NEWBORN (birth to 24 hours)



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Transcription:

NEWBORN (birth to 24 hours) 3kg ETT size: 3mm ETT length: 14cm AIRTRAQ: GREY LMA size: 1 or 1.5 IGT size: 5 FG SHOCK: 15 joules CPR: one third of chest depth rate 100/min 3:1 The emphases in resuscitation of a newborn are: tactile stimulation ventilation (with air; add 100% O 2 with CPR) chest compressions (if HR <60/min) IV attempts are unlikely to be successful; IO should not be attempted; adrenaline (only) may be given down the ETT. 0.01mg/kg 0.03 mg 0.3 ml IV ETT 0.02mg/kg 0.06 mg 0.6 ml FOR POST RESUSCITATION MANAGEMENT DRUG / ROUTE PREPARATION DOSE (weight) DOSE (ml) IV FLUID NaCl 0.9% 10ml/kg 30 ml 30 ml GLUCOSE 10% IV PAEDIATRIC REFERENCE CARD NEWBORN (Revised: November 2014) GLUCAGON IM 0.25g (2.5ml)/kg 0.75 g 7. 50g in 500ml weight < 20kg = 0.5 IU 0.5 IU 0. 1 IU in 1ml DRUG / ROUTE PREPARATION DOSE (weight) DOSE (ml) 0.1mg/kg 0.3 mg 0.3 ml NORMAL VSS 30 60/min 90 150/min 50 70 mmhg NEWBORN (birth to 24 hours) 3kg doses (ml) are rounded up to the nearest 0.1/ml

INFANT (24 hours to 6 months) 5kg ETT size: 3mm ETT length: 14cm AIRTRAQ: GREY LMA size: 1.5 (4-8ml inflation) IGT size: 5 FG SHOCK: 20 joules CPR: one third of chest depth rate 100/min 15:2 0.01mg/kg 0.0 0. 5mg/kg 2 1.7 ml 150mg in 10ml 50mg/kg 250 mg 1 ml 2.5g in 10ml 0.5mMol/kg 2.5 mmol 2. STANDARD / BURNS 10ml/kg 50 ml CARDIAC ARREST 20ml/kg 100 ml SEPSIS/ANAPHYLAXIS 20ml/kg 100 ml PAEDIATRIC REFERENCE CARD INFANT 3. 3. 0.01mg/kg 0.0 0.0 (0.5ml if diluted to 10ml) 0.1mg/kg 0. 0. 50mg/kg 250 mg 2. 1g reconstitute to 10ml NORMAL VSS 25 60/min 90 175/min 50 100mmHg INFANT (24 hours to 6 months) 5kg doses (ml) are rounded up to the nearest 0.1/ml

6 MONTHS 7kg ETT size: 3mm ETT length: 14cm AIRTRAQ: GREY LMA size: 1.5 (4-8ml inflation) IGT size: 5 FG SHOCK: 30 joules CPR: one third of chest depth rate 100/min 15:2 0.01mg/kg 0.07 mg 0.7 ml 5mg/kg 3 2.3 ml 150mg in 10ml 50mg/kg 350 mg 1.4 ml 2.5g in 10ml 0.5mMol/kg 3.5 mmol 3. STANDARD / BURNS 10ml/kg 70 ml CARDIAC ARREST 20ml/kg 140 ml SEPSIS/ANAPHYLAXIS 20ml/kg 140 ml PAEDIATRIC REFERENCE CARD 6 MONTHS 3. 3. 0.01mg/kg 0.07 mg 0.07 ml (0.7ml if diluted to 10ml) 0.1mg/kg 0.7 mg 0.7 ml 50mg/kg 350 mg 3. 1g reconstitute to 10ml NORMAL VSS 25 40/min 100 175/min 60 100mmHg 6 MONTHS 7kg

12 MONTHS (1 year) 11kg ETT size: 4mm ETT length: 14cm AIRTRAQ: PURPLE LMA size: 2 (6-12ml inflation) IGT size: 10 FG SHOCK: 50 joules CPR: one third of chest depth rate 100/min 15:2 0.01mg/kg 0.11 mg 1.1 ml 5mg/kg 5 3.7 ml 150mg in 10ml 50mg/kg 550 mg 2.2 ml 2.5g in 10ml 0.5mMol/kg 5.5 mmol 5. STANDARD / BURNS 10ml/kg 110 ml CARDIAC ARREST 20ml/kg 220 ml SEPSIS/ANAPHYLAXIS 20ml/kg 220 ml PAEDIATRIC REFERENCE CARD 12 MONTHS 0.01mg/kg 0.11 mg 0.11 ml (1.1ml if diluted to 10ml) 0.1mg/kg 1.1 mg 1.1 ml 50mg/kg 550 mg 5. 1g reconstitute to 10ml NORMAL VSS 20 40/min 90 170/min 60 100mmHg 12 MONTHS (1 year) 11kg

2 YEARS 13kg ETT size: 4mm ETT length: 14cm AIRTRAQ: PURPLE LMA size: 2 (6-12ml inflation) IGT size: 10 FG SHOCK: 50 joules CPR: one third of chest depth rate 100/min 15:2 0.01mg/kg 0.13 mg 1.3 ml 5mg/kg 6 4.3 ml 150mg in 10ml 50mg/kg 650 mg 2.6 ml 2.5g in 10ml 0.5mMol/kg 6.5 mmol 6. STANDARD / BURNS 10ml/kg 130 ml CARDIAC ARREST 20ml/kg 260 ml SEPSIS/ANAPHYLAXIS 20ml/kg 260 ml PAEDIATRIC REFERENCE CARD 2 YEARS 0.01mg/kg 0.13 mg 0.13 ml (1.3ml if diluted to 10ml) 0.1mg/kg 1.3 mg 1.3 ml 50mg/kg 650 mg 6. 1g reconstitute to 10ml NORMAL VSS 20 35/min 85 140/min 70 110mmHg 2 YEARS 13kg

3 YEARS 15kg ETT size: 4mm ETT length: 14cm AIRTRAQ: PURPLE LMA size: 2 (6-12ml inflation) IGT size: 10 FG SHOCK: 70 joules CPR: one third of chest depth rate 100/min 15:2 0.01mg/kg 0.1 1. 5mg/kg 7 150mg in 10ml 50mg/kg 750 mg 3 ml 2.5g in 10ml 0.5mMol/kg 7.5 mmol 7. STANDARD / BURNS 10ml/kg 150 ml CARDIAC ARREST 20ml/kg 300 ml SEPSIS/ANAPHYLAXIS 20ml/kg 300 ml PAEDIATRIC REFERENCE CARD 3 YEARS 0.01mg/kg 0.1 0.1 (1.5ml if diluted to 10ml) 0.1mg/kg 1. 1. 50mg/kg 750 mg 7. 1g reconstitute to 10ml NORMAL VSS 20 35/min 85 140/min 70 110mmHg 3 YEARS 15kg

4 YEARS 17kg ETT size: 5mm ETT length: 16cm AIRTRAQ: PURPLE LMA size: 2 (6-12ml inflation) IGT size: 10 FG SHOCK: 70 joules CPR: one third of chest depth rate 100/min 15:2 0.01mg/kg 0.17 mg 1.7 ml 5mg/kg 8 5.7 ml 150mg in 10ml 50mg/kg 850 mg 3.4 ml 2.5g in 10ml 0.5mMol/kg 8.5 mmol 8. STANDARD / BURNS 10ml/kg 170 ml CARDIAC ARREST 20ml/kg 340 ml SEPSIS/ANAPHYLAXIS 20ml/kg 340 ml PAEDIATRIC REFERENCE CARD 4 YEARS 0.01mg/kg 0.17 mg 0.17 ml (1.7ml if diluted to 10ml) 0.1mg/kg 1.7 mg 1.7 ml 50mg/kg 850 mg 8. 1g reconstitute to 10ml NORMAL VSS 20 30/min 80 140/min 70 110mmHg 4 YEARS 17kg

5 YEARS 19kg ETT size: 5mm ETT length: 16cm AIRTRAQ: PURPLE LMA size: 2 (6-12ml inflation) IGT size: 10 FG SHOCK: 70 joules CPR: one third of chest depth rate 100/min 15:2 0.01mg/kg 0.19 mg 1.9 ml 5mg/kg 9 6.3 ml 150mg in 10ml 50mg/kg 950 mg 3.8 ml 2.5g in 10ml 0.5mMol/kg 9.5 mmol 9. STANDARD / BURNS 10ml/kg 190 ml CARDIAC ARREST 20ml/kg 380 ml SEPSIS/ANAPHYLAXIS 20ml/kg 380 ml PAEDIATRIC REFERENCE CARD 5 YEARS 0.01mg/kg 0.19 mg 0.19 ml (1.9ml if diluted to 10ml) 0.1mg/kg 1.9 mg 1.9 ml 50mg/kg 950 mg 9. 1g reconstitute to 10ml NORMAL VSS 20 30/min 80 140/min 70 110mmHg 5 YEARS 19kg

6 YEARS 21kg ETT size: 5mm ETT length: 16cm AIRTRAQ: PURPLE LMA size: 2.5 (10-20ml inflation) IGT size: 10 FG SHOCK: 100 joules CPR: one third of chest depth rate 100/min 15:2 0.01mg/kg 0.21 mg 2.1 ml 5mg/kg 10 7 ml 150mg in 10ml 50mg/kg 1.05 g 4.2 ml 2.5g in 10ml 0.5mMol/kg 10.5 mmol 10. STANDARD / BURNS 10ml/kg 210 ml CARDIAC ARREST 20ml/kg 420 ml SEPSIS/ANAPHYLAXIS 20ml/kg 420 ml PAEDIATRIC REFERENCE CARD 6 YEARS MAX EFFECT MAX EFFECT 0.01mg/kg 0.21 mg 0.21 ml (2.1ml if diluted to 10ml) 0.1mg/kg 2.1 mg 2.1 ml 50mg/kg 1.05 g 5.2 2 x 1g vials reconstitute to 5ml each NORMAL VSS 15 25/min 70 120/min 60 110mmHg 6 YEARS 21kg

7 YEARS 23kg ETT size: 5mm ETT length: 16cm AIRTRAQ: PURPLE LMA size: 2.5 (10-20ml inflation) IGT size: 10 FG SHOCK: 100 joules CPR: one third of chest depth rate 100/min 15:2 0.01mg/kg 0.23 mg 2.3 ml 5mg/kg 11 2.3 ml 150mg in 3ml () 50mg/kg 1.15 g 2.3 ml 2.5g in 5ml () 0.5mMol/kg 11.5 mmol 11. STANDARD / BURNS 10ml/kg 230 ml CARDIAC ARREST 20ml/kg 460 ml SEPSIS/ANAPHYLAXIS 20ml/kg 460 ml PAEDIATRIC REFERENCE CARD 7 YEARS 0.01mg/kg 0.23 mg 0.23 ml (2.3ml if diluted to 10ml) 0.1mg/kg 2.3 mg 2.3 ml 50mg/kg 1.15 g 5.7 2 x 1g vials reconstitute to 5ml each NORMAL VSS 15 25/min 70 120/min 60 110mmHg 7 YEARS 23kg

8 YEARS 25kg ETT size: 6mm ETT length: 19cm AIRTRAQ: PURPLE LMA size: 2.5 (10-20ml inflation) IGT size: 10 FG SHOCK: 100 joules CPR: one third of chest depth rate 100/min 15:2 0.01mg/kg 0.2 2. 5mg/kg 12 2. 150mg in 3ml () 50mg/kg 1.25 g 2. 2.5g in 5ml () 0.5mMol/kg 12.5 mmol 12. STANDARD / BURNS 10ml/kg 250 ml CARDIAC ARREST 20ml/kg 500 ml SEPSIS/ANAPHYLAXIS 20ml/kg 500 ml PAEDIATRIC REFERENCE CARD 8 YEARS 0.01mg/kg 0.2 0.2 (2.5ml if diluted to 10ml) 0.1mg/kg 2. 2. 50mg/kg 1.25 g 6.2 2 x 1g vials reconstitute to 5ml each NORMAL VSS 15 25/min 70 110/min 60 115mmHg 8 YEARS 25kg

9 YEARS 27kg ETT size: 6mm ETT length: 19cm AIRTRAQ: PURPLE LMA size: 2.5 (10-20ml inflation) IGT size: 10 FG SHOCK: 120 joules CPR: one third of chest depth rate 100/min 30:2 0.01mg/kg 0.27 mg 2.7 ml 5mg/kg 13 2.7 ml 150mg in 3ml () 50mg/kg 1.35 g 2.7 ml 2.5g in 5ml 0.5mMol/kg 13.5 mmol 13. STANDARD / BURNS 10ml/kg 270 ml CARDIAC ARREST 20ml/kg 540 ml SEPSIS/ANAPHYLAXIS 20ml/kg 540 ml PAEDIATRIC REFERENCE CARD 9 YEARS 0.01mg/kg 0.27 mg 0.27 ml (2.7ml if diluted to 10ml) 0.1mg/kg 2.7 mg 2.7 ml 50mg/kg 1.35 g 6.7 2 x 1g vials reconstitute to 5ml each NORMAL VSS 15 25/min 70 110/min 60 115mmHg 9 YEARS 27kg

10 YEARS 30kg ETT size: 6mm ETT length: 19cm AIRTRAQ: PURPLE LMA size: 2.5 (10-20ml inflation) IGT size: 10 FG SHOCK: 120 joules CPR: one third of chest depth rate 100/min 30:2 0.01mg/kg 0.3 mg 3 ml 5mg/kg 150mg in 3ml 150 mg 3 ml () 50mg/kg 1.5 g 3 ml 2.5g in 5ml () 0.5mMol/kg 15 mmol 1 STANDARD / BURNS 10ml/kg 300 ml CARDIAC ARREST 20ml/kg 600 ml SEPSIS/ANAPHYLAXIS 20ml/kg 600 ml PAEDIATRIC REFERENCE CARD 10 YEARS 0.01mg/kg 0.3 mg 0.3 ml (3ml if diluted to 10ml) 0.1mg/kg 3 mg 3 ml 50mg/kg 1.5 g 7. 2 x 1g vials reconstitute to 5ml each NORMAL VSS 14 20/min 60 110/min 60 120mmHg 10 YEARS 30kg

11 YEARS 33kg ETT size: 6mm ETT length: 19cm AIRTRAQ: PURPLE LMA size: 3 (15-30ml inflation) IGT size: 14 FG SHOCK: 120 joules CPR: one third of chest depth rate 100/min 30:2 0.01mg/kg 0.33 mg 3.3 ml 5mg/kg 150mg in 3ml 150 mg 3 ml () 50mg/kg 1.65 g 3.3 ml 2.5g in 5ml () 0.5mMol/kg 16.5 mmol 16. STANDARD / BURNS 10ml/kg 330 ml CARDIAC ARREST 20ml/kg 660 ml SEPSIS/ANAPHYLAXIS 20ml/kg 660 ml PAEDIATRIC REFERENCE CARD 11 YEARS 0.01mg/kg 0.33 mg 0.33 ml 0.1mg/kg 3.3 mg 3.3 ml 50mg/kg 1.65 g 8.2 2 x 1g vials reconstitute to 5ml each NORMAL VSS 14 20/min 60 110/min 60 120mmHg 11 YEARS 33kg

12 YEARS 36kg ETT size: 7mm ETT length: 21cm AIRTRAQ: PURPLE LMA size: 3 (15-30ml inflation) IGT size: 14 FG SHOCK: 150 joules CPR: one third of chest depth rate 100/min 30:2 0.01mg/kg 0.36 mg 3.6 ml 5mg/kg 150mg in 3ml 150 mg 3 ml () 50mg/kg 1.8 g 3.6 ml 2.5g in 5ml () 0.5mMol/kg 18 mmol 18 ml STANDARD / BURNS 10ml/kg 360 ml CARDIAC ARREST 20ml/kg 720 ml SEPSIS/ANAPHYLAXIS 20ml/kg 720 ml PAEDIATRIC REFERENCE CARD 12 YEARS 0.01mg/kg 0.36 mg 0.36 ml 0.1mg/kg 3.6 mg 3.6 ml 50mg/kg 1.8 g 9 ml 2 x 1g vials reconstitute to 5ml each NORMAL VSS 14 20/min 60 100/min 65 120mmHg 12 YEARS 36kg

13 YEARS 39kg ETT size: 7mm ETT length: 21cm AIRTRAQ: PURPLE LMA size: 3 (15-30ml inflation) IGT size: 14 FG SHOCK: 150 joules CPR: one third of chest depth rate 100/min 30:2 0.01mg/kg 0.39 mg 3.9 ml 5mg/kg 150mg in 3ml 150 mg 3 ml () 50mg/kg 1.95 g 3.9 ml 2.5g in 5ml () 0.5mMol/kg 19.5 mmol 19. STANDARD / BURNS 10ml/kg 390 ml CARDIAC ARREST 20ml/kg 780 ml SEPSIS/ANAPHYLAXIS 20ml/kg 780 ml PAEDIATRIC REFERENCE CARD 13 YEARS 0.01mg/kg 0.39 mg 0.4 ml 0.1mg/kg 3.9 mg 3.9 ml 50mg/kg 1.9 9.7 2 x 1g vials reconstitute to 5ml each NORMAL VSS 15 20/min 60 100/min 65 120mmHg 13 YEARS 39kg

14 YEARS 42kg ETT size: 7mm ETT length: 21cm AIRTRAQ: PURPLE LMA size: 3 (15-30ml inflation) IGT size: 14 FG SHOCK: 170 joules CPR: one third of chest depth rate 100/min 30:2 0.01mg/kg 0.42 mg 4.2 ml 5mg/kg 150mg in 3ml 150 mg 3 ml () 50mg/kg 2.1 g 4.2 ml 2.5g in 5ml () 0.5mMol/kg 21 mmol 21 ml STANDARD / BURNS 10ml/kg 420 ml CARDIAC ARREST 20ml/kg 840 ml SEPSIS/ANAPHYLAXIS 20ml/kg 840 ml PAEDIATRIC REFERENCE CARD 14 YEARS 0.01mg/kg 0.42 mg 0.42 ml 0.1mg/kg 4.2 mg 4.2 ml 50mg/kg 1g reconstitute to 10ml 2 g 10 ml NORMAL VSS 15 20/min 60 100/min 65 120mmHg 14 YEARS 42kg