Small Child
Dexamethasone 0.6mg/kg 5 4mg/2mL undiluted (2mg/mL) 3.5
Diazepam IV/IO 0.2mg/kg 1 10mg/2mL undiluted (5mg/mL)
0.5
Diazepam PR 0.5mg/kg 5 10mg/2mL undiluted (5mg/mL)
1.2
Digoxin 15µg/kg first dose 10 0.25mg/1mL + 9mL dil. (25µg/mL)
7
Diphenhydramine 1mg/kg 10 50mg/1mL + 9mL dil. (5mg/mL)
2.5
Ephedrine 0.3mg/kg 20 50mg/1mL + 19mL dil. (2.5mg/mL)
1.4
Etomidate 0.3mg/kg 20 20mg/10mL + 10mL dil. (1mg/mL)
4
Factor VIII concentrate 500IU/10mL give slowly IV
12
Factor IX concentrate 500IU/10mL give slowly IV
22
Emergency Drug Dosing in Children
Chart 5.58
12kg 12kg 12kg 12kg 12kg 12kg
Medication Syringe (mL) Preparation mL
Fentanyl 1µg/kg 10 100µg/2mL + 8mL dil. (10µg/mL)
1.2
Fluid bolus (warm fluids) 20mL/kg Adjust dose to indication; warm before use
240
Flumazenil 0.01mg/kg 10 0.5mg/5mL + 5mL dil. (0.05mg/mL)
2.5
Fosphenytoin 20mg/kg 20 500mg/10mL + 10mL dil. (50mg/mL)
10
Fresh frozen plasma 15mL/kg Adjust dose to indication; warm before use
180
Furosemide 0.5mg/kg 10 20mg/2mL + 8mL dil. (2mg/mL)
3
Glucagon 0.05mg/kg 10 1mg/1mL + 9mL dil. (0.1mg/mL)
6
Glucose (D25W) 0.5g/kg 50 25ml D50W + 25mL dil. (0.25g/mL)
24
Glycopyrrolate 0.01mg/kg 10 0.2mg/1mL + 9mL dil. (0.02mg/mL)
6
Hydrocortisone 4mg/kg 10 100mg/2mL + 8mL dil. (10mg/mL)
5
Insulin (soluble) 0.1U/kg 1 10U/0.1mL undiluted
0.1
Ketamine IV/IO 2mg/kg 5 10mg/mL undiluted
2.4
Ketamine IM 4mg/kg 1 50mg/mL undiluted
1
Ketofol 0.75mg/kg ketamine and propofol 5 mL of propofol 1% + ketamine 1%
0.9
Ketorolac 0.5mg/kg 10 10mg/1mL + 9mL dil. (1mg/mL)
6
Labetalol 0.2mg/kg 1 5mg/mL undiluted
0.5
Lidocaine 1mg/kg 10 100mg/5mL + 5mL dil. (10mg/mL)
1.2
Lorazepam 0.1mg/kg 10 4mg/1mL + 7mL dil. (0.5mg/mL)
2.5
Magnesium sulphate 40mg/kg 10 1g/2mL + 8mL dil. (100mg/mL)
5
Maintenance fluids mL/hr
44
Mannitol 1g/kg 50 25g/100mL undiluted (0.25g/mL)
48
Methylene blue 1mg/kg 10 100mg/10mL undiluted (10mg/mL)
1.2
Methylprednisolone 2mg/kg 10 40mg/1mL + 9mL dil. (4mg/mL)
6
Midazolam IV/IO 0.1mg/kg 5 5mg/5mL undiluted (1mg/mL)
1.2
Midazolam IM 0.2mg/kg 5 5mg/5mL undiluted (1mg/mL)
2.4
Morphine 0.05mg/kg 1 10 10mg/1mL + 9mL dil. (1mg/mL)
0.6
N-acetylcysteine IV 150mg/kg 50 4g/20mL + 30mL dil. (80mg/mL)
23
N-acetylcysteine PO 140mg/kg 400mg sachets
4
Chart 5.59
12kg 12kg 12kg 12kg 12kg 12kg
Medication Syringe (mL) Preparation mL
Naloxone full dose 0.1mg/kg 5 0.4mg/mL undiluted
3
Neostigmine 0.04mg/kg 10 0.5mg/1mL + 9mL dil. (0.05mg/mL)
10
Obidoxime 4mg/kg 20 250mg/1mL + 19mL dil. (12.5mg/mL)
4
Ondansetron 0.15mg/kg 10 4mg/2mL + 8mL dil. (0.4mg/mL)
5
Pancuronium 0.1mg/kg 10 4mg/2mL + 8mL dil. (0.4mg/mL)
3
Pantoprazole 2mg/kg 10 40mg/2mL + 8mL dil. (4mg/mL)
6
Paracetamol 15mg/kg 10 10mg/mL undiluted
18
Phenobarbitone 10mg/kg 10 200mg/1mL + 9mL dil. (20mg/mL)
6
Phenytoin 20mg/kg 50 250mg/5mL + 45mL dil. (5mg/mL)
48
Platelets 10mL/kg Adjust dose to indication; warm before use
120
Potassium IV/IO for severe hypokalaemia 5 KCl 15% (2mmol/mL) - give SLOWLY
4.5
Pralidoxime 25mg/kg 20 1g in 20mL dil. (50mg/mL)
7
Procainamide 15mg/kg 10 1g/10mL undiluted (100mg/mL)
1.8
Promethazine 0.5mg/kg 10 25mg/1mL + 9mL dil. (2.5mg/mL)
2.5
Propofol 3mg/kg 5 1% solution undiluted (10mg/mL)
3.5
Pyridostigmine 0.05mg/kg 10 1mg/1mL + 9mL dil. (0.1mg/mL)
6
Ranitidine 1mg/kg 10 50mg/2mL + 8mL dil. (5mg/mL)
2.5
Rehydration – mild dehydration mL/hr for 24hours
69
Rehydration – moderate dehydration mL/hr for 24hours
90
Rehydration – severe dehydration mL/hr for 24hours
119
Rocuronium 1mg/kg 10 50mg/5mL + 5mL dil. (5mg/mL)
2.5
Salbutamol 15µg/kg 10 500µg/1mL + 9mL dil. (50µg/mL)
3.5
Sodium bicarbonate 1meq/kg 10 8.5% solution- dilute before giving
12
Sodium replacement mL of NS 0.9% to ↑Na by 1mmol/L+
46
Suxamethonium 2mg/kg 10 100mg/2mL + 8mL dil. (10mg/mL)
2.5
Thiamine 10 100mg/1mL + 9mL dil. (10mg/mL)
4
Thiopentone 4mg/kg 20 500mg in 20mL dil. (25mg/mL)
2
Tilidine 1mg/kg drops of 2.5mg/drop solution
5
Emergency Drug Dosing in Children
Chart 5.60
12kg 12kg 12kg 12kg 12kg 12kg
Medication Syringe (mL) Preparation mL
Toxic dose: lidocaine 1%
Maximum total cumulative volume of local anaesthetic solution for
infiltration and/or blocks
6
Toxic dose: lidocaine 1% + adrenaline
8
Toxic dose: bupivacaine 0.5%
7
Toxic dose: ropivacaine 0.75%
6
Toxic dose: prilocaine 1%
10
Tramadol 1.5mg/kg 20 100mg/2mL + 18mL dil. (5mg/mL)
3.5
Tranexamic acid 25mg/kg 10 500mg/5mL + 5mL dil. (50mg/mL)
6
Valproate 20mg/kg 20 400mg/4mL + 16mL dil. (20mg/mL)
12
Vasopressin 0.5U/kg 10 20U/1mL + 9mL dil. (2U/mL)
3
Vecuronium 0.1mg/kg 10 4mg in 10mL dil. (0.4mg/mL)
3
Verapamil 0.25mg/kg 10 5mg/2mL + 8mL dil. (0.5mg/mL)
6
Vitamin K 10 10mg/1mL + 9mL dil. (1mg/mL)
3
Emergency Infusions - starting rates Initiate at mL/hr
Adrenaline 10mg/10mL + 40mL dil. 50 0.1µg/kg/min
0.36
Amiodarone 150mg/3mL + 47mL dil. 50 0.42mg/kg/hr
1.7
Atropine 25mg/50mL undiluted 50 0.2mg/kg/hr
4.8
Bicarbonate 8.5% undiluted 50 1meq/kg/hr
12
Dobutamine 250mg/20mL + 30mL dil. 50 5µg/kg/min
0.72
Dopamine 200mg/5mL + 45mL dil. 50 5µg/kg/min
0.9
Labetalol 400mg/40mL + 10mL dil. 50 1mg/kg/hr
1.5
Lidocaine 500mg/5mL + 45mL dil. 50 20µg/kg/min
1.4
Nitroglycerin 25mg/5mL + 45mL dil. 50 0.5µg/kg/min
0.72
Phenylephrine 10mg/1mL + 49mL dil. 50 0.1µg/kg/min
0.36
Propofol 1% solution undiluted 50 1mg/kg/hr
1.2
Thiopentone 2g + 50mL dil. 50 50µg/kg/min
0.9
Chart 5.61
14kg 14kg 14kg 14kg 14kg 14kg
Medication Syringe (mL) Preparation mL
Adenosine 1 dose 0.1mg/kgst 10 6mg/2mL + 4mL dil. (1mg/mL)
1.4
Adenosine next doses 0.2mg/kg 10 6mg/2mL + 4mL dil. (1mg/mL)
2.8
Adrenaline IM 1 1:1000 solution undiluted (1mg/mL)
0.2
Adrenaline IV/IO 0.01mg/kg 10 1mg/1mL + 9mL dil. (0.1mg/mL)
1.4
Amiodarone 5mg/kg 10 150mg/3mL + 7mL dil. (15mg/mL)
4.5
Atropine 0.02mg/kg 5 0.5mg/1mL + 4mL dil. (0.1mg/mL)
3
Atropine for OP poisoning 0.05mg/kg 10 1mg/2mL + 8mL dil. (0.1mg/mL)
7
Biperiden 0.1mg/kg 10 5mg/1mL + 9mL dil. (0.5mg/mL)
3
Blood bolus 10mL/kg Adjust dose to indication; warm before use
140
Blood packed cells transfusion mL to ↑ Hb by 1g/dL
80
Calcium chloride 20mg/kg 10 1g/10mL undiluted (100mg/mL)
3
Calcium gluconate 60mg/kg 10 1g/10mL undiluted (100mg/mL)
8
Chlorpheniramine 0.1mg/kg 10 10mg/1mL + 9mL dil. (1mg/mL)
1.4
Clonazepam 0.02mg/kg 10 1mg/1mL + 9mL dil. (0.1mg/mL)
3
Cryoprecipitate 3mL/kg Adjust dose to indication; warm before use
42
Cardioversion 1J/kg Joules - use the closest higher setting to the indicated energy level if this exact setting is not available. This
may vary from machine to machine.
14
Defibrillation 4J/kg
56
Dantrolene 1mg/kg 60 20mg in 60mL dil. (0.33mg/mL)
42
Desmopressin 0.3µg/kg 10 4µg/1mL + 9mL dil. (0.4µg/mL)