70kg (adult): Difference between revisions
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==[[Adult pulseless arrest|Pulseless Arrest]]==
==[[Adult pulseless arrest|Pulseless Arrest]]==
{| class="wikitable"
{| class="wikitable"
| Defibrilation||200J
| [[Defibrilation]]||200J
|-
|-
| Epinephrine (1:10,000)||1 amp
| [[Epinephrine]] (1:10,000)||1 amp
|-
|-
| Amiodarone||300mg
| [[Amiodarone]]||300mg
|-
|-
| Lidocaine||70mg
| [[Lidocaine]]||70mg
|-
|-
| Magnesium||2gm
| [[Magnesium]]||2gm
|-
|-
| CalCl (100mg/cc)||1gm
| [[CalCl]] (100mg/cc)||1gm
|-
|-
| D25W||1.5 amp D50W
| [[Glucose]]||1.5 amp D50W
|-
|-
|}
|}
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==[[ACLS (Main)|Cardiac with Pulse]]==
==[[ACLS (Main)|Cardiac with Pulse]]==
{| class="wikitable"
{| class="wikitable"
| Adenosine||6, 12mg
| [[Adenosine]]||6, 12mg
|-
|-
| Amiodarone||150 mg over 10 min, then 1mg/min x 6 hrs
| [[Amiodarone]]||150 mg over 10 min, then 1mg/min x 6 hrs
|-
|-
| Atropine||1mg
| [[Atropine]]||1mg
|-
|-
| [[Cardioversion]] ||100J, 200J, 300J, 360J (sync)
| [[Cardioversion]] ||100J, 200J, 300J, 360J (sync)
|-
|-
| Procainamide (max)||1200mg
| [[Procainamide]] (max)||1200mg
|-
|-
| [[Diltiazem]]||20mg IV over 2min [0.25mg/kg ], may repeat 25mg after 15min
| [[Diltiazem]]||20mg IV over 2min [0.25mg/kg ], may repeat 25mg after 15min
|-
|-
| Esmolol ||500ug/kg (slow load then 50ug/kg/min)
| [[Esmolol]] ||500ug/kg (slow load then 50ug/kg/min)
|-
|-
| Magnessium|| 2gm IVP (4cc of 50% solu) diluted in 10mL D5W
| [[Magnessium]]|| 2gm IVP (4cc of 50% solu) diluted in 10mL D5W
|-
|-
| Metoprolol ||5mg IVP Q5min (x 3)
| [[Metoprolol]] ||5mg IVP Q5min (x 3)
|-
|-
| Nitroglycerine drip||10ug/min (titrate up to 200 ug/min, mix 50mg/250cc D5W)
| Nitroglycerine drip||10ug/min (titrate up to 200 ug/min, mix 50mg/250cc D5W)
|-
|-
| Glucagon ||1-5 mg IV
| [[Glucagon]] ||1-5 mg IV
|-
|-
|}
|}
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==Pressors==
==Pressors==
{| class="wikitable"
{| class="wikitable"
| Levophed/NE (8mg in 500cc D5W)||5-100mcg/min
| [[Levophed]]/NE (8mg in 500cc D5W)||5-100mcg/min
|-
|-
| Dopamine (400mg in 250 D5W)||10-20mcg/kg/min
| [[Dopamine]] (400mg in 250 D5W)||10-20mcg/kg/min
|-
|-
| Dobutamine (250mg in 250 mg D5W)||5-20mcg/kg/min
| [[Dobutamine]] (250mg in 250 mg D5W)||5-20mcg/kg/min
|-
|-
| [[Epinephrine]]  (1mg in 250 D5W)||1-20ug/min
| [[Epinephrine]]  (1mg in 250 D5W)||1-20ug/min
|-
|-
|}
|}
==Sedation==
==Sedation==
{| class="wikitable"
{| class="wikitable"
| Ativan||2mg
| [[Lorazepam]] (Ativan)||2mg
|-
|-
| Morphine||7mg
| [[Morphine]]||7mg
|-
|-
| Fenatnyl||70mcg
| [[Fenatnyl]]||70mcg
|-
|-
| Ketamine||NA
| [[Ketamine]]||NA
|-
|-
| Versed||2mg
| [[Midazolam]] (Versed)||2mg
|-
|-
|}
|}
==[[Seizure]] and CNS==
==[[Seizure]] and CNS==
{| class="wikitable"
{| class="wikitable"
| Lorazepam||2mg
| [[Lorazepam]] (Ativan)||2mg
|-
|-
| Fosphenytoin||
| [[Fosphenytoin]]||
|-
|-
| Phenytoin||
| [[Phenytoin]] (Dilantin)||
|-
|-
| Phenobarb||
| [[Phenobarbitol]]||
|-
|-
| Valium rectal||
| [[Diazepam]] (Valium) rectal||
|-
|-
| Mannitol||70gm
| [[Mannitol]]||70gm
|-
|-
| D25W||1.5 amp D50W
| [[Glucose]]||1.5 amp D50W
|-
|-
| Narcan||0.4-2mg
| [[Naloxone]] (Narcan)||0.4-2mg
|-
|-
|}
|}

Revision as of 07:23, 5 November 2014

Critical Care Quick Reference Group

kg 70kg
Age ADULT
Broselow Color NA

Normal Vital Signs

Heart Rate 60 - 100
Respiratory Rate 10 - 20
Systolic BP 90 -140

Intubation

Pretreatment
Lidocaine 100mg
Fentanyl 200mcg
Atropine NA
RSI
Etomidate 20mg
Succinylcholine 100mg
Midazolam (Versed) 7mg
Ketamine 140mg
Vecuronium 7mg
Rocuronium 70mg
Equipment
ET Tube 7.5c
Blade 4
cm to teeth 22-25

Pulseless Arrest

Defibrilation 200J
Epinephrine (1:10,000) 1 amp
Amiodarone 300mg
Lidocaine 70mg
Magnesium 2gm
CalCl (100mg/cc) 1gm
Glucose 1.5 amp D50W

Cardiac with Pulse

Adenosine 6, 12mg
Amiodarone 150 mg over 10 min, then 1mg/min x 6 hrs
Atropine 1mg
Cardioversion 100J, 200J, 300J, 360J (sync)
Procainamide (max) 1200mg
Diltiazem 20mg IV over 2min [0.25mg/kg ], may repeat 25mg after 15min
Esmolol 500ug/kg (slow load then 50ug/kg/min)
Magnessium 2gm IVP (4cc of 50% solu) diluted in 10mL D5W
Metoprolol 5mg IVP Q5min (x 3)
Nitroglycerine drip 10ug/min (titrate up to 200 ug/min, mix 50mg/250cc D5W)
Glucagon 1-5 mg IV

Pressors

Levophed/NE (8mg in 500cc D5W) 5-100mcg/min
Dopamine (400mg in 250 D5W) 10-20mcg/kg/min
Dobutamine (250mg in 250 mg D5W) 5-20mcg/kg/min
Epinephrine (1mg in 250 D5W) 1-20ug/min

Sedation

Lorazepam (Ativan) 2mg
Morphine 7mg
Fenatnyl 70mcg
Ketamine NA
Midazolam (Versed) 2mg

Seizure and CNS

Lorazepam (Ativan) 2mg
Fosphenytoin
Phenytoin (Dilantin)
Phenobarbitol
Diazepam (Valium) rectal
Mannitol 70gm
Glucose 1.5 amp D50W
Naloxone (Narcan) 0.4-2mg

Trauma

Normal saline 0.9% bolus 1.5L
PRBCs (1u=250cc) 1 unit
Chest tube (fr) 42
Central line
NG tube (fr) 18

Equipment

ET Tube 7.5c
Blade 4
cm to teeth 22-25
Chest tube (fr) 42
Central line
NG tube (fr) 18

Fluids

Normal saline 0.9% bolus 1.5L
Maintenance 110cc/hr
PRBCs (1u=250cc) 1 unit

See Also

Quick Reference Groups[1]

Adult
Category Weight
Large adult 100kg
ADULT 70kg
Small adult 50kg
Pediatric
Broslow Color Weight (Age)
Green 35kg (10yr)
Orange 25kg (8yr)
Blue 20kg (6yr)
White 15kg (4yr)
Yellow 12kg (2yr)
Purple 10kg (1yr)
Red 8kg (6mo)
Pink 6kg (4mo)
Gray 5kg (2mo)
3.5kg (newborn)
Preemie 2kg (preemie)

References

  1. ↑ Unless otherwise noted, all pediatric dosing per AAP guidelines: AAP Committee on Drugs. Drugs for Pediatric Emergencies full text
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