Drugs for Pediatric Emergencies Committee on Drugs ABSTRACT. Disclaimer: These citations have been automatically generated based on the information we have and it may not be 100% accurate. … Pediatric Drug Doses Cheat Sheet Neonatal Worksheet Neocalc Org Pediatric Dosage Calculations • B Basics Of Pediatric Anesthesia Drug Dosages Page 11 12 Ucsd' 'Peds Surge Pocket Guide June 20th, 2018 - PEDIATRIC SURGE POCKET GUIDE Clinical Checklists Guides And Just In Pediatric Anesthesia Drug Worksheet - ox-on.nu File Type PDF Pediatric Anesthesia Drug Worksheet Happy that we coming … Usual Pediatric Dose for Anesthesia. Drugs and dosage are intended as general guidelines only. ! Manufacturer recommendations were primarily used in these cases.   •  Notice Pediatric Drug Dose Chart . The purpose of the pediatric anesthesia rotation is to provide an initial exposure to a variety of pediatric cases. A 75 mL If the drug is metabolized in body fluids, however, as is the case for succinylcholine, mivacurium, atracurium, and cisatracurium, then increasing the volume of distribution results in increased clearance.13, 26 Neuromuscular blockers are potentiated by other drugs that are frequently parts of pediatric anesthesia. Pediatric Anesthesia 2004; 14: 462–7. The Committee on Drugs recognizes that pediatric labeling and dosage information do not exist for many of these drugs. You have the option to browse by most popular titles, recent reviews, authors, titles, genres, languages, and more. https://accessanesthesiology.mhmedical.com/content.aspx?bookid=572§ionid=42543758. Chapter 167. Does it matter how you get from D (drug dose) to E (clinical effect)? pediatric anesthesia and emergency drug guide Dec 19, 2020 Posted By Roger Hargreaves Publishing TEXT ID a45ad006 Online PDF Ebook Epub Library pediatric anesthesia and emergency drug guide ebook relevant books the well trained mind a guide to classical education at home hardback pdf … Regional anesthesia is an essential part of modern pediatric anesthetic practice, conveying many significant advantages to the patient and to the hospital (Table 1). A Calculator For Facilitating Pediatric Anesthesia Calculate a range of dosages for common anesthestic agents, vital signs, tube sizes, fluid requirements as well as emergency drug dosages. They contain high doses of both lengths: long (32 mm), short (20 mm), and ultrashort (10 mm). A GUIDE TO SOME PAEDIATRIC SIZES AND DOSES USED IN ANAESTHESIA AND RESUSCITATION Age Typical Weights Kg ETT Bore mm Length ORAL cm NASAL cm Basal fluid ml/kg/hr Ventilation Settings Laryngeal Mask Max size Suction catheter Prem 2 2.5 8 9.5 3 5 Newborn 3 3 9 11 3 Rate30/min 6 2/12 4.5 3.5 10 11.5 4 1 rarely used 7 6/12 7 3.5 11 12.5 4 Rate25/min 1.5 7 1year 10 4 12 14 4 Rate20/min 1.5 … Pediatric Antibiotic Dosing Cheat Sheet. Suggested Pediatric Drug Dosages 07/05/2005 Zwi Jacob, MD Download 2 page pdf version for printing The dosages and drugs are intended as general guidelines ONLY. DC shock energy has been rounded to figures commonly found on defibrillators. INDUCTION OF GENERAL ANESTHESIA: Take regularly scheduled doses.! Knowledge of … This statement provides current recom-mendations about the use of emergency drugs for acute pediatric problems that require pharmacologic interven- tion. Sections; Download Chapter PDF; Share. Copyright © McGraw HillAll rights reserved.Your IP address is high doses and in the presence of renal failure (Horinek 2009; Chicella 2002). administration of local anesthesia.1,2 In pediatric dentistry, the dental professional should be aware of proper dosage (based on weight) to minimize the chance of toxicity and the prolonged duration of anesthesia, which can lead to accidental lip or tongue trauma. In the pediatric population, drug dosages are so specific, due to the child’s small body mass index, that each drug given is calculated to their specific kilogram weight. 104.236.169.177 Pediatric Drug Doses Cheat Sheet free nursing cheat sheet downloads nrsng. William Splinter. DRUG/CONCENTRATION/DOSE RANGE: Volume (mLs) Minimum: Maximum: Atropine (0.54 mg/mL) (0.02 - 0.04 mg/kg) Dexamethasone SP (4 mg/mL) (1 - 4 mg/kg) Diphenhydramine (50 mg/mL) (1 - 2.2 mg/kg) – max dose 1.0 mL (50 mg) Ephedrine (50 mg/mL) (0.05 - 0.1 mg/kg) – dilute to 5 mg/mL: Glycopyrrolate (0.2 mg/mL) (0.005 - 0.01 mg/kg) ANESTHESIA AND ANALGESIA: DRUG/CONCENTRATION/DOSE … The actual drugs and their doses should be administered only following discussion with the attending. use of drugs in preparation for pediatric emergencies. ! . Case Scenario Block Max dosage = 2.2 mg/lb or 4.4mg/kg 70 x 2.2 = 154mg (lido) 36 mg of lido and 0.018mg of epi = 1 carpule 154 div 36 = 4.2 carpules ( 0.0756mg of epi ) L A Overdose • Causes - intravascular injection, excess dosage Pediatric Code Drugs A Table For Simplifying Calculations. clinical practice guidelines emergency drug doses cpg. Pediatric Drug Doses 3rd edition-Original PDF. The benzodiazepines’ dose-dependent adverse drug events involve the respiratory and cardiovascular systems. Sample Problems for Pediatric Dose Calculation Based on Weight and BSA 4. Pediatric Anesthesia: A Primer This primer reviews the basic information necessary for administering anesthesia to children at UMASS Memorial Medical Center safely. in 3 divided doses for a patient who weighs 66 pounds. Dosage should be individualized, taking into account the patient's age, weight, underlying illness, concurrently administered drugs, and known hypersensitivity. Covering nearly every drug given in the perioperative care of a child, it provides calculations down to the milligram to give the best dose per gram/kilogram weight for both perioperative and emergency drugs. Dosage … nursing drug calculations cheat sheet pdf … Drugs: 0.25% bupivacaine or 0.2% ropivacaine +/- morphine 25 ucg/kg or hydromorphone 6 ucg/kg; Desired level and volume: Sacral Block: 0.5 ml/kg; Midthoracic Block: 1.25 ml/kg; Complicating Issues in Peds Upper Respiratory Tract Infection. Large prospective studies by the French-Language Society of Pediatric Anesthesiologists (ADARPEF) have demonstrated … Download Free PDF. However, despite a strong body of evidence highlighting the advantages of regional anesthesia, it has been only relatively recently that regional anesthesia has begun to become more common place in anesthetic practice. Download tables as PDFs; Go to My Dashboard Close. Drug dosages also varied depending on use. The contents of this book reflect its origins in a paediatric intensive care unit. McCormack J, Mehta D, Peiris K, et al. Due to the specialized nature of the PICU environment and patient population some of the drugs, indications, doses and monitoring requirements may be different in individual situations. Nursing Drug Calculations Cheat Sheet PDF Docplayer Net. Actual doses used vary widely between patients. Because sometimes you can't look at an app . When possible, dosage recommendations are consistent with those used in current emergency references such as the Advanced Pediatric Life Support and Pediatric Dosage Calculations Injection Medicine Dose. For most routine dental procedures, SEPTOCAINE containing epinephrine 1:200,000 is preferred. These represent starting doses only – children may require higher doses. Recommend Documents. Manual of Pediatric Anesthesia PDF Author Jerrold Lerman MD Isbn 1437709885 File size 7.9 MB Year 2009 Pages 544 Language English File format PDF Category Anaesthesiology,Free Medical Books,Pediatrics Download the Book Download Book Description: The new edition of Manual of Pediatric Anesthesia, by Drs.   •  Privacy Policy Download medical books file now PRETITLE Pediatric Anesthesia And Emergency Drug Guide POSTTITLE from 4shared, mediafire, hotfile, and mirror link While all anesthetic and emergency drugs on the market are made for and administered to both adult and pediatric patients, their dosages and routes of administration are critically different. Terms of Use Adjust dosages based on clinical situation: hepatorenal function, cardiopulmonary bypass, ECMO, etc. This site uses cookies to provide, maintain and improve your experience. Tramadol Seizures, drug interaction Amiodarone for pulseless VF/VT Rapid IV bolus Amiodarone for perfusing SVT’ or VT 5 mg/kg IV/IO; (can repeat 5mg/kg Recent anesthesia texts, pediatric drug guides, and drug package inserts were all used as part of the pharmacologic review. https://accessanesthesiology.mhmedical.com/content.aspx?bookid=572§ionid=42543758. Local protocol should be consulted before administering this drug. 90%. PEDIATRIC HANDBOOK For drugs prescribed in the NICU please refer to the handbooks available in unit at both McMaster and St Joseph’s Healthcare. Intravenous drugs used for the induction of anaesthesia Dr Tom Lupton, Specialist Registrar in Anaesthesia Dr Oliver Pratt, Consultant Anaesthetist Salford Royal Hospitals NHS Foundation Trust, Salford, UK Key questions This tutorial reviews the basic pharmacology of common intravenous (IV) anaesthetic drugs. Double q 10 min until response achieved or until 4 U/hr (adult dose) is reached. NOTE: The dosages presented are manufacturer suggested doses. Product description YOUNG’S PEDIATRIC ANESTHESIA REFERENCE SHEET By Bradley J. Neonatal Worksheet Neocalc Org. Pediatric Guidelines for IV Medication Administration ... Approved For Drug Administration ICU ED Telemetry Required Acute Care IVP IV Infusion Concent-ration Usual Dosing and Comments Acetazolamide (Diamox ®) X Dilute to MAX of 100 mg/mL 5-10 mg/kg/dose MR q 8 or 6 hrs. This handbook is intended for use in pediatric critical care and may not be applicable in many situations encountered in general pediatric practice. May increase dose by 0.1-0.2 mg/kg q2 minutes up to 12 mg/dose every 1-2 mins till termination of arrhythmia to a MAX CUM dose of 0.3 mg/kg/dose upto 30 mg. > 50kg: 6mg, 12mg, 12mg Restriction: In acute care areas, doses must be administered by a physician. 5. 4j/kg. 2 mcg/ml + Clonidine 0.1 mcg/ml): 0.1-0.4 ml/kg/h; For muscle relaxants: 1 mg/kg IV with anticholinergic, Overdose: 0.01 mg/kg then 0.005-0.01 mg/kg/h, Status asthmaticus: load 4-8 mg/kg then 2-4 mg/kg/dose q4-6h, Status asthmaticus: load 2 mg/kg then 0.5-1 mg/kg/dose q4-6h, For Renaissance School of Medicine Admissions (MD Program), Neonates        0.2 mg/kg/h of bupivacaine, Older Children 0.4 mg/kg/h of bupivacaine, Honors, Awards, Professional Appointments, SARAS: Science & Research Awareness Series, Endotracheal depth > 1 yr = 12 + Age/2 or 10 + Age. Pharmacy Tehnician Math Review Pediatric Doses Mg Kg Day. At each clinical setting, physicians and other pro-viders should evaluate drug, equipment, and training needs. BP maintenance: Mix 1.5 U/kg in 50 ml so 1 ml/hr = 0.0005 U/kg/min. Pediatric Anesthesia Reference Sheet $ 14.95 Quick Shop Pediatric Anesthesia Reference Sheet. Because the right dose matters. Dosage Calculations The Easy Way Straight A Nursing. The information provided here is not all-inclusive and is not intended to be appropriate to every health care setting. Reference Sheets. It is not intended to be a comprehensive list of all medications that may be used in all emergencies. Atropine: 0.01–0.03 mg/kg IM, IV, ET, IC, IO Adjust dosages based on clinical situation: hepatorenal function, cardiopulmonary bypass, ECMO, etc. Doses may need to be modified if drugs are used in combination. Take regularly scheduled doses. Local anesthetic complications Toxicity (overdose) Younger pediatric patients are at greater risk for adverse drug events. Drug Doses Frank Shann 17th Edition 2017. DISCLAIMER: Drug information is constantly changing and is often subject to interpretation. 32 Local anesthesia documentation also should include that post-injection instructions were reviewed with the patient and parent. Nursing Med Math Formulas Cheat Sheet. Chapter 167. Rubber Mallet Anesthesia 5257 Rosewood Drive, Center Valley, PA 18034 . Pediatric Anesthesia's mission is to advance the science and clinical practice of pediatric anesthesia, pain management and peri-operative medicine through … Care must be taken to properly convert body weig ht from pounds to kilograms (1 kg= 2.2 lb) before calculating doses based on body weight. (Please read disclaimer below before using this form) Enter requested data in each field. Philipp J. Houck, MD; Leila Mei Pang, MD. 10. Fortaz is available in an oral suspension labeled 100 mg/mL. This div only appears when the trigger link is hovered over. Pediatric drug dose C1 . Kataria BK, Ved SA, Nicodemus HF, et al. Commonly Used Medications In PALS ACLS Medical Training. A GUIDE TO PAEDIATRIC SIZES & DOSES IN ANAESTHESIA AND RESUSCITATION Age Weight (Kg) Microcuffed ETT ID(mm) Ventilation Settings LMA Sizing Paediatric Formulae Prem. Arthur Atchabahian, and Ruchir Gupta. Login is required. ! commonly administered pediatric vaccines separately report. Give Ceclor 45 mg/kg/day p.o. However, despite a strong body of evidence highlighting the advantages of regional anesthesia, it has been only relatively recently that regional anesthesia has begun to become more common place in anesthetic practice. As with epidural anesthesia in adults, local anesthetic concentration and volume are important factors in determining the density and level of blockade. pediatric anesthesiology syllabus. DOSE:0.05 -0.1 mg/kg up to 6 mg over 1 2 seconds followed by rapid NS flush. Eleveld, Douglas J.; Absalom, Anthony R. 2015-06-01 00:00:00 Not that long ago, when one of us was a boy, his parents owned a car that developed intermittent mechanical problems. Maximum doses are much more relevant in the pediatric patient, and it is important to note how little anesthetic should be given to a child.14 Examples of dose calculations for a young child are included in Table 5. Child doses based on weight Children tend to me more at risk of medication overdose, toxic reactions, morbidity and mortality given that their physiological processes (e.g. Home ; Pediatric drug dose C1 ; Severe:0.5% undiluted continuously ขยายหลอดลม Scopolamine (hyoscine) IM, IV 0.01 mg/kg/dose 6h ลดเสมหะน้ําลาย Sodium bicarbonate IV Dose = BE x Wt/4 ใ... 0 downloads 110 Views 209KB Size. Adjust dosages based on clinical situation: hepatorenal function, cardiopulmonary bypass, extracorporeal membrane oxygenation (ECMO), and other factors. Because not every airway is easy. H3580, Stanford Ca. The most commonly used apps were medical calculators, reference material, and logbooks.Pediatric anesthesia, with its inherent variability in patient size and resulting drug dose and equipment variability, lends itself perfectly to the use of specialist apps. Pediatric Drug Doses Cheat Sheet Free Nursing Cheat Sheet Downloads NRSNG. This statement provides current recommendations about the use of emergency drugs for acute pediatric problems that require pharmacologic intervention. Take regularly scheduled doses.! Monitor serum electrolytes … 11. This pediatric dose calculator is also able to compute the quantity of solution to be administered (both daily and per dose), given the pediatric dosage required. The current pediatric dosage recommendation for articaine is 7mg/kg in children 4 years and Timed Access to all of AccessAnesthesiology. Dosage Calculations The Easy Way Straight A Nursing. However, in pediatric patients, knowledge of total drug dose is also important to avoid local anesthetic toxicity. Pocket Anesthesia Reference Card Card design by providers from many institutions including: ... Common Local Anesthetics for Spinal Anesthesia ~Dose, mg ~Duration w/ epi Procedure < 90 min Chloroprocaine 40-60 n/a Lidocaine 2% 60-80 30-45 Lidocaine 5% (Avoid 2/2 TNS) 60-75 60-70 Procaine 75-200 45 60-75 Procedure > 90 min Bupivacaine 0.05% or 0.75% (iso or hyperbaric ) 5-20 90-110 100 … At each clinical setting, physicians and other providers should evaluate drug, equipment, and training needs. 2 2.5-3.0 (uncuffed) Newborn 3 3.0 Rate 30/min 8mths-2yrs >4.5 3.5 Rate 20-25/min 2-4 15 4.0 4-6 17 4.5 6-8 21 5.0 Rate 16/min 8-10 25 5.5 10-12 31 6.0 V If no response, 4.8 mg/kg until symptoms are controlled; Maintenance: 16 mg/kg/h to achieve plasma levels of 0.8-1.2 mmol/L (max 2g). In several cases there was variability in dosage recommendations from reference to reference. Email; Twitter; Facebook; Linkedin; Reddit; Get Citation. Pediatric Dosage Calculations Pediatric Dosage Calculations Most drugs in children are dosed according to body weight (mg/kg) or body surface area (BSA) (mg/m2). If your institution subscribes to this resource, and you don't have a MyAccess Profile, please contact your library's reference desk for information on how to gain access to this resource from off-campus. DOWNLOAD PDF. anesthesiareferencesheets com. resulting in a rapid drop in O. Morgan & Mikhail's Clinical Anesthesiology, Drug Dosages for Pediatric Anesthesia: Introduction, Atropine: 0.01–0.03 mg/kg IM, IV, ET, IC, IO, Sodium bicarbonate: 1–2 mEq/kg (0.3 × kg × BE) IV, IC, IO, Calcium chloride 10–30 mg/kg IV, IC slowly (maximum 1 g/dose), Calcium gluconate 60–100 mg/kg IV, IC (maximum 2 g/dose), Diltiazem (Cardizem): 0.25 mg/kg over 2 minutes; may repeat in 15 minutes at 0.35 mg/kg over 2 minutes, Epinephrine 10 μg/kg IV, IC, IO; ET = 100 μg/kg, Lipid emulsion (Intralipid) 20%, 1.5 mL/kg over 1 minute × 3 prn, 0.25 mL/kg/min, and then 0.5 mL/kg/min if hypotensive, Dantrolene: 2.5 mg/kg IV load; repeat until signs of MH are reversed; up to 30 mg/kg may be necessary; maintenance: 1.2 mg/kg IV q6 hours as needed, V-fib: 2 J/kg, and then 4 J/kg (defibrillation = unsynchronized) using the largest paddles that fit, Synchronized cardioversion: 0.5–1 J/kg, and then 2 J/kg, Adenosine: 0.1 mg/kg IV push (maximum 6 mg); repeat 0.2 mg/kg (maximum 12 mg), Amiodarone: V-fib—5 mg/kg IV load over 30 seconds (maximum 300 mg); SVT: 5 mg/kg over 10 minutes × 5 doses; non-PVC container, Diltiazem: 0.25 mg/kg over 2 minutes; may repeat in 15 minutes at 0.35 mg/kg over 2 minutes, Epinephrine, isoproterenol, norepinephrine: 0.05–1 μg/kg/min, Esmolol: 0.5 mg/kg bolus over 1 minute; maintenance: 50–300 μg/kg/min, Lidocaine: 1–2 mg/kg/dose IV; 20–50 μg/kg/min (adult dose 1–4 mg/min), Magnesium sulfate for torsades de pointes: 25–50 mg/kg (maximum 2 g) over 10–20 minutes, Milrinone: 20–50 μg/kg load; maintenance: 0.3–0.7 μg/kg/min, Phenylephrine: 0.1–0.5 μg/kg/min; 1 μg/kg bolus, Procainamide: 3–6 mg/kg (maximum 100 mg each dose) over 5 minutes × 3 q5–10 minutes; maintenance: 20–80 μg/kg/min (adult 1–4 mg/min), Propranolol: 0.05–0.15 mg/kg IV slowly (maximum 5 mg), Vasopressin: mix 10 U in 50 mL, so 1 mL = 0.2 U, Verapamil: 0.05–0.2 mg/kg IV over 2 minutes (maximum 5 mg), Cisatracurium: 0.1–0.2 mg/kg/dose IV; lasts 15–45 minutes, Pancuronium: 0.1 mg/kg/dose IV; lasts 1–2 hours, Rocuronium: 0.4–1.0 mg/kg/dose IV; 0.6 mg/kg/h, Succinylcholine: 1–2 mg/kg IV; 4 mg/kg IM; consider giving atropine first, Vecuronium: 0.1 mg/kg/dose IV; lasts 30 minutes, Clonidine: 0.004 mg/kg PO (maximum 0.1 mg), Dexmedetomidine: load with 1 μg/kg IV over 5 minutes, and then 0.2–1 μg/kg/h, Diphenhydramine: 0.2–2 mg/kg/dose IV q4–6 hours; or 1.25 mg/kg/dose q6 hours (maximum 400 mg per day). Off-label drug use in pediatric anesthesia and intensive care according to official and pediatric reference formularies. Drug Dosages for Pediatric Anesthesia. There is a separate PICU handbook with a drug formulary specific to the PICU. Eds. Give Fortaz 50 mg/kg p.o. MAX dose: 25 mg/kg/dose up to 500 mg/dose MAX Rate: IVP over 1 minute. of Anesthesiology, Department of Anesthesiology, Section of Pediatric Anesthesiology, Stanford University School of Medicine, 3300 Pasteur Dr., Rm. sedative drugs, recording doses of all agents on a time-based record can help ensure patient safety. The dosages of SEPTOCAINE to be used in pediatric patients aged 4 to 16 years old are determined by the age and weight of the patient and the type of dental procedure. This pediatric dose calculator is also able to compute the quantity of solution to be administered (both daily and per dose), given the pediatric dosage required. Research articles, drug company recommendations, clinical judgment, experience, staff recommendations and multiple references are all taken into account when choosing a dose. How many mL would the nurse administer per dose? William Splinter . 2. sat. Usual oral dosage: children4: 4-10 mg/kg/dose every 6-8 hours children > 12 years4: 200 mg every 4-6 hours as needed (maximum 1200 mg/24 hrs) adults2: 400 mg/dose every 4-6 hours * Pediatric dosage should not exceed adult dosage. The effect of a target controlled infusion of propofol on predictability of recovery from anesthesia in children. Please consult the latest official manual style if you have any questions regarding the format accuracy. Pediatric Anesthesia and Emergency Drug Guide is the first book that discusses and lists the milligram per kilogram dose range of each drug. 94305 USA Table 1: Formulas to calculate drug volumes (mls) for single shot caudal epidural block (see also table 3) Local anesthetic* dose (mls) Estimated sensory Level The dosages provided are recommendations based upon expert consensus. The dosages and drugs are intended as general guidelines ONLY. Discuss the mode of anesthesia (block vs infl) and maximum recommended dosage in mg and carpules for this patient. to a child who weighs 25.5 kg. Drug doses were chosen to accurately reflect what is used clinically for our specific anesthetic and critical care needs. Report. DDAVP Electrolyte!abnormalities!T ake regu lry schedu ed do . Home Books The Anesthesia Guide. Opioids Abrupt withdrawal cause yawning, abdominal cramps, nausea, vomiting, diarrhea, insomnia, anxiety !and salivation. Pediatric Anesthesia Reference Sheet. Download Drug Doses Frank Shann 17th Edition 2017 PDF Free. Respiratory Does it matter how you get from D (drug dose) to E (clinical effect)? Guidelines Emergency Drug Doses CPG.   •  Accessibility. Canadian Journal of Anesthesia/Journal canadien d'anesthésie, 2010. t.i.d. Pediatric Anesthesia and Emergency Drug Guide, Second Edition is a unique, quick reference for the care of a pediatric patient. List of drugs used to treat the medical condition called General Anesthesia. ... cc atropine (0.4 mg) in a 5 cc syringe you will have the intramuscular dose for a 20 kg child. doses. Child doses based on weight Children tend to me more at risk of medication overdose, toxic reactions, morbidity and mortality given that their physiological processes (e.g. Pediatric Anesthesia 2010; 20: 56–62. 2. sat. If you are not our user, for invitation Click Here Amazon Price $0 Brand New Book in Perfect Condition.Fast Shipping with tracking number. May repeat in 15 min @ 0.35 mg/kg over 2 min, (unsynchronized) using the largest paddles that fit, PR (1st dose only) 30-40 mg/kg followed by PO dose 6 h later, Tylenol #1: acetaminophen 300 mg + codeine 7.5 mg, IV/PO q6h (caution re: extrapyramidal signs), mg/kg/dose IM/PO q8h (caution re: extrapyramidal signs), PO/IV/IM q6h (caution re: extrapyramidal signs), Racemic epi: 0.25-0.5 ml/5 ml NS nebulized, then 5 – 15 mcg/kg/min; be prepared with volume & Ca, Maintenance: 20-50 mcg/kg/min (adult dose 1-4 mg/min), Maintenance 20-60 mcg/kg/min (adult 1-4 mg/min). Regional anesthesia is an essential part of modern pediatric anesthetic practice, conveying many significant advantages to the patient and to the hospital. Drugs and dosage are intended as general guidelines only. Because knowing this drawer is critical. This document is intended for use at McMaster Children’s Hospital (MCH) only and may not be applicable elsewhere. -Dose: 3 U load IV over 30 sec -Consider repeat 3 U doses q 3 min for total 3 doses-Infusion at 3 U/hr for up to 9 hr postop-COMMUNICATE w/ OB TEAM re: TONE q 3 min -SE: hypotension, N/V, coronary spasm Methylergon ovine/ Methergine - Dose: 0.2 mg IM; q 5-10 min max 2 doses, then q 2-4 hr - Avoid IV, but if IV, 0.2 mg/10 mL NS, give 2 mL q 1 min This book now includes the dose of every drug commonly prescribed for systemic use in both adults and children, except for diagnostic agents. Care must be taken to properly convert body weig ht from pounds to kilograms (1 kg= 2.2 lb) before calculating doses based on body weight. Contact your institution's library to ask if they subscribe to McGraw-Hill Medical Products. for 2nd 10 kg + 1 ml/kg/h for every kg >20 kg. The steep part of curve occurs at 90% O. Toxicity manifests as hyperosmolar meta-bolic acidosis, lactic acidosis, hypotension, seizures, and cardiac arrhythmias (Horinek 2009).
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