15kg (4yr)

Critical Care Quick Reference Group

kg 15kg
Age 4yr
Broselow Color White

Normal Vital Signs

Heart Rate 80-120 bpm
Respiratory Rate 20-30 rpm
Systolic BP >78 mmHg

Intubation

Medication Dose Calculation
Pretreatment
Lidocaine 22.5mg
Fentanyl NA
Atropine 0.3mg
RSI
Etomidate 4.5mg
Succinylcholine 22.5mg
Midazolam (Versed) 1.5mg
Ketamine 30mg
Vecuronium 1.5mg
Rocuronium 15mg
Equipment
ET Tube 5
Blade 2 or 3
cm to teeth 15

Pulseless Arrest

Medication Dose Calculation
Defibrilation 30J
Epinephrine (1:10,000) 1.5mL
Amiodarone load (without pulse) 75mg
Amiodarone drip may repeat loading dose for a total of up to 3 times
Lidocaine 15mg
Magnesium sulfate 750mg 50 mg/kg
CalCl (100mg/mL) 300mg
Hypoglycemia 30mL

Cardiac with Pulse

Medication Dose Calculation
Adenosine 1.5mg
Amiodarone load (with pulse) 75mg
Amiodarone drip may repeat loading dose for a total of up to 3 times
Atropine 0.3mg
Cardioversion
Procainamide (max) 150mg
Diltiazem
Esmolol
Magnesium sulfate 750mg 50 mg/kg
Metoprolol
Nitroglycerine drip
Glucagon

Vasopressors

Medication IV Dose (mcg/kg/min) Standard Concentration Final Concentration
Norepinephrine (Levophed) 0.01-2 mcg/kg/min 8 mg in 500 mL D5W 16 mcg/mL
Dopamine 2-20 mcg/kg/min 400 mg in 250 mL D5W 1,600 mcg/mL
Dobutamine 2-20 mcg/kg/min 250 mg in 250 mL D5W 1,000 mcg/mL
Epinephrine 0.01-1 mcg/kg/min 1 mg in 250 mL D5W 4 mcg/mL

Sedation

Medication Dose Calculation
Lorazepam (Ativan) 0.75mg
Morphine 1.5mg
Fenatnyl 15mcg
Ketamine 15mg
Midazolam (Versed) 0.75mg

Seizure and CNS

Medication Dose Calculation
Lorazepam (Ativan) 0.75mg
Fosphenytoin (PE=Phenytoin equivalent) 270 PE
Phenytoin (Dilantin) 270mg
Phenobarbitol 150mg
Diazepam (Valium) rectal 7.5mg
Mannitol 15g
Hypoglycemia 30mL
Naloxone (Narcan) 0.15mg

Trauma

Medication Dose Calculation
Normal saline 0.9% bolus 300mL
PRBCs (1u=250mL) 150mL
Chest tube (fr) 24
Central line 4F (IJ/subclavian)

4-5F (femoral)

NG tube (fr) 10

Equipment

Medication Dose Calculation
ET Tube 5
Blade 2 or 3
cm to teeth 15
Chest tube (fr) 24
Central line 4F (IJ/subclavian)

4-5F (femoral)

NG tube (fr) 10

Fluids

Medication Dose Calculation
Normal saline 0.9% bolus 300mL 20 mL/kg
Maintenance 50mL/hr 4-2-1 Rule
PRBCs (1u=250mL) 150mL

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