Paediatric Intensive Care calculator Version 2.7.

Instructions for use: Complete the boxes shaded yellow with Patients Name,Date of
Birth (DD/MM/YY) and weight. Any suggestions for improvements to mark.terris@belfasttrust.hscni.net

Name John Smith Todays Date 1/23/2024 Please note: sheet is only for
Date of Birth 12/4/2019 Age (Years) 4.1 guidance. You are responsible
Weight (Kg) 10 Est. Weight (Kg) 16.3 for drugs administered.
AIRWAY
ETT Internal Diameter 5 mms
Suggested Length (Oral) 15 cms
Suggested Length (Nasal) 17 cms
FLUIDS
Resuscitation Bolus (20 mls/Kg) 200 mls Half volume in trauma/DKA and repeat if necessary
Maintenance 40 mls/hr
Hypoglycaemia 2mls/Kg 20 mls 10% Dextrose and then commence dextrose infusion
2.7% Hypertonic Saline 3mls/Kg 30 mls
Mannitol 0.5g/Kg 5g 50 mls of 10% Mannitol
INDUCTION AGENTS
Ketamine IV (2mg/Kg) 20 mg
Thiopentone IV (4mg/Kg) 40 mg Lower dose neonates (2mg/Kg)
Propofol IV (2.5mg/Kg) 25 mg
Midazolam IV (0.1mg/Kg) 1.0 mg
Fentanyl IV (2mcg/Kg) 20 mcg
MUSCLE RELAXANTS
Atracurium IV (0.5mg/Kg) 5.0 mg
Rocuronium IV (1 mg/Kg) 10.0 mg
Suxamethonium IV (1mg/Kg) 10.0 mg
Vecuronium IV (0.1mg/Kg) 1.0 mg
RESUSCITATION
Adrenaline IV (10micrograms/Kg) 100 micrograms 1.0 mls of 1:10,000 Adrenaline
Amiodarone IV (5mgs/Kg) 50 mgs
Atropine IV (20micrograms/Kg) 200 micrograms
Calcium IV (0.11mmol/Kg) 1.1 mmols 5.0 mls of 10% Calcium Gluconate
Magnesium IV (50mgs/Kg) 500 mgs 1.0 mls of 50% w/v Magnesium Sulphate
Name John Smith Todays Date 1/23/2024 Please note: this sheet is for guidance only.
Date of Birth 12/4/2019 Age (Years) 4.1 You are responsible for administering drugs to
Weight 10 Predicted Weight 16.3 your patient!
INFUSIONS
Adrenaline (Central) 3.0 mgs in 50mls of diluent total 1 mls/hour=0.1micrograms/Kg/min(Range 0.1-1.5 micrograms/Kg/min)
Adrenaline (Peripheral) img in 50mls diluent 3 mls/hour=0.1micrograms/Kg/min(Range 0.1-1.5 micrograms/Kg/min)
Aminophyline 5.0 MLS/HR of 1mg/ml solution=0.5mg/Kg/hour (Start 0.5-1mg/Kg/Hr per Level/Age)
Amiodarone 150.0 mgs in 50mls 5% Dextrose. 1ml/hr = 5micrograms/Kg/min (Range 5-25 micrograms/Kg/min)
Atracurium 0.3 MLS/HR of 500mgs in 50mls neat solution=0.3mgs/Kg/hour (Range 0.3-1.5 mg/Kg/Hr)
Clonidine 500 micrograms in 50mls diluent total 1 mls/hour=1micrograms/Kg/hour (Range 0.5-2 micrograms/Kg/hour)
Dinoprostone 3.0 MLS/HR of 1 MICROGRAM/mL solution = 5 nanograms/Kg/min (Range 5-20 nanograms/Kg/min)
Dexmedetomidine 200 micrograms in 50mls diluent total 0.25 mls/hr=0.1 micrograms/Kg/hour (Range 0.1 to 1.4 micrograms/Kg/Hour)
Dobutamine 150.0 mgs in 50mls of diluent total. 1.0 mls/hr= 5 micrograms/Kg/min (Range 5-20 micrograms/Kg/min)
Dopamine 150.0 mgs in 50mls of diluent total. 1.00 mls/hr= 5 micrograms/Kg/min (Range 5-20 micrograms/Kg/min)
Esmolol 3.0 MLS/HR of 10mg/ml neat solution=50 micrograms/Kg/min. (Range 50-200 micrograms/Kg/min)
Glucose/Insulin for HYPERKALAEMIA 20 mls of 50% Dextrose and 1 UNITS of insulin together.
Furosemide 500.0 mgs in 50mls diluent total 0.1 mls/hr= 0.1 mg/Kg/hour (Range 0.1-2mg/Kg/hour)
Fentanyl 2000.0 micrograms in 50mls diluent total 1 mls/hr=4 microgrammes/kg/hr(Range 4-10 microgrammes/Kg/Hr)
Labetalol 1.0 MLS/HR of 5 mg/ml neat solution= 0.5mg/Kg/hour (Range 0.5-3 mg/Kg/hour)
Ketamine 500.0 mgs in 50 mls diluent total. 0.6 mls/hr=10 micrograms/Kg/min (Range 10-40 micrograms/Kg/min)
Midazolam 50.0 mgs in 50mls of diluent total 1 mls/hr= 0.1mg/Kg/hour (Range 0.1-0.2mg/Kg/hour)
Milrinone 15.0 mgs in 50 mls diluent total. 1 mls/hr=0.5microgrammes/Kg/min(Range 0.3-.75mcg/Kg/min)
Morphine 10.0 mgs in 50 mls diluent total. 1 mls/hr=20micrograms/Kg/hour (Range 10-60 micrograms/Kg/Hr)
NorAdrenaline 3.0 mgs in 50mls of 5% Dextrose total 1.00 mls/hour=0.1 micrograms/Kg/min Range(0.1-1 micrograms/Kg/min)
Rocuronium 1.0 MLS/HR of 500mgs in 50mls neat solution=1.0 mgs/Kg/hour (Range 0.3-1.0 mg/Kg/Hr)
Salbutamol 3.0 MLS/HR of 10mgs in 50mls of diluent total =1micrograms/Kg/min(Range 1-5 micrograms/Kg/min) MAX 6mls/Hr=20mcg/min
Vasopressin/Argipressin 9.0 units in 50 mls diluent total. 1ml/hr =0.0003 Units/Kg/min (Range 0.0003-0.002 Units/Kg/min)
Vecuronium 50.0 mgs in 50mls diluent total. 0.80 mls/hr=0.08 mg/kg/hr (Range 0.05-0.08 mg/Kg/Hr)