| Enter BW: | kg |
| Enter Age: |
|
AIRWAY & IVF
| ETT size: | __ |
| ETT depth: | __ |
| LMA size: | |
| IVF maintenance (4-2-1): | __ml/h |
| IVF bolus (20ml/kg): | __ml |
INTRAOPERATIVE
| Propofol (3mg/kg): | ___ mg | |
| Atracurium (0.5mg/kg): | ___ mg | |
| Fentanyl (1-2mcg/kg): | ___ to ___ mcg | |
| Morphine (0.1mg/kg): | ___ mg | |
| Paracetamol IV () | ___ mg slow infusion | |
| Paracetamol PR (30mg/kg) | ___ mg | |
| Ondansetron (0.1mg/kg) | ___ mg | |
| Neostigmine (50mcg/kg) | ___ mg |
HAEMAT
| Blood volume (70ml/kg) = __ml |
| PRBC (4ml/kg) = __ml (↑ 1g/dL) |
| PRBC (10ml/kg) = __ml (↑ 2.5g/dL) |
| Platelets (10ml/kg) = __ml |
| FFP (15ml/kg) = __ml |
EMERGENCIES
| Atropine (20mcg/kg): | ___ mg | |
| Suxamethonium (1.5mg/kg): | ___ mg | |
| Adrenaline (10mcg/kg): for cardiac arrest |
__ mcg i.e. __ ml (1:10,000) | |
| Adrenaline (1mcg/kg): for anaphylaxis, initial dose IV |
__ mcg i.e. __ ml (1:10,000) | |
| Sync.Cardioversion (0.5→1→2J/kg): | __→ __→ __J | |
| Defibrillation (2-4J/kg): | __ to __J |
OTHER DRUGS
| Cardiac & Resuscitation | |
| ATP (0.167mg/kg): | __ mg |
| Amiodarone (5mg/kg): | __ mg |
| Hydrocortisone (2-4mg/kg): | __ to __mg |
| Salbutamol IV | 5-10 mcg/kg/min for 1h then 1-2 mcg/kg/min |
| 10mg diluted up to 50ml NS (200mcg/ml) | |
| Intralipid 20% (1.5ml/kg): | __ ml over 1 min |
| Dantrolene (2.5mg/kg): | __ mg |
| Metabolic & Electrolytes | |
| Calcium gluconate 10% (0.3ml/kg): | __ml slow IV |
| Magnesium (25-50mg/kg): | __ to __mg over 20mins |
| approx. __ to __ ml (0.05-0.1ml/kg) of standard preparation (49.3%≈2mmol/ml) | |
| Dextrose (D10W) (2ml/kg): | __ ml |
| for hypoglycaemia; make D10W by diluting 10ml D50W in water make up to 50ml | |
| DI drip (0.1unit/kg insulin + D50W 2ml/kg): |
__U insulin + __ml D50W over 20mins |
| NaHCO3 8.4% (1ml/kg): | __ml slow IV |
| Reversal agents | |
| Naloxone (4mcg/kg, repeat as necessary): | __mcg initial dose, slow IV |
| Flumazenil (10mcg/kg): | __ |
| Neuro | |
| Mannitol 20% (0.25-0.5g/kg=1.25-2.5ml/kg) |
__ to __ml over 30mins |
| Lorazepam (0.1mg/kg): | __ mg |
| Midazolam (0.1-0.2mg/kg) IV or IM: | __ to __ mg |
| Phenytoin (20mg/kg): | __mg over 20mins |
VASOPRESSOR
| Dopamine | Preparation: 200mg in 5ml (40mg/ml) |
| Dosage: | __ mg [BW(kg)x3] dilute up to 50ml NS/D5 |
| Dilution: | Add __ ml NEAT drug to __ ml NS/D5 |
| Infuse at: | 1-20 mcg/kg/min = 1-20 ml/h |
| Dobutamine | Preparation: 250mg in 20ml (12.5mg/ml) |
| Dosage: | __ mg [BW(kg)x3] dilute up to 50ml NS/D5 |
| Dilution: | Add __ ml NEAT drug to __ ml NS/D5 |
| Infuse at: | 1-20 mcg/kg/min = 1-20 ml/h |
| Adrenaline | Preparation: 1:10,000 (0.1mg/ml) |
| Dosage: | __ dilute up to 50ml NS/D5 |
| Dilution: | Add __ ml NEAT drug to __ ml NS/D5 |
| Infuse at: | 0.05-1 mcg/kg/min = 1-20 ml/h |
| Noradrenaline | Preparation: 4mg in 4ml (1mg/ml) |
| Dosage: | __ dilute up to 50ml NS/D5 |
| Dilution: | Add __ ml NEAT drug to __ ml NS/D5 |
| Infuse at: | 0.05-1 mcg/kg/min = 1-20 ml/h |
| Phenylephrine | Preparation: 10mg in 1ml (10mg/ml) |
| Dilution: | Dilute phenylephrine to 10mcg/ml i.e. 10 times more dilute than standard adult dilution of 100mcg/ml |
| Bolus dose: (1-2mcg/kg) |
__ to __ mcg = __ to __ml (Conc.=10mcg/ml) |
MAX DOSE OF LOCAL ANAESTHETIC
| Lignocaine without adrenaline (max 4mg/kg) | ___ mg | |
| Lignocaine with adrenaline (max 7mg/kg) | ___ mg | |
| (Levo)bupivacaine (max 2mg/kg) | ___ mg |
SPECIFIC ASPECTS
| Pulse check:
Child: Carotid or femoral pulse Infants: Brachial pulse |
| Compression-ventilation ratio:
30:2 for 1 rescuer 15:2 for 2 rescuers |
| Compression depth:
Child: 1/3 AP diameter of chest / 5cm Infants: 1/3 AP diameter of chest / 4cm |
| Hand placement:
Child: 2 hands at lower half of sternum Infants: 2 thumb-encircling hands at centre of chest |
| During CPR: Push hard and fast (100-120/min), allow full chest recoil, minimize interruptions, avoid hyperventilation, rotate compressor every 2 minutes |
| Intraoperative arrest: FiO2 to 100%, discontinue anaesthetics, stop surgical stimulus. If patient is already intubated: continue compressions at 100-120/min, give 1 breath every 6 sec |
| Reversible causes: Hypovolemia, hypoxia, hydrogen ion, hypoglycemia, hypo or hyperK+, hypothermia, tension pneumothorax, cardiac tamponade, pulmonary thromboembolism, coronary thrombosis, toxins |
