WATCh Paediatric Emergency Drug Sheet ###

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Name amina ###
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Date of Birth ### DDMMYYYY
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SA

Age 2 years 0 0 ###

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Weight 6.8 kg stimate Weight? 0 kg ###
(Weight estimate uses APLS formulae) ###
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Emergency Drug Doses Tube Sizes / Emergency Calculations ###
Adenosine 0.23 ml (100 mcg/kg). Can use up to 0.57ml (250mcg/kg) ETT Tube Diameter 5 mm ###
Adrenaline 0.68 ml 1:10000 (and subsequent doses 1:10000) ETT Length (Lips) 13.5 cm ###
Amiodarone 34 mg over 3 min = 0.68 ml (50mg/ml) ETT Length (Nose) 16.5 cm ###
Atropine 140 mcg (20 mcg/kg) = 0.23 ml (600mcg/ml) ET Suction Catheter 10 Fr ###
Sodium Bicarbonate 6.8 mmol - give and reassess = 6.8 ml of 8.4% Fluid Bolus (20ml/kg) 136 ml ###
Calcium Gluconate 1 3.4 ml - give and reassess Defibrillation (4J/kg) 30 J ###
Lignocaine 6.8 mg (1mg/kg) = 0.68 ml of 1% Urinary Catheter 8 Fr ###
Naloxone 70 mcg (10 mcg/kg) = 0.18 ml (400mcg/ml) Chest Drain 12 Fr ###
Tranexamic Acid 100 mg (15mg/kg) = 1 ml (100mg/ml) All values are
Vasopressin 2.7 Units (0.4 Units/kg) = 0.14 ml (20 Units/ml) starting suggestions only ###
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Bolus Drugs Intubation Drugs ###
Aciclovir 68mg (10mg/kg, 8h) Atropine 140 mcg (20 mcg/kg) (0.23 ml) ###
Ceftriaxone 540mg (80mg/kg, once daily) Fentanyl 14 mcg (2mcg/kg) (0.28 ml) ###
Glucose 10% 14ml (bolus - for hypoglycaemia) Ketamine 14 mg (2mg/kg) Different concentrations available - please check!
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Lorazepam 0.68mg Midazolam 0.7 mg (100mcg/kg) (0.14 ml)
Magnesium Sulphate 0.5ml slow iv (20min) - severe asthma Pancuronium 0.7 mg (100mcg/kg) (0.35 ml)
Phenobarb 136mg 20mg/kg - slow iv over 30 mins Propofol 1.75 ml of 1% = 2.5 mg/kg. Titrate dose (1-5 mg/kg (1.75 ml)
Phenytoin 136mg 20mg/kg - slow iv over 30 mins Suxamethon 14 mg (2mg/kg) (0.3 ml)
Mannitol 17ml of 20% Mannitol = 0.5g/kg Thiopentone 34 mg (5 mg/kg) (1.4 ml)
Hypertonic Saline 34ml of 3% NaCl, or 20.4ml of 5% NaCl Rocuronium 6.8 mg (1mg/kg) (0.7 ml) DOB

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100% fluid requirement = 27.2 ml/hr (80% fluid requirement = 21.8 ml/hr) ###
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Sedation Infusions Standard Regime Calculation 1 ml/hr = ###
Morphine 1mg/kg made up to 50ml with Glucose 5% or NaCl 0.9% 6.8 mg in 50ml 20 mcg/kg/hr ###
Midazolam 5mg/kg made up to 50ml with Glucose 5% or NaCl 0.9% 34 mg in 50ml 100 mcg/kg/hr ###
Rocuronium 30mg/kg made up to 50ml with Glucose 5% or NaCl 0.9% 204 mg in 50ml 600 mcg/kg/hr
Vecuronium 3mg/kg made up to 50ml with Glucose 5% or NaCl 0.9% 20.4 mg in 50ml 60 mcg/kg/hr ###
Atracurium 15mg/kg made up to 50ml with Glucose 5% or NaCl 0.9% 102 mg in 50ml 300 mcg/kg/hr ###
Fent/Vec Mix 10 mg Vecuronium in 20ml Fentanyl (50 mcg/ml) 0.7 to 1.4 ml/hr ###
Fentanyl neat (50mcg/ml) 0.7 to 1.4 ml/hr (5 to 10 mcg/kg/hr) ###
Thiopentone neat (25mg/ml) Bolus: 5mg/kg = 1.4 ml Infusion: 0.3 to 1.6 ml/hr (1 to 6 mg/kg/hr) ###
Cardiac Infusions Standard Regime Calculation 1 ml/hr = ###
Peripheral Dopamine 1.5mg/kg made up to 50ml with Glucose 5% or NaCl 0.9% 10.2 mg/50ml 0.5 mcg/kg/min
Central Dopamine 15mg/kg made up to 50ml with Glucose 5% or NaCl 0.9% 102 mg/50ml 5 mcg/kg/min ###
Dobutamine 15mg/kg made up to 50ml with Glucose 5% or NaCl 0.9% 102 mg/50ml 5 mcg/kg/min ###
Peripheral Adrenaline 0.03mg/kg made up to 50ml with Glucose 5% or NaCl 0.9% 0.2 mg/50ml 0.01 mcg/kg/min ###
Central Adrenaline 0.3mg/kg made up to 50ml with Glucose 5% or NaCl 0.9% 2.0 mg/50ml 0.1 mcg/kg/min
Metaraminol 0.3mg/kg made up to 50ml with NaCl 0.9% 2.0 mg/50ml art at 2.5ml/hr (0.25mcg/kg/min)
Noradrenaline 0.3mg/kg made up to 50ml with Glucose 5% or NaCl 0.9% 2.0 mg/50ml 0.1 mcg/kg/min ###
Vasopressin 16.3 Units made up to 40ml with Glucose 5% or NaCl 0.9% 1 ml/hr = 0.001 U/kg/min ###
Milrinone 1.5mg/kg made up to 50ml with Glucose 5% or NaCl 0.9% 10.2 mg/50ml 0.5 mcg/kg/min ###
Dinoprostone (PGE2) 100mcg made up to 50ml with Glucose 5% or Glucose 10 100 mcg/50ml 4.9 ng/kg/min ###
Other Infusions Standard Regime Calculation ###
Peripheral ###
Salbutamol 10 mg made up to 50ml with Glucose 5% or NaCl 0.9% 2 ml/hr = 1mcg/kg/min ###

Aminophylline 500 mg made up to 500ml with Glucose 5% or NaCl 0.9% 6.8 ml/hr = 1mg/kg/hr ###

Tranexamic Acid 500 mg made up to 500ml with Glucose 5% or NaCl 0.9% 13.6 ml/hr = 2mg/kg/hr for 8hr (or until bleeding stops) ###
Central Calculation 1 ml/hr = ###
Salbutamol 3mg/kg made up to 50ml with Glucose 5% or Saline 0.9% 20.4 mg/50ml 1.0 mcg/kg/min ###
Aminophylline 50mg/kg made up to 50ml with Glucose 5% or Saline 0.9% 340 mg/50ml 1.0 mg/kg/hr ###

Drug sheet developed by WATCh Transport Service ©2014&2019: This Version 23.1 (queries to: will.marriage@uhbristol.nhs.uk) ###