Pediatric Drug Doses

Sedation

MedicationDoseComment
Ketamine IM3-7 mg/kg IM
Ketamine IV1-2 mg/kg IVInduction Dose
Ketamine PO3-6 mg/kg PO
Ketamine IN5-6 mg/kg IN
Propofol Bolus2-4 mg/kgInduction Dose
Propofol Infusion75-400 mcg/kg/minHigher doses at younger ages
Clonidine PO4 mcg/kg PO
Clonidine IV1-2 mcg/kg IV
Pentothal4-6 mg/kg
Midazolam PO0.5-0.7 mg mg/kg POMax dose 20 mg
Midazolam IN0.2-0.3 mg/kg IN
Midazolam IV0.05-0.1 mg/kg IV

Analgesics

MedicationDoseComment
Fentanyl1-2 mcg/kgInduction Dose
Morphine0.1 mg/kgAvoid in neonates
Ketamine IM3-7 mg/kg IM
Ketamine IV1-2 mg/kg IVInduction Dose
Ketamine PO3-6 mg/kg PO
Ketamine IN5-6 mg/kg IN
Paracetamol PO/IV10-15 mg/kgQ6h
Paracetamol rectal30-40 mg/kg PRPR x 1 loading

Muscle Relaxants

MedicationDoseComment
Atracurium0.3-0.4 mg/kg
Cisatricurium0.1-0.2 mg/kg
Rocuronium0.45-0.6 mg/kgStandard Induction
Rocuronium1.2 mg/kgRapid Sequence Induction
Pancuronium0.1 mg/kg
Vecuronium0.1 mg/kg
Suxamethonium1.5-2 mg/kg

Vasoactives

MedicationDoseComment
Adenosine0.1 mg/kg 1st doseMax 6 mg
0.2 mg/kg 2nd doseMax 12 mg
Atropine10-20 mcg/kgNo minimum dose
Glycopyrrolate10-20 mcg/kg
Dantrolene2.5 mg/kg
Ephedrine0.15 mg/kg
Epinephrine (Bronchospasm)1-2 mcg/kg
Epinephrine (Resuscitation)10 mcg/kg
Calcium gluconate50-100 mg/kgIV slowly
Phenylephrine1 mcg/kgTitrate to effect

Local Anesthetics

MedicationDoseComment
Bupivacaine with Epi (Infiltration)2.5-3 mg/kgMax dose 175 mg
Bupivacaine with Epi (Caudal)2.5-3 mg/kgMax dose 175 mg
Lidocaine IV1 mg/kg
Lidocaine (Infiltration)4.5 mg/kg
Lidocaine with Epi (Infiltration)6-7 mg/kg

Antibiotics

MedicationDoseComment
Ampicillin (urology)20 mg/kg
Ampicillin General25-50 mg/kg
Ampicillin-Sulbactam25-50 mg/kg
Cefazolin25 mg/kg
Cefepime 0-14 days old30 mg/kg
Cefepime >14 days old50 mg/kg
Clindamycin10 mg/kg
Gentamycin2 mg/kg
Gentamycin (>14 days old)2.5 mg/kgQ8h
Piperacillin-Tazobactam75 mg/kgMax dose 4.5 g
Vancomycin15 mg/kgMax dose 1.5 g
Vancomycin (neurology)20 mg/kgMax dose 1.5 g

Miscellanous Medications

MedicationDoseComment
Clonidine (PO)2 mcg/kg PO
Clonidine (Caudal)1-2 mcg/kg
Dexamethasone (Airway)0.5 mg/kgMax 10 mg
Dexamethasone (PONV)0.1-0.15 mg/kgMax 8 mg
Hydrocortisone1-2 mg/kgStress dose
Metoclopramide0.1-0.2 mg/kgMax 10 mg
Neostigmine0.04-0.07 mg/kgMax 5 mg
Ondansetron0.1-0.15 mg/kg IVMax 4 mg
Tranexamic Acid5 mg/kg bolus5 mg/kg/hr infusion
Naloxone1 mcg/kgTitrate to effect