WATCh Paediatric Emergency Drug Sheet ###

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Name ###
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Date of Birth DDMMYYYY SA
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Age 23 years 0 0 ###
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Weight 50 kg stimate Weight? ✘
50 kg ###
(Weight estimate uses APLS formulae) ###
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Emergency Drug Doses Tube Sizes / Emergency Calculations ###
Adenosine 1.67 ml (100 mcg/kg). Can use up to 4.2ml (250mcg/kg) ETT Tube Diameter 8 mm ###
Adrenaline 5 ml 1:10000 (and subsequent doses 1:10000) ETT Length (Lips) 21 cm ###
Amiodarone 250 mg over 3 min = 5 ml (50mg/ml) ETT Length (Nose) 24 cm ###
Atropine 600 mcg (max dose) = 1 ml (600mcg/ml) ET Suction Catheter 12 Fr ###
Sodium Bicarbonate 8 50 mmol - give and reassess = 50 ml of 8.4% Fluid Bolus (20ml/kg) 1000ml ###
Calcium Gluconate 10 20 ml - give and reassess Defibrillation (4J/kg) 50J (Max - Biphasic) ###
Lignocaine 50 mg (1mg/kg) = 5 ml of 1% Urinary Catheter 12 Fr ###
Naloxone 500 mcg (10 mcg/kg) = 1.3 ml (400mcg/ml) Chest Drain 20 Fr ###
Tranexamic Acid 750 mg (15mg/kg) = 7.5 ml (100mg/ml) All values are
Vasopressin 20 Units (0.4 Units/kg) = 1 ml (20 Units/ml) starting suggestions only
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Bolus Drugs Intubation Drugs ###
Aciclovir 250mg (5mg/kg, 8h) Atropine 600 mcg (max dose) (1 ml) ###
Ceftriaxone 4g (max dose) Fentanyl 100 mcg (2mcg/kg) (2 ml) ###
Glucose 10% 100ml max bolus - for hypoglycaemia Ketamine 100 mg (2mg/kg) Different concentrations available - please check!
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Lorazepam 4mg (max dose) Midazolam 5 mg (100mcg/kg) (1 ml)
Magnesium Sulphate 4ml slow iv (20min) - severe asthma Pancuronium 5 mg (100mcg/kg) (2.5 ml)
Phenobarb 1000mg 20mg/kg - slow iv over 30 mins Propofol 12.5 ml of 1% = 2.5 mg/kg. Titrate dose (1-5 mg/kg)(12.5 ml)
Phenytoin 1000mg 20mg/kg - slow iv over 30 mins Suxamethoni 50 mg (2mg/kg) (1 ml)
Mannitol 125ml of 20% Mannitol = 0.5g/kg Thiopentone 250 mg (5 mg/kg) (10 ml)
Hypertonic Saline 250ml of 3% NaCl, or 150ml of 5% NaCl Rocuronium 50 mg (1mg/kg) (5 ml) DOB

This Chart is for a Child Weighing more than 40kg ###

100% fluid requirement = 90 ml/hr (80% fluid requirement = 72 ml/hr) ###

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Sedation Infusions Standard Regime Calculation 1 ml/hr = ###
Morphine neat (1mg/ml) 50 mg in 50ml 20 mcg/kg/hr ###
Midazolam neat (5mg/ml) 250 mg in 50ml 100 mcg/kg/hr ###
Rocuronium neat (10mg/ml) 500 mg in 50ml 200 mcg/kg/hr
Vecuronium neat (2mg/ml) 100 mg in 50ml 40 mcg/kg/hr ###
Atracurium neat (10mg/ml) 500 mg in 50ml 200 mcg/kg/hr ###
Fent/Vec Mix 10 mg Vecuronium in 20ml Fentanyl (50 mcg/ml) N/A ###
Fentanyl neat (50mcg/ml) 5 to 10 ml/hr (5 to 10 mcg/kg/hr)
Thiopentone neat (25mg/ml) Bolus: 5mg/kg = 10 ml Infusion: 2 to 12 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% 75 mg/50ml 0.5 mcg/kg/min
Central Dopamine 3mg/kg made up to 50ml with Glucose 5% or NaCl 0.9% 150 mg/50ml 1 mcg/kg/min
Dobutamine 3mg/kg made up to 50ml with Glucose 5% or NaCl 0.9% 150 mg/50ml 1 mcg/kg/min
Peripheral Adrenaline 0.006mg/kg made up to 50ml with Glucose 5% or NaCl 0.9% 0.3 mg/50ml 0.002 mcg/kg/min Weight / Age
Central Adrenaline 0.06mg/kg made up to 50ml with Glucose 5% or NaCl 0.9% 3.0 mg/50ml 0.02 mcg/kg/min
Metaraminol 0.15mg/kg made up to 50ml with NaCl 0.9% 7.5 mg/50ml Start at 5ml/hr (0.25mcg/kg/min)
Noradrenaline 0.06mg/kg made up to 50ml with Glucose 5% or NaCl 0.9% 3.0 mg/50ml 0.02 mcg/kg/min ###
Vasopressin 40 Units made up to 40ml with Glucose 5% or NaCl 0.9% 3 ml/hr = 0.001 U/kg/min ###
Milrinone neat made up to 50ml with Glucose 5% or NaCl 0.9% 50 mg/50ml 0.33 mcg/kg/min ###
Dinoprostone (PGE2) 100mcg made up to 50ml with Glucose 5% or Glucose 10% 100 N/A ###
Other Infusions Standard Regime Calculation ###
Peripheral ###
Salbutamol 10 mg made up to 50ml with Glucose 5% or NaCl 0.9% 15 ml/hr = 1mcg/kg/min ###

Aminophylline 500 mg made up to 500ml with Glucose 5% or NaCl 0.9% 50 ml/hr = 1mg/kg/hr ###

Tranexamic Acid 500 mg made up to 500ml with Glucose 5% or NaCl 0.9% 100 ml/hr = 2mg/kg/hr for 8hr (or until bleeding stops) ###
Central Calculation 1 ml/hr = ###
Salbutamol neat (1 mg/ml) 50 mg/50ml 0.3 mcg/kg/min ###
Aminophylline neat (25 mg/ml) 1250 mg/50ml 0.5 mg/kg/hr ###

Drug sheet developed by WATCh Transport Service ©2014&2021: This Version 24.2 (queries to: will.marriage@uhbw.nhs.uk) ###