Paediatric Emergency Medication

Medication
Adrenaline(Epinephrine)
Resuscitation and severe Bradycardia 0.1-0.3 ml/kg, 0.01–0.03 mg/kg(10 to 30 mcg/kg 1:10,000 IV push
ETT 0.05-0.1mg/kg followed by 1ml NS
IV cont Infusion 0.1 mcg/kg/min adjust to desired response to max 1 mcg/kg/min
Monitor HR BP RBS continuously observe IV site for sign of infiltrates
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SODIUM BICARBONATE:
In case of prolonged cardiac arrest
If significant acidosis is expected
Base deficit is> 10 and PH < 7.1
1-2mEq/kg over at least 30min OR
1 ml/kg of 7.5% NaHCO3
HCO3=HCO3 deficit mEq/L *(*0.3*body wt)
w/f hypocalcemia hypokalemia and hypernatraemia
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MAGNESIUM SULFATE
Resuscitation 25-50 mg/kg IV over several min
Torsades pulseless 25-50mg/kg ovzyb nnner 10-20 min
Hypomagnesemia 25-50mg/kg Infusion overjzua 30-60 min(0.2-0.8 mEq/kg/dose)
IV q8-12h for 2-3 doses
Maintenance 0.25-0.5 mEq/kg/day.
Hypocalcemia :- 100mg/kg IV q12hrs for 2-3 doses

——————————————-MORPHINE SULPAHATE
0.05 to 0.2 mg/kg per dose IV over at least 5 min IM or SC repeat as required Q4H
Continuous infusion give a loading dose of 100 to 150 microgram /kg over 1 hr followed by 10 to 20 microgram/kg hour

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Agent Type
Agent
Initial Dosage
Additional Factors
Volume expanders
Isotonic sodium chloride solution
10-20 mL/kg intravenous (IV)
Inexpensive, available
Albumin (5%)
10-20 mL/kg IV
Expensive
Plasma
10-20 mL/kg IV
Expensive
Lactated ringer solution
10-20 mL/kg IV
Inexpensive, available
Isotonic glucose
10-20 mL/kg IV
Inexpensive, available
Whole blood products
10-20 mL/kg IV
Limited availability
Reconstituted blood products
10-20 mL/kg IV
Use type

O negative

Vasoactive drugs
Dopamine
5-20 mcg/kg/min IV
Never administer intra-arterially
Dobutamine
5-20 mcg/kg/min IV
Never administer intra-arterially
Epinephrine
0.05-1 mcg/kg/min IV
Never administer intra-arterially
Hydralazine
0.1-0.5 mg/kg IV every 3-6 h
Afterload reducer
Isoproterenol
0.05-0.5 mcg/kg/min IV
Never administer intra-arterially
Nitroprusside
0.5-8 mcg/kg/min IV
Afterload reducer
Norepinephrine
0.05-1 mcg/kg/min IV
Never administer intra-arterially
Phentolamine
1-20 mcg/kg/min IV
Afterload reducer
Milrinone
22.5-45 mcg/kg/h continuous IV infusion (ie, 0.375-0.75 mcg/kg/min)
Afterload reducer in cardiac dysfunction; decrease dose with renal impairment

Albumin Human 20%
1-2 gm/kg or 5-10 ml/kg