@@@@@@@@@@@@@@@################################################################################!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
df!@@@@@@@@@@@@@@@@@@@@@@@@@@@@################################################################################!!!!!!!!!!
AIRMETHODS PCG'S.pdf!@@@@@@@@@@@@@@@@@@@@@@@@@@@@###########################################################
AIRMETHODS PCG'S
Pediatric Maintenance Fluids - ANS-4mL/kg/hr for the first 10kg
2mL/kg/hr for the second 10kg
1mL/kg/hr for each kg of body weight above 20kg
Pediatric DKA Interventions - ANS--Begin regular insulin infusion at 0.1 units/kg/hr
-Monitor BGL every 30 min and adjust therapy to decrease serum glucose no more than
100 per hour
-If serum glucose decreases by more than 100 per hour add D5 to it fluids
-change IV fluids to D5W if serum glucose drops below 300
-Potassium replacement should be started once urinary output is confirmed 10-20 mEq
per hour (with physician order only)
-if serum K+ <5 consider potassium supplement KCI IV
- if signs of cerebral edema consider mannitol 1g/kg IV with physicians order
VASOPRESSIN
Dose, MOA, Indication - ANS-Dose: 0.01-0.04 units/min
Indication: Septic Shock refractory to Levo & Epi
MOA: Vasoconstriction with no Beta 1 Effects
PHENYTOIN (Dilantin)
Bolus, Infusion, and Pediatric Dose - ANS-Bolus: 15-20 mg/kg IV Diluted in NS
Infusion: should not exceed 50mg/min
Pediatric: 15-20 mg/kg IV diluted in NS, Infusion should not exceed 1 mg/kg/min
ESMOLOL
Bolus and Infusion Dose - ANS-Bolus: 50mcg/kg over 1 min
Infusion: 50mcg/kg/min; If no response consider repeating IV Bolus and increase
infusion by 50mcg/kg/mi IV increments every 5-15 min up to 300 mcg/kg/min
LABETOLOL
Dose - ANS-10-20 mg IV may repeat every 10 minutes with additional doses of 40mg
then 80mg until max dose of 300mg
@@@@@@@@@@@@@@@################################################################################!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
df!@@@@@@@@@@@@@@@@@@@@@@@@@@@@################################################################################!!!!!!!!!!
AIRMETHODS PCG'S.pdf!@@@@@@@@@@@@@@@@@@@@@@@@@@@@###########################################################
df!@@@@@@@@@@@@@@@@@@@@@@@@@@@@################################################################################!!!!!!!!!!
AIRMETHODS PCG'S.pdf!@@@@@@@@@@@@@@@@@@@@@@@@@@@@###########################################################
AIRMETHODS PCG'S
Pediatric Maintenance Fluids - ANS-4mL/kg/hr for the first 10kg
2mL/kg/hr for the second 10kg
1mL/kg/hr for each kg of body weight above 20kg
Pediatric DKA Interventions - ANS--Begin regular insulin infusion at 0.1 units/kg/hr
-Monitor BGL every 30 min and adjust therapy to decrease serum glucose no more than
100 per hour
-If serum glucose decreases by more than 100 per hour add D5 to it fluids
-change IV fluids to D5W if serum glucose drops below 300
-Potassium replacement should be started once urinary output is confirmed 10-20 mEq
per hour (with physician order only)
-if serum K+ <5 consider potassium supplement KCI IV
- if signs of cerebral edema consider mannitol 1g/kg IV with physicians order
VASOPRESSIN
Dose, MOA, Indication - ANS-Dose: 0.01-0.04 units/min
Indication: Septic Shock refractory to Levo & Epi
MOA: Vasoconstriction with no Beta 1 Effects
PHENYTOIN (Dilantin)
Bolus, Infusion, and Pediatric Dose - ANS-Bolus: 15-20 mg/kg IV Diluted in NS
Infusion: should not exceed 50mg/min
Pediatric: 15-20 mg/kg IV diluted in NS, Infusion should not exceed 1 mg/kg/min
ESMOLOL
Bolus and Infusion Dose - ANS-Bolus: 50mcg/kg over 1 min
Infusion: 50mcg/kg/min; If no response consider repeating IV Bolus and increase
infusion by 50mcg/kg/mi IV increments every 5-15 min up to 300 mcg/kg/min
LABETOLOL
Dose - ANS-10-20 mg IV may repeat every 10 minutes with additional doses of 40mg
then 80mg until max dose of 300mg
@@@@@@@@@@@@@@@################################################################################!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
df!@@@@@@@@@@@@@@@@@@@@@@@@@@@@################################################################################!!!!!!!!!!
AIRMETHODS PCG'S.pdf!@@@@@@@@@@@@@@@@@@@@@@@@@@@@###########################################################
