Pediatrics

Approximate weights:

Newborn: about 3 kg

12 month-old: about 10 kg

4 year-old: about 15-20 kg

9 year-old: about 30 kg

14 year-old: about 50 kg

 

SBP low range = 70 + age x 2


Contraindicated Medications

No cough or cold medicines under age 2

No phenergan under age 2

No ibuprofen under 2 months

No ketamine under 3 months

Drug Dosing

<27kg: bicillin 600,000 units IM

>27kg: bicillin 1.2 million units IM

<15kg 2mg Zofran

>15kg 4mg+ Zofran

Ceftriaxone: 50mg/kg IM/IV

Dexamethasone (croup): 0.6mg/kg max 10mg

Prednisone (asthma): 2mg/kg initial, 1mg/kg daily

Hypoglycemia empiric treatment

dextrose 0.5 - 1 g/kg =

D5     20 mL/kg

D10   10 mL/kg

D25   4 mL/kg

D50   2 mL/kg

Cyanotic Congenital Heart Disease = 5 "Terrible T's"

Pediatric Airway 

12 minute lecture by Strayer:  http://emupdates.com/2011/05/24/12-minute-screencast-pediatric-airway-for-emergency-physicians-who-are-not-also-pediatricians/

Uncuffed tube size = Age/4 + 4, cuffed tube size = -1

Depth = 3x ET tube size

Laryngoscope Blade = Central incisor to angle of mandible (Mellick, 2006)

Larynx at C1 in children, C6 in adults (straighter = Miller)