Royal Manchester Children's Hospital - PICU (Version 12.

0) 1/31/2024 Date: 22-Jun-21

Patient Name: Hosp #
Estimated weight: >>>>>>> Enter DOB for estimated weight >>>>>>>>>>>>>>>>>> >>>>>>>>> >>> DOB:
Actual weight: <<<< Enter actual weight in kg
.
Intubation (Ampule Strength) Dose Range Dilution ml Dose (ml) Dose Based on:
Atracurium 10mg/ml 0.5mg/kg none 0.05ml/kg ? weight ? ml mg 0.5mg/kg
Atropine 100microg/ml (Min-i-jet) 20microg/kg none 0.2ml/kg ? weight ? ml mg 20 microg/kg
Fentanyl 50 microg/ml 1-5 microg/kg none 0.04ml/kg ? weight ? ml microg 2 microg/kg
Ketamine 50mg/ml 1-2mg/kg none 0.02-0.04ml/kg ? weight ? ml mg 2mg/kg
Midazolam 2mg/ml 100-200microg/kg none 0.05-0.1ml/kg ? weight ? ml mg 100 microg/kg
Suxamethonium 100mg/2ml 1mg/kg none 0.02ml/kg ? weight ? ml mg 1 mg/kg
Thiopental 500mg powder 3-5mg/kg 20ml WFI 0.12-0.2ml/kg ? weight ? ml mg 5 mg/kg
Rocuronium (10mg/ml) 1mg/kg none 0.1ml/kg ? weight ? ml mg 1 mg/kg
Emergency Dose Range Dilution ml Dose (ml) Dose Based on:
Adenosine 6mg/2ml 100 microg/kg 6mg+10ml NS, 0.5mg/ml 0.2ml/kg ? weight ? ml mg * NOTE DILUTION *
Adrenaline 1:10,000 10 microg/kg none 0.1ml/kg ? weight ? ml mg
Amiodarone 300mg/10ml 5mg/kg none 0.17ml/kg ? weight ? ml mg
Calcium Gluconate 10% 0.11 mmol/kg none (0.22mmol/ml) 0.5ml/kg ? weight ? ml mmol
Calcium Chloride 14.7% 0.14 mmol/kg none (1mmol/ml) 0.14ml/kg ? weight ? ml mmol
Dextrose 10% 200mg/kg none 2ml/kg ? weight ? ml mg + start maintenance
Diazemuls 10mg/2ml 0.2-0.4mg/kg none 0.04-0.08ml/kg ? weight ? ml mg 0.2 mg/kg
Lorazepam 4mg/ml 100mcg/kg none 0.025ml/kg ? weight ? ml mg
Magnesium Sulphate 50% ¯Mg 0.4mmol/kg none (2mmol/ml) 0.2ml/kg ? weight ? ml mmol ¯Mg
Asthma 40mg/kg none (500mg/ml) 0.08ml/kg ? weight ? ml mg Asthma
Mannitol 20% (20g/100ml) 0.25-1g/kg none 2.5ml/kg ? weight ? ml g 0.5 g/kg
Potassium Choride 15% n 0.4mmol/kg Dilute to 0.5mmol/ml 0.8ml/kg ? weight ? ml mmol * SLOW *
Sodium Bicarbonate 8.4% 1-2mmol/kg none 1-2ml/kg ? weight ? ml mmol 1 mmol/kg

Fluids - Bolus Fluids - Maintenance

Bolus 10ml/kg 100% ? weight ? ml per day = ml/hour
ml 70% ml per day = ml/hour
Fluid calculations based on: ?????? kg 50% ml per day = ml/hour
 0 This sheet is a guide for IV therapy, user must verify ALL doses
ã Peter-Marc Fortune & Adam Sutherland, RMCH, Version 12.0, 5/3/18, Expiry Date 31/1/24

Royal Manchester Children's Hospital - PICU Hosp # ??? Date: 22-Jun-21

??? DOB: ??? Weight ???
Infusions Dose Range Dilute
Adrenaline/Noradrenaline n 0.05-2 microg/kg/min ? weight ? mg made up to 50ml with D5W or 0.9% 1ml/h = 0.1microg/kg/min
Amiodarone 5-15 microgram/kg/min ? weight ? mg made up to 50ml with D5W * See BNFc *
Dopamine/Dobutamine n 3-20 microg/kg/min ? weight ? mg made up to 50ml with D5W or 0.9% 1ml/h = 5 microg/kg/min
Isoprenaline sulphate n 1-4 microg/min ? weight ? mg made up to 25ml with D5W or 0.9% 1ml/h = 1microg/min
Milrinone 0.25-1.0 microg/kg/min ? weight ? mg made up to 50ml with D5W or 0.9% 1ml/h = 0.25 microg/kg/min
Vasopressin (Argipressin) n 0.0003 u/kg/min ? weight ? u made up to 50ml with D5W or 0.9% 1ml/h = 0.0003 u/kg/min
Glyceryl Trinitrate 1-10 microg/kg/min ? weight ? ml/h = 1 microg/kg/min
Sodium Nitroprusside 0.5-8 microg/kg/min ? weight ? mg made up to 50ml with D5W 1ml/h = 1 microg/kg/min
Fentanyl (50microg/ml) 1-10 microg/kg/h ? weight ? microg made up to 50ml with D5W or 0.9% 1ml/h = 1microg/kg/h
Ketamine (ANAESTHETIC) n g 5-45microg/kg/min ? weight ? mg made up to 25ml with 0.9% 1ml/h = 10 microg/kg/min
Morphine 5-60 microg/kg/h ? weight ? mg made up to 50ml with D5W or 0.9% 1ml/h = 20 microg/kg/hr
Midazolam ? weight ?
Thiopentone 500mg/20mlWFI 1-5 mg/kg/h ? weight ? ml/hr = 1mg/kg/hr = 0.04ml/kg/hr
Rocuronium 300-1000microg/kg/h ? weight ? ml/h = 300microg/kg/h
Aminophylline n ? weight ? mg made up to 50ml with D5W or 0.9% 1ml/h = 1mg/kg/h
250mg/10ml 5-10mg/kg loading dose over 1 hour then infuse at 0.5mg/kg/h
Dinoprostone PGE2 (Prostin) ? dob ? Neonates only
Salbutamol 1mg/ml n 1-10 microg/kg/min ? weight ? ml/hr = 1microg/kg/min = 0.06ml/kg/h
Phenobarbital 200mg made up to 10ml with WFI, then give 1ml/kg = 20mg/kg ? weight ? ml
further doses of 10mg/kg at intervals of 30-60 mins, max 40mg/kg mg
Phenytoin 250mg/5ml 20mg/kg loading dose over 30 mins ? weight ? mg

ETT Size (mm) ?dob? Length (cm) Oral ?dob? Nasal ?dob?
Verified by: Name signature Infusion Diluents
(Doctor) 0.9% = 0.9% Saline
Checked by: Name signature D5W = 5% Dextrose
(Nurse) This sheet is a guide for IV therapy, you must check and verify ALL doses
n Central administration advised g INTUBATED PATIENTS ONLY ã Peter-Marc Fortune & Adam Sutherland, RMCH, Version 12.0, 5/3/18, Expiry Date 31/1/24