pediatric drugs

[emtssave]

hi everyone ,I am almost done with my paramedic program and will start pediatrics may 16 =) happy but nervous .I wanted to know if anyone has a cheat sheet or a web site as a reference so I can be better prepared for class .any help is greatly appreciated

 

[StCEMT]

Just use the PALS reference card. Has all kinds of meds with the peds doses on it.

 

[emtssave]

thanks

 

[usalsfyre]

Epi 0.01mg/kg
Amiodarone 5mg/kg
Adenosine 0.1mg/kg
Midazolam 0.02mg/kg
Fentanyl 1mg/kg

That should cover about 90% of your needs.

 

[emtssave]

thank you very much sir =) and off topic guys quick question .lets say you get a pt with unstable vtach with a pulse and you sync and sync and sync and he codes on you yes sedate before you sync or pace =) but lets say he codes on you and you go through your acls protocols and get rosc and see on the monitor sinus rhythm with pvcs would you recommend amio 150mg.50ml bag over ten minutes using a 10 drop set or would you skip the amio and just 02 and monitor this guy ?my thinking was if this guy was in a ventricular to began with what is to say he wont go back into that again ? correct me if I am wrong

 

[Carlos Danger]

Atropine is a critical one to have memorized. 0.02 mg/kg IV; double that dose for IM.

Sux is 2 mg/kg IV; double it for IM.

For fentanyl, I prefer the respiratory-drive sparing yet still-effective-as-an-analgesic dose of 1 MCG/kg.

 

[NomadicMedic]

thank you very much sir =) and off topic guys quick question .lets say you get a pt with unstable vtach with a pulse and you sync and sync and sync and he codes on you yes sedate before you sync or pace =) but lets say he codes on you and you go through your acls protocols and get rosc and see on the monitor sinus rhythm with pvcs would you recommend amio 150mg.50ml bag over ten minutes using a 10 drop set or would you skip the amio and just 02 and monitor this guy ?my thinking was if this guy was in a ventricular to began with what is to say he wont go back into that again ? correct me if I am wrong

I would start by administering one bolus of punctuation. Followed by a maintenance infusion of proper sentence structure and capitalization.

 

[usalsfyre]

For fentanyl, I prefer the respiratory-drive sparing yet still-effective-as-an-analgesic dose of 1 MCG/kg.

I thought you anesthesia guys had balls.....

Remi is correct, it is 1mCg/kg

 

[Tigger]

Epi 0.01mg/kg
Amiodarone 5mg/kg
Adenosine 0.1mg/kg
Midazolam 0.02mg/kg
Fentanyl 1mg/kg

That should cover about 90% of your needs.

That seems like a low dose of Versed to me?

We're at 0.1mg/kg and our medical director today spent some time emphasizing pediatric tolerance of benzos during case review.

 

[usalsfyre]

That seems like a low dose of Versed to me?

We're at 0.1mg/kg and our medical director today spent some time emphasizing pediatric tolerance of benzos during case review.

I agree, the range is 0.02-0.1. I'd go with 0.1 personally, but a lot of people are in conservative areas. Hence when you give 2 mgs to a two year-old the QA system flips. For once I tried to be diplomatic lol.

 

[gotbeerz001]

Obviously, make sure any cheat sheet follows YOUR protocol.


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[NomadicMedic]

We're using it now too.

 

[Tigger]

I agree, the range is 0.02-0.1. I'd go with 0.1 personally, but a lot of people are in conservative areas. Hence when you give 2 mgs to a two year-old the QA system flips. For once I tried to be diplomatic lol.

We have a two year old with Dravet Syndrome, gave her 7.5 of versed last time to get it to stop. And then left him on scene...joys of "community paramedicine" right there.

To bring it around though, make sure you learn the doses you'll be responsible for OP!

 

[usalsfyre]

We have a two year old with Dravet Syndrome, gave her 7.5 of versed last time to get it to stop. And then left him on scene...joys of "community paramedicine" right there.

To bring it around though, make sure you learn the doses you'll be responsible for OP!

Similarly, the most I've ever given to one patient was 17.5mgs....to an 8 year old on a 45 minute flight.

I remember looking at my partner as we cracked open the fourth vial thinking "is this gonna be ok????"

 

[ShiannCamacho]

Hantevy is great. That is what helped me the most. Memorize the drug dose for each weight so you don't waste time moving decimals in your mind. Always remember with Peds...... Airway is (most of the time) the underlying issue!