Patient Data



Data Entry Box

Age - Months (0-24)
Age - Years (> 2)
Weight - Pounds
Height - Inches
Hours NPO
Respiratory Rate
Hematocrit
Minimum Allowable Hct

Calculation



Weight Kilograms -
Height Centimeters -
BSA Square Meter -

Ventilation



Dead Space ml ~
Minute Ventilation ml/min ~
Alveolar Ventilation ml/min ~
Tidal Volume ml (resting) ~
Tidal Volume ml @10mL/kg ~
Endotracheal tube size mm ~
ET-Tube Length @ nose cm ~
ET-Tube Length @ teeth cm
Minimum ~
Maximum ~
Newborn/Infant length @ lips ~

Fluids/Blood



Maintenance ml/hr -
NPO Deficit Total ml -
Deficit Replacement ml
1st Hour -
2nd Hour -
3rd Hour -
Surgical Requirement ml/hr
Minor (3 ml/kg/hr) -
Moderate (5 ml/kg/hr) -
Major (7 ml/kg/hr) -
Blood Replacement
Estimated Blood Vol ml ~
Allowable Blood Loss ml ~
Packed RBC (ml) to ­ Hb 1 Gm ~
Packed RBC (ml) to ­ Hb 10% or 3 Gm ~

Medication



Pre-operative

mg
Atropine IM 0.02 mg/kg
Atropine IV 0.01 mg/kg
Cimetidine PO/Slow IV 7.5 mg/kg
Clonidine PO 4 mcg/kg
Glycopyrrolate IV/IM 0.01 mg/kg
Ketamine Stun IM 5 mg/kg
Metoclopramide IV 0.1 mg/kg
Midazolam IV 0.05 mg/kg
Midazolam PO 0.5 mg/kg
Midazolam IM 0.08 mg/kg
Midazolam Nasal 0.3 mg/kg
Morphine IM 0.1 mg/kg
Ranitidine IV (up to 50 mg) 1 mg/kg

Induction

mg IV
Ketamine
Range = 0.5-3 mg/kg
Propofol
Range = 2-3.5 mg/kg
Thiopental
Range = 2-5 mg/kg

Intubation

mg
Succinylcholine IV 2 mg/kg
Atropine IV 0.01 mg/kg
Lidocaine IV 1 mg/kg
Succinylcholine IM 4 mg/kg
Rocuronium IM 1.8 mg/kg

Narcotics

mcgIV
Sufentanil * Balanced
1 hour range= 0.125-0.25 mcg/kg
2 hour range= 0.25-2 mcg/kg
Extended case = 2-4 mcg/kg
Cardiac
Range = 10-15 mcg/kg
* Total dose ≤ 1 mcg/kg/hr of surgery for extubation at end of case
Fentanyl Balanced
Standard range = 1-3 mcg/kg
High dose range = 4-10 mcg/kg
Cardiac
Range = 10-15 mcg/kg
Remifentanil (2 y/o and older; loading dose over 60 seconds)
Balanced Anesthesia / Concentration 20 mcg/mL
Loading dose = 1 mcg/kg
Maintenance range= 0.2-0.5 mcg/kg/min
Extended range= 0.05-1.3 mcg/kg/min
Dilaudid 0.015 mg per kg

Muscle Relaxants

mg IV
Atracurium
Intubation 0.5 mg/kg
Maintenance 0.1 mg/kg
Cisatracurium
Intubation range 0.1 mg/kg
0.2 mg/kg
Maintenance 0.02 mg/kg
Mivacurium
Intubation 0.3 mg/kg
Maintenance 0.08 mg/kg
Pancuronium
Intubation 0.1 mg/kg
Maintenance 0.05 mg/kg
Rocuronium
Intubation 0.6 mg/kg
Rapid sequence 1.2 mg/kg
Maintenance 0.15 mg/kg
Vecuronium
Intubation 0.1 mg/kg
Maintenance 0.025 mg/kg

Reversal

mg IV
Edrophonium range 0.3 mg/kg
(Plus Atropine) 1 mg/kg
Neostigmine 0.06 mg/kg
(Plus Glycopyrrolate) Start with ½ dose & repeat X1
Flumazenil PRN 10 mcg/kg
Naloxone PRN 5 mcg/kg

Peri-operative

mg IV
Aminophylline 5 mg/kg
Clonidine 2 mcg/kg
Diphenhydramine 0.25 mg/kg
Dolasetron 0.35 mg/kg
Droperidol 0.05 mg/kg
Ephedrine PRN 0.2 mg/kg
Furosemide PRN 0.1 mg/kg
Granisetron 10 mcg/kg
Hydrocortisone Prep 2 mg/kg
Ketorlac 0.5 mg/kg
Labetalol 0.2 mg/kg
Meperidine (to 1 mg/kg) 0.5 mg/kg
Morphine Sulfate 0.1 mg/kg
Ondansetron 0.1 mg/kg
Phenylephrine PRN 2 mcg/kg
Cryoprecipitate 1 unit/5 kg
FFP (Monitor PT/aPTT) 15 mL/kg
Platelets (to ↑ 30K-50K) 1 unit/10 kg

Emergency Medications

mg IV
Adenosine (PRN to 0.25mg/kg) 0.1 mg/kg
Amiodarone 5 mg/kg
Atropine mg (PRN X2) 0.02 mg/kg
Atropine minimum dose 0.1 mg, maximum single dose 0.5 mg
Calcium Cl (max dose 500 mg) 20 mg/kg
Dantrolene (to 10 mg/kg) 2 mg/kg
Dexamethasone 0.5 mg/kg
Dextrose 0.5 gms/kg
Epinephrine mg (1:10,000) 0.01 mg/kg
Subsequent dose (1:1000) 0.1 mg/kg
Physostigmine (max dose 2 mg) 20 mcg/kg
Sodium Bicarbonate 1 mEq/kg
Fluid Bolus PRN 10 ml/kg
Crystalloid / 5% Albumin 20 ml/kg
Defibrillation Joules 2 J/kg
Extubation Croup - Racemic Epinephine 2.25% Sol Nebulizer
Mix in 2 mL NSS

Antibiotics

mg IV
Ampicillin 25-50 mg/kg IV q6h
range =
Cefazolin (Ancef, Kefzol®) 8.3-33.3 mg/kg IV q8h
range =
Cefotetan (Cefotan®) 20-40 mg/kg IV q12h
range =
Cefoxitin (Mefoxin®) 13.3-26.6 mg/kg IV q4-6h
range =
Ceftriaxone (Rocephin®) 25-37.5 mg/kg q12-24 hrs
range =
Clindamycin (Cleocin®) 6.25-10 mg/kg IV q6-8h
Slow IV     range =
Gentamicin (Garmycin®) 1.5-2.5 mg/kg IV q8h
range =
Vancomycin (Vancocin®) 10-15 mg/kg IV q6-8h
Slow IV     range =

Analgesics

mg IV
Acetaminophen PO 15 mg/kg
Acetaminophen PR 40 mg/kg
Ibuprofen PO 10 mg/kg

SBE prophylaxis within 30 minutes of procedure

mg IV
Ampicillin IV/IM OR 50 mg/kg
Clindamycin IV OR 20 mg/kg slow
Cefazolin IV/IM 25 mg/kg
Vancomycin IV Moderate Risk 20 mg/kg slow
Ampicillin IV/IM (or Vanc) 50 mg/kg
PLUS High Risk
Gentamicin IV/IM 1.5 mg/kg

Patient Data



Data Entry Box

Age - Months (0-24)
Age - Years (> 2)
Weight - Pounds
Height - Inches
Hours NPO
Respiratory Rate
Hematocrit
Minimum Allowable Hct

Calculation



Weight Kilograms -
Height Centimeters -
BSA Square Meter -

Ventilation



Dead Space ml ~
Minute Ventilation ml/min ~
Alveolar Ventilation ml/min ~
Tidal Volume ml (resting) ~
Tidal Volume ml @10mL/kg ~
Endotracheal tube size mm ~
ET-Tube Length @ nose cm ~
ET-Tube Length @ teeth cm
Minimum ~
Maximum ~
Newborn/Infant length @ lips ~

Fluids/Blood



Maintenance ml/hr -
NPO Deficit Total ml -
Deficit Replacement ml
1st Hour -
2nd Hour -
3rd Hour -
Surgical Requirement ml/hr
Minor (3 ml/kg/hr) -
Moderate (5 ml/kg/hr) -
Major (7 ml/kg/hr) -
Blood Replacement
Estimated Blood Vol ml ~
Allowable Blood Loss ml ~
Packed RBC (ml) to ­ Hb 1 Gm ~
Packed RBC (ml) to ­ Hb 10% or 3 Gm ~

Medication



Induction

mg IV
Ketamine
Range = 0.5-3 mg/kg
Propofol
Range = 2-3.5 mg/kg
Thiopental
Range = 2-5 mg/kg

Intubation

mg
Succinylcholine IV 2 mg/kg
Atropine IV 0.01 mg/kg
Lidocaine IV 1 mg/kg
Succinylcholine IM 4 mg/kg
Rocuronium IM 1.8 mg/kg


Pre-operative

mg
Atropine IM 0.02 mg/kg
Atropine IV 0.01 mg/kg
Cimetidine PO/Slow IV 7.5 mg/kg
Clonidine PO 4 mcg/kg
Glycopyrrolate IV/IM 0.01 mg/kg
Ketamine Stun IM 5 mg/kg
Metoclopramide IV 0.1 mg/kg
Midazolam IV 0.05 mg/kg
Midazolam PO 0.5 mg/kg
Midazolam IM 0.08 mg/kg
Midazolam Nasal 0.3 mg/kg
Morphine IM 0.1 mg/kg
Ranitidine IV (up to 50 mg) 1 mg/kg

Narcotics

mcgIV
Sufentanil * Balanced
1 hour range= 0.125-0.25 mcg/kg
2 hour range= 0.25-2 mcg/kg
Extended case = 2-4 mcg/kg
Cardiac
Range = 10-15 mcg/kg
* Total dose ≤ 1 mcg/kg/hr of surgery for extubation at end of case
Fentanyl Balanced
Standard range = 1-3 mcg/kg
High dose range = 4-10 mcg/kg
Cardiac
Range = 10-15 mcg/kg
Remifentanil (2 y/o and older; loading dose over 60 seconds)
Balanced Anesthesia / Concentration 20 mcg/mL
Loading dose = 1 mcg/kg
Maintenance range= 0.2-0.5 mcg/kg/min
Extended range= 0.05-1.3 mcg/kg/min
Dilaudid 0.015 mg per kg

Peri-operative

mg IV
Aminophylline 5 mg/kg
Clonidine 2 mcg/kg
Diphenhydramine 0.25 mg/kg
Dolasetron 0.35 mg/kg
Droperidol 0.05 mg/kg
Ephedrine PRN 0.2 mg/kg
Furosemide PRN 0.1 mg/kg
Granisetron 10 mcg/kg
Hydrocortisone Prep 2 mg/kg
Ketorlac 0.5 mg/kg
Labetalol 0.2 mg/kg
Meperidine (to 1 mg/kg) 0.5 mg/kg
Morphine Sulfate 0.1 mg/kg
Ondansetron 0.1 mg/kg
Phenylephrine PRN 2 mcg/kg
Cryoprecipitate 1 unit/5 kg
FFP (Monitor PT/aPTT) 15 mL/kg
Platelets (to ↑ 30K-50K) 1 unit/10 kg

Muscle Relaxants

mg IV
Atracurium
Intubation 0.5 mg/kg
Maintenance 0.1 mg/kg
Cisatracurium
Intubation range 0.1 mg/kg
0.2 mg/kg
Maintenance 0.02 mg/kg
Mivacurium
Intubation 0.3 mg/kg
Maintenance 0.08 mg/kg
Pancuronium
Intubation 0.1 mg/kg
Maintenance 0.05 mg/kg
Rocuronium
Intubation 0.6 mg/kg
Rapid sequence 1.2 mg/kg
Maintenance 0.15 mg/kg
Vecuronium
Intubation 0.1 mg/kg
Maintenance 0.025 mg/kg

Reversal

mg IV
Edrophonium range 0.3 mg/kg
(Plus Atropine) 1 mg/kg
Neostigmine 0.06 mg/kg
(Plus Glycopyrrolate) Start with ½ dose & repeat X1
Flumazenil PRN 10 mcg/kg
Naloxone PRN 5 mcg/kg

Emergency Medications

mg IV
Adenosine (PRN to 0.25mg/kg) 0.1 mg/kg
Amiodarone 5 mg/kg
Atropine mg (PRN X2) 0.02 mg/kg
Atropine minimum dose 0.1 mg, maximum single dose 0.5 mg
Calcium Cl (max dose 500 mg) 20 mg/kg
Dantrolene (to 10 mg/kg) 2 mg/kg
Dexamethasone 0.5 mg/kg
Dextrose 0.5 gms/kg
Epinephrine mg (1:10,000) 0.01 mg/kg
Subsequent dose (1:1000) 0.1 mg/kg
Physostigmine (max dose 2 mg) 20 mcg/kg
Sodium Bicarbonate 1 mEq/kg
Fluid Bolus PRN 10 ml/kg
Crystalloid / 5% Albumin 20 ml/kg
Defibrillation Joules 2 J/kg
Extubation Croup - Racemic Epinephine 2.25% Sol Nebulizer
Mix in 2 mL NSS

Antibiotics

mg IV
Ampicillin 25-50 mg/kg IV q6h
range =
Cefazolin (Ancef, Kefzol®) 8.3-33.3 mg/kg IV q8h
range =
Cefotetan (Cefotan®) 20-40 mg/kg IV q12h
range =
Cefoxitin (Mefoxin®) 13.3-26.6 mg/kg IV q4-6h
range =
Ceftriaxone (Rocephin®) 25-37.5 mg/kg q12-24 hrs
range =
Clindamycin (Cleocin®) 6.25-10 mg/kg IV q6-8h
Slow IV     range =
Gentamicin (Garmycin®) 1.5-2.5 mg/kg IV q8h
range =
Vancomycin (Vancocin®) 10-15 mg/kg IV q6-8h
Slow IV     range =


Analgesics

mg IV
Acetaminophen PO 15 mg/kg
Acetaminophen PR 40 mg/kg
Ibuprofen PO 10 mg/kg

SBE prophylaxis within 30 minutes of procedure

mg IV
Ampicillin IV/IM OR 50 mg/kg
Clindamycin IV OR 20 mg/kg slow
Cefazolin IV/IM 25 mg/kg
Vancomycin IV Moderate Risk 20 mg/kg slow
Ampicillin IV/IM (or Vanc) 50 mg/kg
PLUS High Risk
Gentamicin IV/IM 1.5 mg/kg