Paediatric Drug and Infusion Calculator - St Johns Hospital, Livingston.

For use in children over 1 month - If age < 1 then enter weight not age
ENTER KNOWN WEIGHT OR AGE IN ONE OF THE YELLOW BOXES, CLEAR OTHER BOX AND CLICK HERE Electrical Cardiversion Biphasic or Monophasic Monophasic / Biphasic Monophasic / Biphasic Monophasic / Biphasic ETT tube ETT tube Resuscitation Fluid Bolus Maintenance Fluid Requirement Suction catheter size Resuscitation Drugs Adrenaline 1:10,000 IV bolus Atropine (600mcgs/ml) Atropine (minijet = 100mcgs/ml) Calcium Chloride (10%=minijet) Sodium bicarbonate (8.4%) Amiodarone Naloxone (minijet = 400mcgs/ml) Glucose / Dextrose (10%) Adrenaline infusion Noradrenaline infusion Analgesics Morphine (10mg/ml) Intranasal Diamorphine Paracetamol - ORAL Ibuprofen Voltarol PR or ORAL Codine phosphate - ORAL Anaesthetic Drugs Thiopentone Etomidate 0.2% Dilution 500mg powder in 20mls WFI preprepared as 2mg / mls (20mg in 10mls) 5 0.2 Dilution none none (600mcgs/mls) none (100mcgs/mls) bolus in emergency else dilute in NS or 5D Resuscitation or metabolic acidosis IV loading dose no reconstitution required (400mcgs/ml) no reconstitution required 0.3 mg/kg (=0.3 mls/kg of 1:1000) in 50mls NS 0.3 mg/kg (=0.3 mls/kg of 1:1000) in 50mls NS Dilution 9mls WFI + 1mls morphine Dilute with saline to volume of 0.2mls Initial dose 20mg/kg, Max 90mg/kg per day Max: 20 mg/kg/day up to 2.4 g/day 0.1 0.1 20 5 1 1 0.01 0.02 0.02 0.25 1 5 0.01 5 0.1 0.1 Indication VF or Pulseless VT (Cardiac arrest) Synchronous Cardioversion Synchronous Cardioversion Synchronous Cardioversion Only calculates if age entered Only calculates if age entered 4 0.5 1 2

Actual weight in kgs= OR Age in years (min 1)=

Weight used for calculation
Joules Joules/kg all shocks Joules/kg first dose Joules/kg second dose Joules/kg third dose Estimated Internal diameter Estimated Length 6 14 480 64 10 Recommended dose per kg mg/kg mg/kg (maximum 600mcg) mg/kg (maximum 600mcg) mls/kg (max 4.5mmols=6.6mls) ml/kg (eq to 1 mmol/kg of 8.4%) mg/kg (max 300mg) mg/kg mls/kg micrograms/kg/minute micrograms/kg/minute Recommended dose per kg mg/kg mg/kg mg/kg mg/kg mg/kg mg/kg Recommended dose per kg mg/kg mg/kg 4.8 2.4 2.4 0.2 480 120 24 24 Actual dose ml ml 120 4.8 mg mg 0.6 120 1 1 Actual dose ml ml 2.4 2.4 mg mg mg mg mg mg 2.4 0.8 4.8 6 24 120 ml 0.24 mls ml/hour ml/hour mls mls mls ml mls/hr French Actual dose 0.24 0.48 0.48 mgs mgs mgs mls mls mg mg 100 20 30 50

8 24.0 kg
Joules Joules Joules Joules mms cms

Calculated Joules

Shock 20 mls/kg 4mls/kg/hr for first 10kg, 2mls/kg/hr for second 10kg, 1mls/kg/hr thereafter

Propofol 1% Midazolam 0.5% Fentanyl 0.05% Suxamethonium Atracurium Vecuronium Flumazenil - IV bolus over 15 secs Ketamine IM Ketamine IV Other Cardiac Drugs Ca Gluconate 10% Magnesium Sulphate 50% Flecanide - 1% (10 mg/ml) Verapamil - 0.25% (2.5 mg/ml) Adenosine - IV bolus Alprostadil Frusemide - IV bolus Seizure drugs Diazepam PR Intranasal or Buccal Midazolam Lorazepam IV Diazepam IV / IO Paraldehyde PR Phenytoin IV -5% (50 mg/ml) Phenobarbitone IV Asthma drugs Salbutamol nebuliser Ipratropium bromide nebuliser Intravenous Salbutamol Intravenous Magnesium SO4 50% Intravenous Aminophylline Prednislone - ORAL Hydrocortisone - IV Adrenaline for croup - nebulised Antibiotics (loading dose) Amoxycillin - IV

1% solution - 10mg in 1mls Usually comes as 5 mg/ml Usually comes as 500 mcg/ml Usually comes as 50 mg/ml Usually comes as 10 mg/ml 10 mg powder in 10mls WFI Usually comes as 100 mcg/ml bolus of 10mg/ml solution bolus of 10mg/ml solution Dilution bolus in emergency else dilute in NS or 5D bolus in emergency else dilute in NS or 5D SVT - Dilute in 5D - Give over 10-30 mins SVT (not under 1 year) - Give over 2-3 mins Max: 300mcgs/kg if <1 month, else 500mcgs/kg 50-100 ng/kg/min Dilution

2 0.2 0.02 2 0.5 0.1 0.01 2 1 0.3 25 2 0.1 0.05 50 1 0.5 0.5 0.1 0.3

mg/kg mg/kg mg/kg mg/kg mg/kg mg/kg mg/kg mg/kg mg/kg Recommended dose per kg mls/kg of 10% (max 20 mls) mg/kg (max 2g=4mls=8mmols) mg/kg mg/kg (max 5mg) mg/kg ng/kg/min mg/kg Recommended dose per kg mg/kg mg/kg mg/kg (max 4mg) mg/kg ml/kg mg/kg mg/kg Recommended dose per kg

4.8 0.96 0.96 0.96 1.2 2.4 2 4.8 2.4 7.2 1.2 4.8 0.96 1200

ml ml ml ml ml ml ml ml

48 4.8 0.48 48 12 2.4 0.2 48

mg mg mg mg mg mg mg mg mg mls

ml 24 Actual dose mls mls mls 600 48 2.4

mgs mg mg

1.2 mg ng/min 24 Actual dose 5 7.5 2.4 7.2 mg mg mg mg mg total mg mg mg mg mcgs 600 mgs mg mg mg mls Actual dose mg

Dilute with equal volume of olive/sunflower oil Loading dose over 30-45 minutes Dilution 2.5 - 5.0 mg

0.4 18 20

9.6 8.64

ml ml

19.2 432

480 Actual dose 5 125 250 1.2 120 24 96 5 mls

0.025 Max 50 mgs in 1 ml, IV over 5 mins IV Infusion, single loading dose over 20-30 mins OD asthma, BD severe croup 4 mg/kg bolus then 2-4mg/kg qds Not diluted, 1 in 1:1000 Dilution TDS if over 7 days else BD 50 15 25 5 1 4

mg/kg mcgs/kg mg/kg (max 2g=4mls=8mmols) mg/kg (max 500mg) mg/kg mg/kg Recommended dose per kg mg/kg

1000

Augmentin - IV Ceftriaxone - IV Cefotaxime - IV Flucloxacillin - IV Gentamicin - IV Activated Charcoal - ORAL Anaphylaxis drugs Adrenaline 1:1000 IM Chlorpheniramine - IV Other drugs Desferrioxamine Insulin - IV Lignocaine - IV local anaesthetic Mannitol - 10% solution Mannitol - 20% solution

TDS if over 7 days else BD 20-50mg/kg OD, 80mg/kg in severe infections BD, QDS in meningitis and severe infections QDS - Max 1g or 2g in severe infection single dose (or 2-12 yrs=25-50g,>12yrs=50g) Dilution Anaphylaxis, no dilution Anaphylaxis, no dilution Dilution

30 50 50 25 2 1 0.01 0.25 15 0.1 3

mg/kg mg/kg (max 4g) mg/kg (max 12g daily) mg/kg mg/kg g/kg Recommended dose per kg mg/kg mg/kg (if under 1) Recommended dose per kg mg/kg/hr units/kg/hour mg/kg g/kg g/kg v.2007.5, designed by Dr Matt Reed 2007 120 60 2.4

720 1200 1200 600 48 24 Actual dose ml 0.24

mg mg mg mg mg grams mg mg mg/hr units/hour mg ml ml 12 12 grams grams

10 Actual dose 360 2.4 72

IV infusion over 30 minutes IV infusion over 30 minutes

0.5 0.5

WFI = water for injection, NS = Normal Saline, 5D = 5% Dextrose

PLEASE CHECK ALL DOSES AND PREPARED DILUTIONS PRIOR TO ADMINISTRATION - THIS CHART IS NOT FAILSAFE!!