemic Epinephrine Indications | Bronchial asthma, croup. |
| Racemic Epinephrine Dosage: Pedi > 4yrs: | Same as adult dosing. |
| Racemic Epinephrine Dosage: Pedi < 4yrs: | Safe effective has not been demonstrated. |
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