This guideline for emergency drug dosing has been prepared for physicians requiring assistance with drug doses for pediatric patients. Physician judgment should be involved in the use of this emergency drug dose information. Solid oral dosage form: 150 mg; 300 mg. 4th WHO Model List of Essential Medicines for Children's (April 2013) page 12. It is subject to interpretation. Because of the changing nature of medication and dosage recommendations and varying patient requirements, the user must use sound clinical judgement to … 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). The drugs included are not intended to be exhaustive; therefore, this guideline should not be construed as an endorsement of the drugs selected. Amoxicillin. Current Version 5 (December 5, 2013)*. Download 2 page pdf version for printing The drug is Dose: SC—0.04 mg/kg IV or intratracheal—0.01-0.02 mg/kg per dose, WARNING: 0.04 mg/kg or 2 mg maximum total dose, whichever is smaller (except for anticholinesterase poisoning which may require larger doses), Dose: IV—1 mEq/kg (Note: use only 0.5-mEq/mL solution for newborns, Note: The use of sodium bicarbonate should be based on documented metabolic acidosis; routine use in cardiac arrest is not recommended, Dose: IV—0.15-0.3 mL/kg per dose (0.2-0.4 mEq/kg per dose). NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. DRUG DOSAGE (PEDIATRIC) REMARKS Adenosine Rapid Flush to central circulation 0.1 mg/kg IV/IO; (max single dose 6 mg) Second dose: 0.2 mg/kg; (maximum single dose: 12 mg) Rapid IV/IO bolus Monitor ECG during dose. Conversions. Responsibilities After Dosage Calculation Doses as high as 10mg/kg/DAY IV q24h recommended in patients with cystic fibrosis. The Committee on Drugs recognizes that pediatric labeling and dosage information do not exist for many of these drugs. Weight based dosing: 10mg/kg on day 1, then 5mg/kg on days 2-5. In anticipation of future updates of this guideline, the Committee on Drugs invites comments and suggestions. Drug Dosages is a topic covered in the Harriet Lane Handbook.. To view the entire topic, please sign in or purchase a subscription.. Double q 10 min until response achieved or until 4 U/hr (adult dose) is reached. To search for Gentamicin, try Gent, Gen or G. As you start typing a list of Generic (Trade) names will appear for you to select. Powered by Lexicomp. independent judgment of the clinician, changing drug information, and evolving healthcare practices. The adult dose is 50 ml of a 25% solution (12.5 grams infused over 10 - 20 minutes). Inject slowly. Online Clinical Calculators. Overdosing may lead to side effects and under-dosing will lead to unsatisfactory response or development of resistance in cases of antibiotics. The first drug on the list that isn't an antibiotic, albuterol is a bronchodilator that is used to … 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, Endotracheal depth > 1 yr = 12 + Age/2 or 10 + Age. Sulfamethoxazole / Trimethoprim Strength 200mg/40mg / 5ml 6-13mg/kg/day based on TMP 32mg q 12 h 4ml 50mg q12 h 6. Albuterol. Neonatal Dose Pediatric Dose Acyclovir (Zovirax®) Susp: 200 mg/5mL Vial: 250 mg/5mL 500 mg powder Premature infants :I.V. Complementary List Reserve second‐line drugs for the treatment of multidrug‐resistant tuberculosis (MDR‐TB) should be used in specialized centres adhering to WHO standards for TB control. Please select a drug or click Cancel to close this window. 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). If you are unsure of how to spell the drug name, then type the first few letters. -The initial pediatric dose of midazolam for sedation/anxiolysis/amnesia is age, procedure, and route-dependent. It represents the opinion of the Committees and may differ from information in package inserts of drugs. Compute weight-based drug dosage. Common Pediatric Medications*. • Technical difficulties exist for every molecule when developing a patient-centric dosage form. An essential pediatric and neonatal drug lookup, continually updated. Thank you for your interest in spreading the word on American Academy of Pediatrics. Analgesics Mild / Moderate Pain1 Acetaminophen Both acute and chronic doses of acetaminophen are associated with hepatotoxicity. BP maintenance: Mix 1.5 U/kg in 50 ml so 1 ml/hr = 0.0005 U/kg/min. Gentamicin Injection, USP (Pediatric) To reduce the development of drug-resistant bacteria and maintain the effectiveness of Gentamicin Injection, USP (gentamicin injection pediatric) and other antibacterial drugs, Gentamicin Injection, USP (gentamicin injection pediatric) should be used only to treat or prevent infections that are proven or strongly suspected to be caused by bacteria. WARNING . We do not capture any email address. The drugs included are not intended to be exhaustive; therefore, this guideline should not be construed as an endorsement of the drugs selected. The final KIDs List includes 67 drugs/drug classes; most require a prescription and are available in various dosage formulations. UNC Pediatric Emergency Department, updated Dec 13 2015 For questions, contact Marley.Lawrence@unchealth.unc.edu, Leah.Hatfield@unchealth.unc.edu, or Cheryl Jackson at cjackson@med.unc.edu PEDIATRIC RSI DRUGS DOSING AND REASONING Atropine : 20 mg/kg/dose every 12 hours for 14-21 days Full term I.V. These are general guidelines only. TORADOL ORAL (ketorolac tromethamine), a nonsteroidal anti-inflammatory drug (NSAID), is indicated for the short-term (up to 5 days in adults), management of moderately severe acute pain that requires analgesia at the opioid level and only as continuation treatment following IV or IM dosing of ketorolac tromethamine, if necessary. Enter multiple addresses on separate lines or separate them with commas. Dosage should be individualized, taking into account the patient's age, weight, underlying illness, concurrently administered drugs, and known hypersensitivity. Search Pediatric Drug Dosing Guidelines. : 20 mg/kg/dose every 8 hours for 14-21 days 20 mg/kg/dose every 8 Enter patient weight and click on the concentration of the desired medication to generate tables that relate infusion rates in mL/hr to dosing rates per kg per unit time. For this reason, this drug has been reformulated so the A panel of seven pediatric pharmacists from the Pediatric Pharmacy Association developed an evidence-based list of candidate drugs which was then peer-reviewed and subjected to a public comment period. Cisatracurium: 0.1-0.2 mg/kg/dose IV; lasts 15 - 45 min: Metubine: 0.1-0.4 mg/kg/dose IV; lasts 1-2 h: Mivacurium: 0.2-0.3 mg/kg/dose IV; lasts 15-20 min: Pancuronium: 0.1 mg/kg/dose IV; lasts 1-2 h: Rocuronium: 0.4-1.0 mg/kg/dose IV; lasts 20-45 min: Succinylcholine: 1-2 mg/kg IV; 4 mg/kg IM; Doses should be individualized depending on patient response. Stop if bradycardia occurs, Form: 100 mg/mL, in 10-mL ampule on syringe; each 1 mL contains 1.36 mEq of elemental calcium, Note: Calcium is recommended for cardiac resuscitation only in cases of documented hypocalcemia. Ability to document all guardians and caregivers. Proper dosing of the pediatric patient depends on a number of factors, including the patient’s age and weight, overall health status, the condition of such biologic functions as respiration and circulation, and the stage of development of body systems for drug metabolism (e.g., liver enzymes) and drug elimination (e.g., renal system). Pediatric doses vary with the age, weight, surface area and disease, etc. Drip Medication Concentrations Table. Neonates: Recommendations:-This drug should not be administered by rapid injection in the neonatal population. Amiodarone for pulseless VF/VT Rapid IV bolus Amiodarone for perfusing SVT’ or VT 5 mg/kg IV/IO; (can repeat 5mg/kg for 2nd 10 kg + 1 ml/kg/h for every kg >20 kg. (Inhaled tobramycin for CF patients): 80mg bid to tid via inhalation. Drug Conc. Or Sign In to Email Alerts with your Email Address, Emergency Drug Doses for Infants and Children, Emergency Drug Doses for Infants and Children and Naloxone Use in Newborns: Clarification, Naloxone Dosage and Route of Administration for Infants and Children: Addendum to Emergency Drug Doses for Infants and Children, Exposure to Nontraditional Pets at Home and to Animals in Public Settings: Risks to Children, Follow American Academy of Pediatrics on Instagram, Visit American Academy of Pediatrics on Facebook, Follow American Academy of Pediatrics on Twitter, Follow American Academy of Pediatrics on Youtube, Copyright © 1988 by the American Academy of Pediatrics. The dosages and drugs are intended as general guidelines ONLY. Medication Adult Dosing Pediatric Dosing Diazepam (Valium) Benzodiazepene NCCEP Protocol: 32-Seizure 39-Obstetrical Emergency 62-Pediatric Seizure Indications/Contraindications: Seizure control Mild Sedation 4 mg IV / IO initially then 2 mg IV / IO every 3 - 5 minutes up to 10 mg max unless med control dictates Do not administer IM. Once daily dosing should be used for all patients > 1 month of age, except in the treatment of endocarditis and in … including drugs which require dilution to be given to small children in sensible doses, for example naloxone; The only downside will be dropping support for Internet Explorer 6. The drug monographs and practice recommendations contained in this reference reflect the current practices at C&W. 4 ml 60mg q 12 h 7.5ml 70mg q 12 h 8.8 80mg q 12 h 10ml 90mg q 12 h 11. The dosages provided are recommendations based upon expert consensus. Every effort has been made to ensure the accuracy of drug dosages and scheduling information. Repeat one-half of the initial dose in 30 minutes if there is an inadequate clinical response or at 2 hours for prophylaxis 110mg q 12 h 13.8 120mg q 12 h 15 160mg Strength Tablets 160mg Tablets This question is for testing whether or not you are a human visitor and to prevent automated spam submissions. * Pediatric dosage should not exceed adult dosage. The drugs included are those typically needed in pediatric resuscitation. dose (mg/kg/day) x weight (kg) concentration (mg/cc) x frequency Created: Tuesday, April 22, 2002 Last Modified: The Harriet Lane Handbook app and website provides pediatric diagnosis and treatment, pediatric management algorithms, and pediatric drug formulary from experts at Johns Hopkins University. Information on drug indications and side effects has been purposely limited. Indications - Cardiac chest pain Contraindications - Systolic BP <90 - Systolic BP drop >30 after administration - ED drugs (Viagra, Levitra (24 hrs), Cialis (36 hrs)) - Possibility of internal bleeding - Patient doesn't have a prescription - Pediatric … The process of drug absorption, distribution, metabolism, and elimination is referred to as pharmacokinetics.3 It is important to recognize differences in the factors that affect drug disposition in children. Examples include 2.5 mL twice a day, one tablet three times a day, one injection every four weeks. A pediatric HIT system must have the capability to compute drug does, based on appropriate dosage ranges, using the patient’s body weight and body surface area, and display the dosing weight and weight-based dosing strategy (when applicable) on the prescription. The total combined duration of use of TORADOL … You will be redirected to aap.org to login or to create your account. If you still use IE6 and also this site, please let me know. The pediatric dose is 1.65 mL/kg of a 25% solution. It is intended for use by those in the health profession. The actual drugs and their doses should be administered only following discussion with the attending. The dose of the drug may need to be increased to the recommended adult dose in adolescents, but girls ages 8 to 11 years may need lower than the recommended dose. The dosage form is the physical form of a dose of drug. Information on drug indications and side effects has been purposely limited. E.g. Step 1 : Go to the Drug List (A-Z) page and choose the medication and strength from the list Step 2 : Enter the patient’s weight either in kilograms or in pounds to calculate pediatric drug dosage Step 3 : With one click Rxdosecalc will convert the weight between pounds and kilograms, calculate the pediatric drug doses, check the drug maximum dose, and display the final dose in both milliliters and milligrams The dosage regimen is the frequency at which the drug doses are given. The following list has been prepared by the Committee on Drugs, with the assistance of the Committee on Pediatric Emergency Medicine. NOTE: You can search by Generic or select Trade Name. You are ready to calculate the child’s dose by multiplying 0.38 times 500mg: 0.38×500= 190. This guideline for emergency drug dosing has been prepared for physicians requiring assistance with drug doses for pediatric patients. Age from Date of Birth; Body Surface Area Which medication has the following indications and contraindications? The total daily dose is calculated from the dose and the number of times per day the dose is taken. The child’s dose is 190mg. Considering the age-appropriateness of the drug product to the specific patient population is vital. Forms: liquid, tablet, capsule Usual oral dosage1,2: children > 3 months of age up to 40 kg: 20-40 mg/kg/day in divided doses every 8 hours oR 25-45 mg/kg/day in divided doses every 12 hours children > 40 kg & adults: 250-500 mg every 8 hours oR 500-875 mg every 12 hours endocarditis prophylaxis3: 50mg/kg (maximum 2 g 30-60 minutes before … Drug information evolves constantly as a result of ongoing research and clinical experience. Neonatal drug lookup, continually updated on drugs, with the assistance of Committee. Cancel to close this window drug monographs and practice recommendations contained in this reference reflect the practices! 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