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Physician judgment should be involved in the use of this emergency drug dose information. The actual drugs and their doses should be administered only following discussion with the attending. Stop if bradycardia occurs, Form: 100 mg/mL, in 10-mL ampule on syringe; each 1 mL contains 1.36 mEq of elemental calcium, Note: Calcium is recommended for cardiac resuscitation only in cases of documented hypocalcemia. Proper dosing of the pediatric patient depends on a number of factors, including the patient’s age and weight, overall health status, the condition of such biologic functions as respiration and circulation, and the stage of development of body systems for drug metabolism (e.g., liver enzymes) and drug elimination (e.g., renal system). A pediatric HIT system must have the capability to compute drug does, based on appropriate dosage ranges, using the patient’s body weight and body surface area, and display the dosing weight and weight-based dosing strategy (when applicable) on the prescription. May repeat in 15 min @ 0.35 mg/kg over 2 min, (unsynchronized) using the largest paddles that fit, PR (1st dose only) 30-40 mg/kg followed by PO dose 6 h later, Tylenol #1: acetaminophen 300 mg + codeine 7.5 mg, IV/PO q6h (caution re: extrapyramidal signs), mg/kg/dose IM/PO q8h (caution re: extrapyramidal signs), PO/IV/IM q6h (caution re: extrapyramidal signs), Racemic epi: 0.25-0.5 ml/5 ml NS nebulized, then 5 – 15 mcg/kg/min; be prepared with volume & Ca, Maintenance: 20-50 mcg/kg/min (adult dose 1-4 mg/min), Maintenance 20-60 mcg/kg/min (adult 1-4 mg/min). These are general guidelines only. You will be redirected to aap.org to login or to create your account. Drug Dosages is a topic covered in the Harriet Lane Handbook.. To view the entire topic, please sign in or purchase a subscription.. Every effort has been made to ensure the accuracy of drug dosages and scheduling information. Search Pediatric Drug Dosing Guidelines. The dose of the drug may need to be increased to the recommended adult dose in adolescents, but girls ages 8 to 11 years may need lower than the recommended dose. The drug is (Inhaled tobramycin for CF patients): 80mg bid to tid via inhalation. 110mg q 12 h 13.8 120mg q 12 h 15 160mg Strength Tablets 160mg Tablets for 2nd 10 kg + 1 ml/kg/h for every kg >20 kg. NOTE: You can search by Generic or select Trade Name. The dosages and drugs are intended as general guidelines ONLY. Information on drug indications and side effects has been purposely limited. Weight based dosing: 10mg/kg on day 1, then 5mg/kg on days 2-5. Double q 10 min until response achieved or until 4 U/hr (adult dose) is reached. This guideline for emergency drug dosing has been prepared for physicians requiring assistance with drug doses for pediatric patients. Pediatric doses vary with the age, weight, surface area and disease, etc. For this reason, this drug has been reformulated so the It represents the opinion of the Committees and may differ from information in package inserts of drugs. If no response, 4.8 mg/kg until symptoms are controlled; Maintenance: 16 mg/kg/h to achieve plasma levels of 0.8-1.2 mmol/L (max 2g). Albuterol. The following list has been prepared by the Committee on Drugs, with the assistance of the Committee on Pediatric Emergency Medicine. • Technical difficulties exist for every molecule when developing a patient-centric dosage form. The process of drug absorption, distribution, metabolism, and elimination is referred to as pharmacokinetics.3 It is important to recognize differences in the factors that affect drug disposition in children. Analgesics Mild / Moderate Pain1 Acetaminophen Both acute and chronic doses of acetaminophen are associated with hepatotoxicity. The dosage form is the physical form of a dose of drug. Because of the changing nature of medication and dosage recommendations and varying patient requirements, the user must use sound clinical judgement to … Conversions. * Pediatric dosage should not exceed adult dosage. BP maintenance: Mix 1.5 U/kg in 50 ml so 1 ml/hr = 0.0005 U/kg/min. Or Sign In to Email Alerts with your Email Address, Emergency Drug Doses for Infants and Children, Emergency Drug Doses for Infants and Children and Naloxone Use in Newborns: Clarification, Naloxone Dosage and Route of Administration for Infants and Children: Addendum to Emergency Drug Doses for Infants and Children, Exposure to Nontraditional Pets at Home and to Animals in Public Settings: Risks to Children, Follow American Academy of Pediatrics on Instagram, Visit American Academy of Pediatrics on Facebook, Follow American Academy of Pediatrics on Twitter, Follow American Academy of Pediatrics on Youtube, Copyright © 1988 by the American Academy of Pediatrics. Online Clinical Calculators. Enter patient weight and click on the concentration of the desired medication to generate tables that relate infusion rates in mL/hr to dosing rates per kg per unit time. 4 ml 60mg q 12 h 7.5ml 70mg q 12 h 8.8 80mg q 12 h 10ml 90mg q 12 h 11. It is intended for use by those in the health profession. Once daily dosing should be used for all patients > 1 month of age, except in the treatment of endocarditis and in … UNC Pediatric Emergency Department, updated Dec 13 2015 For questions, contact Marley.Lawrence@unchealth.unc.edu, Leah.Hatfield@unchealth.unc.edu, or Cheryl Jackson at cjackson@med.unc.edu PEDIATRIC RSI DRUGS DOSING AND REASONING Atropine Forms: liquid, tablet, capsule Usual oral dosage1,2: children > 3 months of age up to 40 kg: 20-40 mg/kg/day in divided doses every 8 hours oR 25-45 mg/kg/day in divided doses every 12 hours children > 40 kg & adults: 250-500 mg every 8 hours oR 500-875 mg every 12 hours endocarditis prophylaxis3: 50mg/kg (maximum 2 g 30-60 minutes before … WARNING . An essential pediatric and neonatal drug lookup, continually updated. We do not capture any email address. If you still use IE6 and also this site, please let me know. -The initial pediatric dose of midazolam for sedation/anxiolysis/amnesia is age, procedure, and route-dependent. : 20 mg/kg/dose every 8 hours for 14-21 days 20 mg/kg/dose every 8 The drugs included are not intended to be exhaustive; therefore, this guideline should not be construed as an endorsement of the drugs selected. TORADOL ORAL (ketorolac tromethamine), a nonsteroidal anti-inflammatory drug (NSAID), is indicated for the short-term (up to 5 days in adults), management of moderately severe acute pain that requires analgesia at the opioid level and only as continuation treatment following IV or IM dosing of ketorolac tromethamine, if necessary. dose (mg/kg/day) x weight (kg) concentration (mg/cc) x frequency Created: Tuesday, April 22, 2002 Last Modified: Examples include 2.5 mL twice a day, one tablet three times a day, one injection every four weeks. Please select a drug or click Cancel to close this window. Cisatracurium: 0.1-0.2 mg/kg/dose IV; lasts 15 - 45 min: Metubine: 0.1-0.4 mg/kg/dose IV; lasts 1-2 h: Mivacurium: 0.2-0.3 mg/kg/dose IV; lasts 15-20 min: Pancuronium: 0.1 mg/kg/dose IV; lasts 1-2 h: Rocuronium: 0.4-1.0 mg/kg/dose IV; lasts 20-45 min: Succinylcholine: 1-2 mg/kg IV; 4 mg/kg IM;

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