Critical Care Quick Reference Group
Weight 70 kg Age adult Broselow Color NA
Normal Vital Signs
Heart Rate 60 – 100 bpm Respiratory Rate 10 – 20 rpm Systolic BP 90 – 140 mmHg SpO2 ≥95%[1]
Intubation
Medication Dose Calculation Pretreatment Lidocaine 105 mg 1.5 mg/kg[2] Fentanyl 70 mcg 1 mcg/kg RSI Etomidate 21 mg 0.3 mg/kg Succinylcholine 105 mg 1.5 mg/kg Midazolam (Versed) 2 mg 0.1 mg/kg (max 2 mg per dose) Ketamine 140 mg 2 mg/kg Vecuronium 7 mg 0.1 mg/kg Rocuronium 70 mg 1 mg/kg Equipment ET Tube (cuffed) 8 ±0.5 age/4+3 Blade 3-4 Miller or MAC cm to teeth 23 3 x ETT size
Pulseless Arrest
Medication Dose Calculation Defibrillation 200 J 2 J/kg(max 200) Epinephrine (1:10,000) 0.7 mg 0.01 mg/kg (max 1 mg) Amiodarone load (without pulse) 300 mg 5 mg/kg (max 300) Lidocaine 70 mg 1 mg/kg Lidocaine Infusion 3500 mcg/min 50 mcg/kg/min Magnesium sulfate 2000 mg 50 mg/kg (max 2000 mg) CalCl (100mg/mL) 1000 mg 20 mg/kg (max 1000 mg) Sodium Bicarbonate (8.4%) 50 mL 1 mL/kg (max 50 mL)
Cardiac with Pulse
Medication Dose Calculation Adenosine 6 mg 0.1 mg/kg (max 6 mg) Adenosine Repeat 12 mg 0.2 mg/kg (max 12 mg) Amiodarone load (with pulse) 150 mg 5 mg/kg Amiodarone 2nd/3rd dose repeat loading dose up to total 3 times 15 mg/kg max Atropine 1 mg 0.02 mg/kg (max 1 mg) Cardioversion (sync) 100J, 200J, 300J, 360J Increase Joules with each cardioversion Procainamide 1050 mg 15 mg/kg (max 1500 mg) Diltiazem 17.5 mg 0.25 mg/kg Esmolol 7000 mcg/min 100 mcg/kg/min Magnesium sulfate 2000 mg 50 mg/kg Nitroglycerin drip 3.5 mcg 0.05 mcg/kg/min Glucagon 1.75 mg 0.025 mg/kg
Hypoglycemia
Medication Dose Calculation D50W 50 mL (1 amp) 1 mL/kg D25W 140 mL 2 mL/kg D10 W 175 mL 2.5 mL/kg Glucagon 1.75 mg 0.025 mg/kg
Vasopressors
Medication IV Dose (mcg/kg/min) Standard Concentration Final Concentration Norepinephrine (Levophed) 0.01-2 mcg/kg/min 8 mg in 500 mL D5W 16 mcg/mL Dopamine 2-20 mcg/kg/min 400 mg in 250 mL D5W 1,600 mcg/mL Dobutamine 2-20 mcg/kg/min 250 mg in 250 mL D5W 1,000 mcg/mL Epinephrine 0.01-1 mcg/kg/min 1 mg in 250 mL D5W 4 mcg/mL
Sedation
Medication Dose Calculation Lorazepam (Ativan) 2 mg 0.05 mg/kg (max 2 mg per dose) Morphine 7 mg 0.1 mg/kg Fenatnyl 70 mcg 1 mcg/kg Ketamine 70 mg 1 mg/kg Midazolam (Versed) 2 mg 0.1 mg/kg (max 2 mg per dose) Propofol IV (initial) 70 mg 1 mg/kg Propofol (drip) 3500 mcg 50 mcg/kg/min
Seizure and CNS
Medication Dose Calculation Lorazepam (Ativan) 2 mg 0.05 mg/kg (max 2 mg per dose) Fosphenytoin (PE = phenytoin equivalent) 1400 PE 20 PE/kg Phenytoin (Dilantin) 1400 mg 20 mg/kg Phenobarbitol 700 mg 10 mg/kg Diazepam (Valium) rectal 7 mg 0.1 mg/kg every 2 min Levetiracetam (Keppra) 1400 mg 20 mg/kg Mannitol 70 g 1 g/kg Hypoglycemia IV dextrose see glucose table
References
Other Equipment
Chest tube (fr) 32-40 for surgical chest tubes; consider pigtail if no trauma Central line NG tube (fr) 18
Fluids
Normal saline 0.9% bolus 1.5L Maintenance 110cc/hr PRBCs (1u=250cc) 1 unit
See Also
Quick Reference Groups[1]
Adult Category Weight Large adult 100kg ADULT 70kg Small adult 50kg Pediatric Broslow Color Weight (Age) Green 35kg (10yr) Orange 25kg (8yr) Blue 20kg (6yr) White 15kg (4yr) Yellow 12kg (2yr) Purple 10kg (1yr) Red 8kg (6mo) Pink 6kg (4mo) Gray 5kg (2mo) 3.5kg (newborn) Preemie 2kg (preemie)
- ACLS (Main)
- PALS (Main)
