Small Neonate
Dexamethasone 0.6mg/kg 5 4mg/2mL undiluted (2mg/mL) 0.9
Chart 5.13
3kg 3kg 3kg 3kg 3kg 3kg 3kg
Medication Syringe (mL) Preparation mL
Adenosine 1 dose 0.1mg/kgst 1 10 6mg/2mL + 4mL dil. (1mg/mL)
0.3
Adenosine next doses 0.2mg/kg 1 10 6mg/2mL + 4mL dil. (1mg/mL)
0.6
Adrenaline IM 1 1:1000 solution undiluted (1mg/mL)
0.1
Adrenaline IV/IO 0.01mg/kg 1 10 1mg/1mL + 9mL dil. (0.1mg/mL)
0.3
Amiodarone 5mg/kg 10 150mg/3mL + 7mL dil. (15mg/mL)
1
Atropine 0.02mg/kg 5 0.5mg/1mL + 4mL dil. (0.1mg/mL)
1
Atropine for OP poisoning 0.05mg/kg 5 0.5mg/1mL + 4mL dil. (0.1mg/mL)
1.5
Biperiden 0.1mg/kg 1 10 5mg/1mL + 9mL dil. (0.5mg/mL)
0.6
Blood bolus 10mL/kg Adjust dose to indication; warm before use
30
Blood packed cells transfusion mL to ↑ Hb by 1g/dL
17
Calcium chloride 20mg/kg 1 10 1g/10mL undiluted (100mg/mL)
0.6
Calcium gluconate 60mg/kg 10 1g/10mL undiluted (100mg/mL)
1.8
Chlorpheniramine 0.1mg/kg 1 10 10mg/1mL + 9mL dil. (1mg/mL)
0.3
Clonazepam 0.02mg/kg 1 10 1mg/1mL + 9mL dil. (0.1mg/mL)
0.6
Cryoprecipitate 3mL/kg Adjust dose to indication; warm before use
9
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.
3
Defibrillation 4J/kg
12
Dantrolene 1mg/kg 60 20mg in 60mL dil. (0.33mg/mL)
9
Desmopressin 0.3µg/kg 10 4µg/1mL + 9mL dil. (0.4µg/mL)
2.5
Emergency Drug Dosing in Children
Chart 5.14
3kg 3kg 3kg 3kg 3kg 3kg 3kg
Medication Syringe (mL) Preparation mL
Fentanyl 1µg/kg 1 10 100µg/2mL + 8mL dil. (10µg/mL)
0.3
Fluid bolus (warm fluids) 20mL/kg Adjust dose to indication; warm before use
60
Flumazenil 0.01mg/kg 1 10 0.5mg/5mL + 5mL dil. (0.05mg/mL)
0.6
Fosphenytoin 20mg/kg 20 500mg/10mL + 10mL dil. (25mg/mL)
2.5
Fresh frozen plasma 15mL/kg Adjust dose to indication; warm before use
45
Furosemide 0.5mg/kg 1 10 20mg/2mL + 8mL dil. (2mg/mL)
0.8
Glucagon 0.05mg/kg 10 1mg/1mL + 9mL dil. (0.1mg/mL)
1.5
Glucose (D25W) 0.5g/kg 20 10ml D50W + 10mL dil. (0.25g/mL)
6
Glycopyrrolate 0.01mg/kg 10 0.2mg/1mL + 9mL dil. (0.02mg/mL)
1.5
Hydrocortisone 4mg/kg 10 100mg/2mL + 8mL dil. (10mg/mL)
1.2
Insulin (soluble) 0.1U/kg 1 10U/0.1mL + 0.9mL dil. (10U/mL)
0.3
Ketamine IV/IO 2mg/kg 1 10mg/mL undiluted
0.6
Ketamine IM 4mg/kg 5 10mg/mL undiluted
1.2
Ketofol 0.75mg/kg ketamine and propofol 1 mL of propofol 1% + ketamine 1%
0.2
Ketorolac 0.5mg/kg 1 10 10mg/1mL + 9mL dil. (1mg/mL)
-
Labetalol 0.2mg/kg 1 5mg/mL undiluted
0.1
Lidocaine 1mg/kg 1 10 100mg/5mL + 5mL dil. (10mg/mL)
0.3
Lorazepam 0.1mg/kg 1 10 4mg/1mL + 7mL dil. (0.5mg/mL)
0.6
Magnesium sulphate 40mg/kg 10 1g/2mL + 8mL dil. (100mg/mL)
1.2
Maintenance fluids mL/hr
12
Mannitol 1g/kg 20 25g/100mL undiluted (0.25g/mL)
12
Methylene blue 1mg/kg 1 10 100mg/10mL undiluted (10mg/mL)
0.3
Methylprednisolone 2mg/kg 10 40mg/1mL + 9mL dil. (4mg/mL)
1.5
Midazolam IV/IO 0.1mg/kg 1 5 5mg/5mL undiluted (1mg/mL)
0.3
Midazolam IM 0.2mg/kg 1 5mg/5mL undiluted (1mg/mL)
0.6
Morphine 0.05mg/kg 1 10 10mg/1mL + 9mL dil. (1mg/mL)
0.2
N-acetylcysteine IV 150mg/kg 10 2g/10mL + 10mL dil. (100mg/mL)
4.5
N-acetylcysteine PO 140mg/kg 400mg sachets
1
Chart 5.15
3kg 3kg 3kg 3kg 3kg 3kg 3kg
Medication Syringe (mL) Preparation mL
Naloxone full dose 0.1mg/kg 1 0.4mg/mL undiluted
0.8
Neostigmine 0.04mg/kg 10 0.5mg/1mL + 9mL dil. (0.05mg/mL)
2.4
Obidoxime 4mg/kg 20 250mg/1mL + 19mL dil. (12.5mg/mL)
1
Ondansetron 0.15mg/kg 10 4mg/2mL + 8mL dil. (0.4mg/mL)
1
Pancuronium 0.1mg/kg 10 4mg/2mL + 8mL dil. (0.4mg/mL)
1
Pantoprazole 2mg/kg 10 40mg/2mL + 8mL dil. (4mg/mL)
-
Paracetamol 15mg/kg 10 10mg/mL undiluted
4.5
Phenobarbitone 10mg/kg 10 200mg/1mL + 9mL dil. (20mg/mL)
1.5
Phenytoin 20mg/kg 50 250mg/5mL + 45mL dil. (5mg/mL)
12
Platelets 10mL/kg Adjust dose to indication; warm before use
30
Potassium IV/IO for severe hypokalaemia 1 KCl 15% (2mmol/mL) - give SLOWLY
1
Pralidoxime 25mg/kg 20 1g in 20mL dil. (50mg/mL)
1.5
Procainamide 15mg/kg 1 10 1g/10mL undiluted (100mg/mL)
0.5
Promethazine 0.5mg/kg 1 10 25mg/1mL + 9mL dil. (2.5mg/mL)
0.6
Propofol 3mg/kg 5 1% solution undiluted (10mg/mL)
1
Pyridostigmine 0.05mg/kg 10 1mg/1mL + 9mL dil. (0.1mg/mL)
1.5
Ranitidine 1mg/kg 1 10 50mg/2mL + 8mL dil. (5mg/mL)
0.6
Rehydration – mild dehydration mL/hr for 24hours
18
Rehydration – moderate dehydration mL/hr for 24hours
24
Rehydration – severe dehydration mL/hr for 24hours
30
Rocuronium 1mg/kg 1 10 50mg/5mL + 5mL dil. (5mg/mL)
0.6
Salbutamol 15µg/kg 10 500µg/1mL + 9mL dil. (50µg/mL)
1
Sodium bicarbonate 1meq/kg 10 8.5% solution - dilute before giving
3
Sodium replacement mL of NS 0.9% to ↑Na by 1mmol/L+
11
Suxamethonium 3mg/kg 1 10 100mg/2mL + 8mL dil. (10mg/mL)
0.9
Thiamine 10 100mg/1mL + 9mL dil. (10mg/mL)
1.5
Thiopentone 4mg/kg 1 20 500mg in 20mL dil. (25mg/mL)
0.5
Tilidine 1mg/kg drops of 2.5mg/drop solution
1
Emergency Drug Dosing in Children
Chart 5.16
3kg 3kg 3kg 3kg 3kg 3kg 3kg
Medication Syringe (mL) Preparation mL
Toxic dose: lidocaine 1%
Maximum total cumulative volume of local anaesthetic solution for
infiltration and/or blocks
1.5
Toxic dose: lidocaine 1% + adrenaline
2
Toxic dose: bupivacaine 0.5%
1.5
Toxic dose: ropivacaine 0.75%
2
Toxic dose: prilocaine 1%
2.4
Tramadol 1.5mg/kg 20 100mg/2mL + 18mL dil. (5mg/mL)
1
Tranexamic acid 25mg/kg 10 500mg/5mL + 5mL dil. (50mg/mL)
1.5
Valproate 20mg/kg 20 400mg/4mL + 16mL dil. (20mg/mL)
3
Vasopressin 0.5U/kg 1 10 20U/1mL + 9mL dil.(2U/mL)
0.8
Vecuronium 0.1mg/kg 10 4mg into 10mL dil. (0.4mg/mL)
1
Verapamil 0.25mg/kg 10 5mg/2mL + 8mL dil. (0.5mg/mL)
1.5
Vitamin K 10 2mg/0.2mL + 9.8mL dil. (0.2mg/mL)
5
Emergency Infusions - starting rates Initiate at mL/hr
Adrenaline 10mg/10mL + 40mL dil. 50 0.1µg/kg/min
0.1
Amiodarone 150mg/3mL + 47mL dil. 50 0.42mg/kg/hr
0.42
Atropine 25mg/50mL undiluted 50 0.2mg/kg/hr
1.2
Bicarbonate 8.5% undiluted 50 1meq/kg/hr
3
Dobutamine 250mg/20mL + 30mL dil. 50 5µg/kg/min
0.18
Dopamine 200mg/5mL + 45mL dil. 50 5µg/kg/min
0.23
Labetalol 100mg/20mL + 30mL dil. 50 1mg/kg/hr
1.5
Lidocaine 500mg/5mL + 45mL dil. 50 20µg/kg/min
0.36
Nitroglycerin 25mg/5mL + 45mL dil. 50 0.5µg/kg/min
0.18
Phenylephrine 10mg/1mL + 49mL dil. 50 0.1µg/kg/min
0.1
Propofol 1% solution undiluted 50 1mg/kg/hr
0.3
Thiopentone 500mg + 50mL dil. 50 50µg/kg/min
0.9
Chart 5.17
5 5
5
4kg 4kg 4kg 4kg 4kg 4kg 4kg
Medication Preparation mL
Adenosine 1 dose 0.1mg/kgst 1 10 6mg/2mL + 4mL dil. (1mg/mL)
0.4
Adenosine next doses 0.2mg/kg 1 10 6mg/2mL + 4mL dil. (1mg/mL)
0.8
Adrenaline IM 1 1:1000 solution undiluted (1mg/mL)
0.1
Adrenaline IV/IO 0.01mg/kg 1 10 1mg/1mL + 9mL dil. (0.1mg/mL)
0.4
Amiodarone 5mg/kg 10 150mg/3mL + 7mL dil. (15mg/mL)
1.3
Atropine 0.02mg/kg 0.5mg/1mL + 4mL dil. (0.1mg/mL)
1
Atropine for OP poisoning 0.05mg/kg 0.5mg/1mL + 4mL dil. (0.1mg/mL)
2
Biperiden 0.1mg/kg 1 10 5mg/1mL + 9mL dil. (0.5mg/mL)
0.8
Blood bolus 10mL/kg
40
Blood packed cells transfusion mL to ↑ Hb by 1g/dL
22
Calcium chloride 20mg/kg 1 10 1g/10mL undiluted (100mg/mL)
0.8
Calcium gluconate 60mg/kg 10 1g/10mL undiluted (100mg/mL)
2.4
Chlorpheniramine 0.1mg/kg 1 10 10mg/1mL + 9mL dil. (1mg/mL)
0.4
Clonazepam 0.02mg/kg 1 10 1mg/1mL + 9mL dil. (0.1mg/mL)
0.8
Cryoprecipitate 3mL/kg
12
Cardioversion 1J/kg
4
Defibrillation 4J/kg
16
Dantrolene 1mg/kg 60 20mg in 60mL dil. (0.33mg/mL)
16
Desmopressin 0.3µg/kg 10 4µg/1mL + 9mL dil. (0.4µg/mL)
3
Dexamethasone 0.6mg/kg 4mg/2mL undiluted (2mg/mL)
1.2
Diazepam IV/IO 0.2mg/kg 1 10mg/2mL undiluted (5mg/mL)
0.2
Diazepam PR 0.5mg/kg 1 10mg/2mL undiluted (5mg/mL)
0.4
Digoxin 15µg/kg first dose 10 0.25mg/1mL + 9mL dil. (25µg/mL)
2.4
Diphenhydramine 1mg/kg 1 10 50mg/1mL + 9mL dil. (5mg/mL)
0.8
Ephedrine 0.3mg/kg 1 20 50mg/1mL + 19mL dil. (2.5mg/mL)
0.5
Etomidate 0.3mg/kg 20 20mg/10mL + 10mL dil. (1mg/mL)
1.2
Factor VIII concentrate 300IU/10mL give slowly IV
7
Factor IX concentrate 500IU/10mL give slowly IV
7
Adjust dose to indication; warm before use
Adjust dose to indication; warm before use 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.
Emergency Drug Dosing in Children
Chart 5.18
4kg 4kg 4kg 4kg 4kg 4kg 4kg
Medication Preparation mL
Fentanyl 1µg/kg 1 10 100µg/2mL + 8mL dil. (10mg/mL)
0.4
Fluid bolus (warm fluids) 20mL/kg Adjust dose to indication; warm before use
80
Flumazenil 0.01mg/kg 1 10 0.5mg/5mL + 5mL dil. (0.05mg/mL)
0.8
Fosphenytoin 20mg/kg 20 500mg/10mL + 10mL dil. (25mg/mL)
3.2
Fresh frozen plasma 15mL/kg Adjust dose to indication; warm before use
60
Furosemide 0.5mg/kg 1 10 20mg/2mL + 8mL dil. (2mg/mL)
1
Glucagon 0.05mg/kg 10 1mg/1mL + 9mL dil. (0.1mg/mL)
2
Glucose (D25W) 0.5g/kg 20 10mL D50W + 10mL dil. (0.25g/mL)
8
Glycopyrrolate 0.01mg/kg 10 0.2mg/1mL + 9mL dil. (0.02mg/mL)
2
Hydrocortisone 4mg/kg 10 100mg/2mL + 8mL dil. (10mg/mL)
1.6
Insulin (soluble) 0.1U/kg 1 10U/0.1mL + 0.9mL dil. (10U/mL)
0.4
Ketamine IV/IO 2mg/kg 1 10mg/mL undiluted
0.8
Ketamine IM 4mg/kg 5 10mg/mL undiluted