Emergency Drug Calculator

PALS DRUGS

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This printout is a guideline only, not a physician order


(If unknown, enter as Patient X, etc.)
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PALS MEDICATIONS
Dose Calculations Intravenous/Intraosseous unless otherwise specified
DrugIndicationConcentration Dose Volume NotesAdmin Notes
Adenosine. 1st Dose
(0.1 mg/kg)		SVT 3 mg/mL
MAX 6 mg Undiluted. Rapid IV push. Flush with NS.
Give at IV site closest to heart.
Only give IO if no IV access.
Adenosine. Repeat Dose
(0.2 mg/kg)		SVT 3 mg/mL
MAX 12 mg Undiluted. Rapid IV push. Flush with NS.
Give at IV site closest to heart.
Only give IO if no IV access.
Amiodarone
(5 mg/kg)		 SVT
Ventricular Tachycardia (VT)
Ventricular fibrillation (Vfib)		 50 mg/mL
MAX 300 mg. May repeat up to 15 mg/kg Dilute to 1 mg/mL in D5W.
Give IV over 30-60min with perfusing rhythm. For cardiac arrest can give as IV bolus
Atropine
(0.02 mg/kg)		Bradycardia 0.4 mg/mL
MAX 1 mg Undiluted. Over 1 min.
Caution: 2 concentrations available
Calcium Gluconate
(60 mg/kg)		Hyperkalemia
Hypocalemia		 100 mg/mL
MAX 3000 mg Dilute to 50 mg/mL in NS.
Administer Over at least 5 min
Epinephrine IM
For Anaphylaxis
(0.01 mg/kg) 		Anaphylaxis  (IM ONLY)  1 mg/mL
MAX 0.5 mg 
1mg/mL = 1:1000 		 DO NOT GIVE IV 
Epinephrine IV/IO
(0.01 mg/kg)		Pulseless arrest 
Bradycardia 		 0.1 mg/mL
May repeat q3-5min 
0.1mg/mL = 1:10,000 
 FOR PULSELESS ARREST OR BRADYCARDIA
Note dosage strength
Undiluted. Rapid IV bolus
Glucose (D10W)
(500 mg/kg or 5 ml/kg) 		Hypoglycemia 100 mg/mL
500 mg/kg = 0.5g/kg = 5 mL/kg of D10W.
Usual MAX 25g = 250ml. 		Undiluted. Over 2-3min.
Lidocaine
(1 mg/kg)		Ventricular tachycardia (VT). Ventricular fibrillation (Vfib) 20 mg/mL
lidocaine 20 mg/mL = 2% Undiluted. Over 2 min
Magnesium Sulphate
(25 mg/kg)		Torsades des pointes 500 mg/mL
MAX 2000 mg.
Magnesium Sulphate 500 mg/mL = 50%		 Dilute to 40 mg/mL in NS. Over 15-30min
Naloxone
(0.1 mg/kg)
Give in 1/10 increments		 Respiratory Arrest 0.4 mg/mL
Give dose slowly in 1/10 increments. Titrate to effect. MAX 2 mg Undiluted. Give slowly.
Naloxone 
(2mcg/kg) (0.002mg/kg)
Must dilute 		Respiratory Depression 40 mcg/mL
Mix 1ml of 0.4 mg/ml (400 mcg/ml) Naloxone in 9 ml NS to yield 40 mcg/ml Diluted. May need to repeat dose q 2 min x 4 doses.
Sodium Bicarbonate
(1 mmol/kg)		Metabolic acidosis. Hyperkalemia 1 mmol/mL
Sodium Bicarbonate 1 mmol/mL = 8.4% Undiluted. Over 2 min
Sodium Bicarbonate
(1 mmol/kg)		Metabolic acidosis. Hyperkalemia 0.5 mmol/mL
Preferred for infants.
Sodium Bicarbonate 0.5 mmol/mL = 4.2%		 Dilute 8.4% 1:1 with SWI to make 4.2%. Over 2 min
Revised April 2019

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