PAEDIATRIC

DRUG DOSES

AND

VALUES


New Born: 3.5 kg

Normal Values Resps: 40-60 Pulse: 120-150 BP:

ETT: 3.0 mmET, 9.5cm @ lips;

NG:12 Suction cath: 6 ET drug dilution volume: 1 ml

RESUS: CPR: 3:1 40 cycles/min 120/40 (Brady <60/min) 2 cm depth

DCCS: (monophasic) 7J 7J 10J (biphasic) 4J 4J 7J

Ventilations: 35ml in Asthma: 15-20/min

BLOOD LOSS: Significant blood loss 35-50 ml (norm vol: 280ml)

DRUG / DOSE / VOLUME / DRUG / DOSE / VOLUME
Arrest
/
Adrenaline
/ 0.1 mg / 0.1 ml (1:1000)
in 1ml syringe / Asthma /
Salbutamol
/ 17.5 mcg
≈20 mcg / 0.4 ml
(500mcg in 10ml)
1 ml (1:10,000) / 8.75 mcg
≈10 mcg / 0.2 ml
Via ETT / 0.35 mg / 0.35 ml
(1:1000) / Salbutamol
Infusion
2mg/kg/min / 0.35 mg
≈ 0.4 mg / 0.4 ml
(5 in 5) in50ml @ 60ml/hr
Also Org/phos O/D /
Atropine
/ 70 mcg
≈80 mcg / 0.8 ml
(600mcg in 6ml) /
Hydrocort
/ 7 mg
≈ 10 mg / 0.4 ml
(250mg in 10ml)
SodiBic
/ 3.5 ml
2 ml /
Adrenaline
/ 0.035 mg
≈0.04 mg / 0.4 ml (1:10,000)
Lignocaine / 3.5mg
≈0.4 mg / 0.80 ml
(50mg in 10ml) /
Hartmanns
/ 20 ml/kg / 70 ml
1.75mg
≈0.2 mg / 0.40 ml
(50mg in 10ml) / Narcotic O/D /
Naloxone
/ 0.035 mg
≈0.04 mg / 0.1 ml
(0.4 mg/ml)
Lignocaine
Infusion
20mg/kg/min / 7 mg
≈8mg / 0.40 ml
(100mg in 5ml) in50ml@30ml/hr / Pain
To max:
0.7 mg /
Morphine
0.1mg/kg / 0.35 mg
≈0.4 mg / ≈0.4 ml
(10mg/10ml)
Intubation / Fentanyl
(sedate) / 7 mcg
≈ 8 mg / 0.8 ml
(100mcg / 10ml) / (If no IV
0.1mg/kg IMI once) /
Morphine
0.05 mg/kg / 0.175 mg
≈ 0.2 mg / 0.2 ml
(10mg/10ml)
in 2ml syringe
Midazolam
(sedate) / 0.7 mg
≈ 1mg / 0.2ml
(5mg/ml) / Fluids /
Hartmanns
/ 20 ml/kg / 70 ml
Morphine
(sedate) / 0.7 mg
≈ 0.8 mg / 0.8 ml
(10mg/10ml) / Fitting /
Midazolam IM
/ 0.35 mg
≈ 0.5 mg / 0.1 ml
Morphine
(maintain) / 0.35 mg
≈0.4mg / 0.4 ml
(10mg/10ml) /
IV
/ 0.175 mg
≈ 0.5 mg / 0.1 ml
Midazolam
(maintain)
/ 0.35 ml
≈0.5 mg / 0.1ml
(5mg/ml) / Hypo /
Glucagon
/ 0.5 mg / 0.5 ml
Mengi-coccal / Ceftriaxone
50mg/kg
IV / ≈250 mg / 2.5 ml
1 gm in 10 ml water / Dextrose 50% / 3.5 ml
IM / ≈250 mg / 1 ml
1 gm with 3.5ml of 1% Lignocaine to make 4 ml / Anaphylaxis / Adrenaline / 0.035mg
≈0.1mg
(0.1 ml) IM 1:1000 / 0.035 mg
≈0.04 mg
(0.4ml)
IV 1:10,000


2 Month: 5 kg

Normal Values Resps: 40-60 Pulse: 120-160 BP:

ETT: 3.0 mmET, 9.5cm @ lips;

NG:12 Suction cath: 6 ET drug dilution volume: 1 ml

RESUS: CPR: 5:1 20 cycles/min 100/20 (Brady <60/min) 2-3 cm depth

DCCS: (monophasic) 10J 10J 20J (biphasic) 5J 5J 10J

Ventilations: 50ml in Asthma: 15-20/min

BLOOD LOSS: Significant blood loss 50-75 ml (norm vol: 350ml)

DRUG / DOSE / VOLUME / DRUG / DOSE / VOLUME

Arrest

/

Adrenaline

/ 0.1 mg / 0.1 ml (1:1000)
in 1ml syringe / Asthma /

Salbutamol

/ 25 mcg
≈ 30 mcg / 0.6 ml
(500mcg in 10ml)
1 ml (1:10,000) / 12.5 mcg
≈ 20 mcg / 0.4 ml
Via ETT / 0.5 mg / 0.5 ml
(1:1000) / Salbutamol
Infusion
2mg/kg/min / 0.5 mg / 0.5 ml
(5 in 5) in50ml @ 60ml/hr
Also Org/phos O/D /

Atropine

/ 100 mcg / 1 ml
(600mcg in 6ml) /

Hydrocort

/ 10 mg / 0.4 ml
(250mg in 10ml)

SodiBic

/ 5 ml
2.5 ml /

Adrenaline

/ 0.05 mg
≈0.06 mg / 0.6 ml (1:10,000)
Lignocaine / 5mg / 1 ml
(50mg in 10ml) /

Hartmanns

/ 20 ml/kg / 100 ml
2.5mg
≈ 0.3 mg / 0.60 ml
(50mg in 10ml) / Narcotic O/D /

Naloxone

/ 0.05 mg
≈ 0.04 mg / 0.1 ml
(0.4 mg amp)
Lignocaine
Infusion
20mg/kg/min / 10 mg / 0.50 ml
(100mg in 5ml) in50ml@30ml/hr / Pain
To max:
1 mg /

Morphine

0.1mg/kg / 0.5 mg / 0.5 ml
(10mg/10ml)
Intubation / Fentanyl
(sedate) / 10 mcg / 1 ml
(100mcg / 10ml) / (If no IV
0.1mg/kg IMI once) /

Morphine

0.05 mg/kg / 0.25 mg
≈ 0.2 mg / 0.2 ml
(10mg/10ml)
in 2ml syringe
Midazolam
(sedate) / 1 mg / 0.2 ml
(5mg/ml) / Fluids /

Hartmanns

/ 20 ml/kg / 100 ml
Morphine
(sedate) / 1 mg / 1 ml
(10mg/10ml) / Fitting /

Midazolam IM

/ 0.5 mg / 0.1 ml

Morphine

(maintain) / 0.5 mg / 0.5 ml
(10mg/10ml) /

IV

/ 0.25 mg
≈ 0.5mg / 0.1 ml
Midazolam

(maintain)

/ 0.5 mg / 0.1ml
(5mg/ml) / Hypo /

Glucagon

/ 0.5 mg / 0.5 ml
Mengi-coccal / Ceftriaxone
50mg/kg
IV / 250 mg / 2.5 ml
1 gm in 10 ml water / Dextrose 50% / 5 ml
IM / 250 mg / 1 ml
1 gm with 3.5ml of 1% Lignocaine to make 4 ml / Anaphylaxis / Adrenaline / 0.05mg
≈ 0.1 mg
0.1 ml IM 1:1000 / 0.05 mg
≈ 0.06 mg
0.6 ml
IV 1:10,000


5 Month: 7 kg

Normal Values Resps: 40-60 Pulse: 120-160 BP:

ETT: 3.5 mmET, 11cm @ lips;

NG:12 Suction cath: 8 ET drug dilution volume: 1 ml

RESUS: CPR: 5:1 20 cycles/min 100/20 (Brady <60/min) 2-3 cm depth

DCCS: (monophasic) 10J 10J 30J (biphasic) 7J 7J 15J

Ventilations: 70ml in Asthma: 15-20/min

BLOOD LOSS: Significant blood loss 70-105 ml (norm vol: 490ml)

DRUG / DOSE / VOLUME / DRUG / DOSE / VOLUME

Arrest

/

Adrenaline

/ 0.1 mg / 0.1 ml (1:1000)
in 1ml syringe / Asthma /

Salbutamol

/ 35 mcg
≈40 mcg / 0.8 ml
(500mcg in 10ml)
1 ml (1:10,000) / 17.5 mg
≈20 mcg / 0.4 ml
Via ETT / 0.7 mg
≈ 0.8 mg / 0.8 ml
(1:1000) / Salbutamol
Infusion
2mg/kg/min / 0.7 mg / 0.7 ml
(5 in 5) in50ml @ 60ml/hr
Also Org/phos O/D /

Atropine

/ 140 mcg / 1.4 ml
(600mcg in 6ml) /

Hydrocort

/ 14 mg
≈ 15mg / 0.6 ml
(250mg in 10ml)

SodiBic

/ 7 ml
3.5 ml /

Adrenaline

/ 0.07 mg
≈0.08 mg / 0.8 ml (1:10,000)
Lignocaine / 7 mg / 1.4 ml
(50mg in 10ml) /

Hartmanns

/ 20 ml/kg / 140 ml
3.5mg
≈ 4 mg / 0.80 ml
(50mg in 10ml) / Narcotic O/D /

Naloxone

/ 0.07 mg
≈0.08 mg / 0.2 ml
(0.4 mg/ml)
Lignocaine
Infusion
20mg/kg/min / 14 mg
≈16mg / 0.80 ml
(100mg in 5ml) in50ml@30ml/hr / Pain
To max:
1.4 mg /

Morphine

0.1mg/kg / 0.7 mg
≈0.8 mg / 0.8 ml
(10mg/10ml)
Intubation / Fentanyl
(sedate) / 14 mcg / 1.4 ml
(100mcg / 10ml) / (If no IV
0.1mg/kg IMI once) /

Morphine

0.05 mg/kg / 0.35 mg
≈ 0.4 mg / 0.4 ml
(10mg/10ml)
in 2ml syringe
Midazolam
(sedate) / 1.4 mg
≈ 1mg / 0.2ml
(5mg/ml) / Fluids /

Hartmanns

/ 20 ml/kg / 140 ml
Morphine
(sedate) / 1.4 mg / 1.4 ml
(10mg/10ml) / Fitting /

Midazolam IM

/ 0.7 mg
≈ 0.5 mg / 0.1 ml

Morphine

(maintain) / 0.7 mg
≈ 0.8 mg / 0.8 ml
(10mg/10ml) /

IV

/ 0.35 mg
≈ 0.5 mg / 0.1 ml
Midazolam

(maintain)

/ 0.7 ml
≈0.5 mg / 0.1ml
(5mg/ml) / Hypo /

Glucagon

/ 0.5 mg / 0.5 ml
Mengi-coccal / Ceftriaxone
50mg/kg
IV / ≈250 mg / 2.5 ml
1 gm in 10 ml water / Dextrose 50% / 7 ml
IM / ≈250 mg / 1 ml
1 gm with 3.5ml of 1% Lignocaine to make 4 ml / Anaphylaxis / Adrenaline / 0.07mg
≈0.1mg
(0.1 ml) IM 1:1000 / 0.07 mg
≈0.08 mg
(0.8 ml)
IV 1:10,000

For babies 9 months: IV 370 mg/3.7 ml

IM 375 mg/1.5 ml


1 Year: 10 kg

Normal Values Resps: 20-35 Pulse: 80-120 BP: >80 syst.

ETT: 4.0 mmET, 12cm @ lips;

NG:12 Suction cath: 8 ET drug dilution volume: 3-5 ml

RESUS: CPR: 5:1 20 cycles/min 100/20 (Brady <60/min) 3-4 cm depth

DCCS: (monophasic) 20J 20J 50J (biphasic) 10J 10J 20J

Ventilations: 100ml in Asthma: 10-15/min

BLOOD LOSS: Significant blood loss 100-150 ml (norm vol: 700ml)

DRUG / DOSE / VOLUME / DRUG / DOSE / VOLUME

Arrest

/

Adrenaline

/ 0.1 mg / 0.1 ml (1:1000)
in 1ml syringe / Asthma /

Salbutamol

/ 50 mcg / 1 ml
(500mcg in 10ml)
1 ml (1:10,000) / 25 mcg
≈ 30 mcg / 0.6 ml
Via ETT / 1mg / 1 ml
(1:1000) / Salbutamol
Infusion
2mg/kg/min / 0.1 mg / 1 ml
(5 in 5) in50ml @ 60ml/hr
Also Org/phos O/D /

Atropine

/ 200 mcg / 2 ml
(600mcg in 6ml) /

Hydrocort

/ 20 mg / 0.8 ml
(250mg in 10ml)

SodiBic

/ 10 ml
5 ml /

Adrenaline

/ 0.1 mg / 1 ml (1:10,000)
Lignocaine / 10 mg / 2 ml
(50mg in 10ml) /

Hartmanns

/ 20 ml/kg / 200 ml
5mg / 1 ml
(50mg in 10ml) / Narcotic O/D /

Naloxone

/ 0.1 mg
≈ 0.12 mg / 0.3 ml
(0.4 mg/ml)
Lignocaine
Infusion
20mg/kg/min / 20 mg / 1 ml
(100mg in 5ml) in50ml@30ml/hr / Pain
To max:
2 mg /

Morphine

0.1mg/kg / 1 mg / 1 ml
(10mg/10ml)
Intubation / Fentanyl
(sedate) / 20 mcg / 2 ml
(100mcg / 10ml) / (If no IV
0.1mg/kg IMI once) /

Morphine

0.05 mg/kg / 0.5 mg
≈0.6 mg / 0.6 ml
(10mg/10ml)
in 2ml syringe
Midazolam
(sedate) / 2 mg / 0.4 ml
(5mg/ml) / Fluids /

Hartmanns

/ 20 ml/kg / 200 ml
Morphine
(sedate) / 2 mg / 2 ml
(10mg/10ml) / Fitting /

Midazolam IM

/ 1 mg / 0.2 ml

Morphine

(maintain) / 1 mg / 1 ml
(10mg/10ml) /

IV

/ 0.5 mg / 0.1 ml
Midazolam

(maintain)

/ 1 ml / 0.2 ml
(5mg/ml) / Hypo /

Glucagon

/ 0.5 mg / 0.5 ml
Mengi-coccal / Ceftriaxone
50mg/kg
IV / 500 mg / 5 ml
1 gm in 10 ml water / Dextrose 50% / 10 ml
IM / 500 mg / 2 ml
1 gm with 3.5ml of 1% Lignocaine to make 4 ml / Anaphylaxis / Adrenaline / 0.1 mg
(0.1 ml) IM 1:1000 / 0.1 mg
(1 ml)
IV 1:10,000

For Pt’s 18 months: IV 620 mg/6.2 ml

IM 625 mg/2.5 ml


2 Years: 12 kg

Normal Values Resps: 20-35 Pulse: 80-120 BP: >80 syst.

ETT: 4.5 mmET, 13cm @ lips;

NG:12 Suction cath: 8 ET drug dilution volume: 3-5 ml

RESUS: CPR: 5:1 20 cycles/min 100/20 (Brady <60/min) 3-4 cm depth

DCCS: (monophasic) 20J 20J 50J (biphasic) 10J 10J 20J

Ventilations: 120ml in Asthma: 10-15/min

BLOOD LOSS: Significant blood loss 120-180 ml (norm vol: 840ml)

DRUG / DOSE / VOLUME / DRUG / DOSE / VOLUME

Arrest

/

Adrenaline

/ 0.12 mg
≈ 0.1 mg / 0.1 ml (1:1000)
in 1ml syringe / Asthma /

Salbutamol

/ 60 mcg / 1.2 ml
(500mcg in 10ml)
1.2 ml (1:10,000) / 30 mcg / 0.6 ml
Via ETT / 1.2 mg / 1.2 ml
(1:1000) / Salbutamol
Infusion
2mg/kg/min / 1.2 mg / 1.2 ml
(5 in 5) in50ml @ 60ml/hr
Also Org/phos O/D /

Atropine

/ 240 mcg / 2.4 ml
(600mcg in 6ml) /

Hydrocort

/ 24 mg
≈ 25 mg / 1 ml
(250mg in 10ml)

SodiBic

/ 12 ml
6 ml /

Adrenaline

/ 0.12 mg / 1.2 ml (1:10,000)
Lignocaine / 12 mg / 2.4 ml
(50mg in 10ml) /

Hartmanns

/ 20 ml/kg / 240 ml
6 mg / 1.2 ml
(50mg in 10ml) / Narcotic O/D /

Naloxone

/ 0.12 mg / 0.3 ml
(0.4 mg/ml)
Lignocaine
Infusion
20mg/kg/min / 24 mg / 1.2 ml
(100mg in 5ml) in50ml@30ml/hr / Pain
To max:
2.4 mg /

Morphine

0.1mg/kg / 1.2 mg / 1.2 ml
(10mg/10ml)
Intubation / Fentanyl
(sedate) / 24 mcg / 2.4 ml
(100mcg / 10ml) / (If no IV
0.1mg/kg IMI once) /

Morphine

0.05 mg/kg / 0.6 mg / 0.6 ml
(10mg/10ml)
in 2ml syringe
Midazolam
(sedate) / 2.4 mg
≈ 2 mg / 0.4 ml
(5mg/ml) / Fluids /

Hartmanns

/ 20 ml/kg / 240 ml
Morphine
(sedate) / 2.4 mg / 2.4 ml
(10mg/10ml) / Fitting /

Midazolam IM

/ 1.2 mg
≈ 1 mg / 0.2 ml

Morphine

(maintain) / 1.2 mg / 1.2 ml
(10mg/10ml) /

IV

/ 0.6 mg
≈0.5mg / 0.1 ml
Midazolam

(maintain)

/ 1.2 ml
≈1 mg / 0.2ml
(5mg/ml) / Hypo /

Glucagon

/ 0.5 mg / 0.5 ml
Mengi-coccal / Ceftriaxone
50mg/kg
IV / 600 mg / 6 ml
1 gm in 10 ml water / Dextrose 50% / 12 ml
IM / 600 mg / 2.4 ml
1 gm with 3.5ml of 1% Lignocaine to make 4 ml / Anaphylaxis / Adrenaline / 0.12 mg
≈0.1mg
(0.1 ml) IM 1:1000 / 0.12 mg
(1.2 ml)
IV 1:10,000


3 Years: 14 kg

Normal Values Resps: 20-35 Pulse: 80-120 BP: >80 syst.

ETT: 5.0 mmET, 13.5cm @ lips;

NG:12 Suction cath: 8 ET drug dilution volume: 3-5 ml

RESUS: CPR: 5:1 20 cycles/min 100/20 (Brady <60/min) 3-4 cm depth

DCCS: (monophasic) 30J 30J 50J (biphasic) 15J 15J 30J

Ventilations: 140ml in Asthma: 10-15/min

BLOOD LOSS: Significant blood loss 140-210 ml (norm vol: 980ml)

DRUG / DOSE / VOLUME / DRUG / DOSE / VOLUME

Arrest

/

Adrenaline

/ 0.14 mg
≈ 0.1 mg / 0.1 ml (1:1000)
in 1ml syringe / Asthma /

Salbutamol

/ 70 mcg / 1.4 ml
(500mcg in 10ml)
1.4 ml (1:10,000) / 35 mcg
≈ 40 mcg / 0.8 ml
Via ETT / 1.4 mg / 1.4 ml
(1:1000) / Salbutamol
Infusion
2mg/kg/min / 1.4 mg / 1.4 ml
(5 in 5) in50ml @ 60ml/hr
Also Org/phos O/D /

Atropine

/ 280 mcg / 2.8 ml
(600mcg in 6ml) /

Hydrocort

/ 28 mg
≈ 30 mg / 1.2 ml
(250mg in 10ml)

SodiBic

/ 14 ml
7ml /

Adrenaline

/ 0.14 mg / 1.4 ml (1:10,000)
Lignocaine / 14 mg / 2.8 ml
(50mg in 10ml) /

Hartmanns

/ 20 ml/kg / 280 ml
7 mg / 1.4 ml
(50mg in 10ml) / Narcotic O/D /

Naloxone

/ 0.14 mg
≈0.16 mg / 0.4 ml
(0.4 mg/ml)
Lignocaine
Infusion
20mg/kg/min / 28 mg / 1.4 ml
(100mg in 5ml) in50ml@30ml/hr / Pain
To max:
2.8 mg /

Morphine

0.1mg/kg / 1.4 mg / 1.4 ml
(10mg/10ml)
Intubation / Fentanyl
(sedate) / 28 mcg / 2.8 ml
(100mcg / 10ml) / (If no IV
0.1mg/kg IMI once) /

Morphine

0.05 mg/kg / 0.7 mg
≈ 0.8 mg / 0.8 ml
(10mg/10ml)
in 2ml syringe
Midazolam
(sedate) / 2.8 mg
≈ 3 mg / 0.6 ml
(5mg/ml) / Fluids /

Hartmanns

/ 20 ml/kg / 280 ml
Morphine
(sedate) / 2.8 mg / 2.8 ml
(10mg/10ml) / Fitting /

Midazolam IM