SEDATIVES ANTIEMETICS
50 to 100 mg/kg; max: 2 g in divided doses
IV (mg/kg) PO (mg/kg) Chloral hydrate Dexamethasone Dexmedetomidine
0.3-2.0 µg/kg loading dose infused over 10
(Precedex)
minutes followed by 0.5 to 1.0 µg/kg/hour Metoclopramide (Reglan) Pentobarbital Ondansetron (Zofran) Granisetron (Kytril) ANTIHISTAMINES ANTICHOLINERGICS Dolasetron (Anzemet) Atropine hydramine (Benadryl) Scopolamine Ranitidine Tropisetron (Navoban) Glycopyrrolate (Zantac) Famotidine (Pepcid) LOCAL ANESTHETICS (FOR NERVE BLOCKS) MIDAZOLAM DOSE VS. DIURETICS ROUTE OF ADMINISTRATION (APPROXIMATE EQUIVALENCE) Chlorothiazide (Diuril) Maximum Doses Furosemide With Epinephrine (1:200,000) Spironolactone Intravenous Lidocaine (Aldactone) Bupivacaine Mannitol Intramuscular Levobupivacaine Ropivacaine KETAMINE DOSING VS. ROUTE OF ADMINISTRATION Dose (mg/kg) Intravenous Intramuscular BLOOD PRODUCTS MABL = Maximal Allowable Blood Loss — EBV = Estimated Blood Volume
Example: 10-kg child with hematocrit of 42% who will be allowed to drift down to hematocrit of ~ 25%
Packed Red Blood Cells (PRBCs) Transfusion: TRANSFUSION SHORT CUTS Platelets
increases platelet count by 50,000 to 100,000/mm3
Fresh frozen plasma Cryoprecipitate FLUID AND BLOOD NORMAL HEMODYNAMIC INDICES AND WEIGHT Mean Systolic Blood Pressure (mm Hg) in Preterm and Term Infants Gestational Age at Birth (weeks) Day 1 of Life Day 10 of Life
1 mL/kg/hr for each kg > 20 for periopera-
Example: a 33-kg child would receive40 + 20 + 3 mL/kg/hr = 63 mL/hr
Mean Heart Normal Blood MISCELLANEOUS DRUGS Pressure (mm Hg) Weight (kg) (beats/min) Anticonvulsants
10 mg/kg/loading dose (IV); may repeat up
Systolic Diastolic Phenobarbital
15-20 mg/kg (IV slowly < 1 mg/kg/min;
0-3 months Phenytoin (Dilantin)
maintenance dose: 5 mg/kg/24 hr; may produce hypotension
3-6 months
0.1 mg/kg up to 4 mg slow IV; may produce
6-12 months Lorazepam (Ativan) 1-3 years Diazepam (Valium)
0.1-0.3 mg/kg (IV slowly); may produce apnea
3-6 years Midazolam (Versed)
0.1-0.2 mg/kg (IV slowly); may produce apnea
6-12 years >12 year Antihypertensives Adrenergic Receptor Captopril (Capoten) Hydralazine SPECIAL PROBLEMS (Brevibloc) Diabetes Insipidus Labetalol
Dilute polyuria [urine osmolality < 250 mOsm/L,
(Trandate)
> 2 mL/kg/hr], hypernatremia (sodium > 145 mEq/L) with serum hyperosmolality (>300 mOsm/L)
Atenolol (Tenormin)
Desmopressin (DDAVP) 1 to 10 mU/kg/hr (0.0025-
0.025 µg/kg/hr); titrate to effect (4 µg = 16 IU)
Propranolol von Willebrand’s Disease (Inderal)
utes; titrate to effect; maximum single dose 10 mg; hypotension
Desmopressin (DDAVP) 0.3 µg/kg IV once 30 minutes
Amicar 100 mg/kg IV or PO 1 hour preoperatively,
prusside (Nipride)
precipitous decrease in blood pres-sure; arterial line recommended
KEYPHONES FOR PABXS WITH DC CODE C SIGNALLING (As this Instruction has been extensively REVISED, individual paragraphs have not been starred.) 1.1 This Instruction deals with the maintenance of Telephones SA4252 which have been developed to meet the telephone requirements of PABXS with dc Code C signalling. The instrument is based on the Telephone 746. 1.2 The family of dc Code C instruments i
Environmental Management Unit, Monash University, NTRODUCTION DESIGN FOR THE SOUTH WEST SLOPES A design prepared in 1997 has been used to illustrateCommercial plantation forestry in Australia has beenthe concepts of analogue forestry. The property isfocused on producing timber products at minimal costlocated near Jindera on the southern margin of theand in the shortest time possible.