Pediatric Drug Dosages

Acetaminophen Dose – Pediatric – Pain/Fever PO/IV

15mg/kg. Max 650mg. Slow over 15min

Activated Charcoal Dose – Pediatric – Poisoning Oral/NG

1g/kg. Max 50g

Adenosine Dose – Pediatric – SVT First Dose IV

0.1mg/kg. Max 6mg

Adenosine Dose – Pediatric – SVT Second Dose IV

0.2mg/kg. Max 12mg

Albuterol Dose – Pediatric – Bronchospasm Neb

2.5mg in 3mL NS at 6–8LPM

Amiodarone Dose – Pediatric – VF/VT Pulseless IV/IO

5mg/kg. Max 300mg

Amiodarone Dose – Pediatric – VT/SVT with a pulse IV

5mg/kg in 50mL NS over 20–60min

Ancef (Cefazolin) Dose – Pediatric – Open Fracture/Amputation IV/IO

25mg/kg

Aspirin Dose – Pediatric – Chest Pain/AMI PO

Not given <14 years

Atropine Dose – Pediatric – Symptomatic Bradycardia IV/IO

0.02mg/kg. Min 0.1mg. Max 0.5mg

Atropine Dose – Pediatric – Organophosphate Poisoning IV/IO

0.05mg/kg. Repeat every 10–20min as needed

Calcium Chloride Dose – Pediatric – Hyperkalemia/OD/Crush IV/IO

20mg/kg (0.2mL/kg of 10%). Max 1g

Captopril Dose – Pediatric – Pulmonary Edema/CHF SL

Not recommended

Dexamethasone Dose – Pediatric – AMS IV/IM/PO

0.25–1mg/kg. Max 16mg

Dexamethasone Dose – Pediatric – Bronchospasm IV/IM/PO

0.6mg/kg. Max 16mg

Dextrose Dose – Pediatric – Hypoglycemia IV/IO

5mL/kg of D10. Max 250mL

Diazepam Dose – Pediatric – Status Epilepticus IV/IO

0.2–0.5mg/kg over 2–5min. Max 5mg/dose. May repeat every 2–5min to max 10mg

Diazepam Dose – Pediatric – Status Epilepticus Rectal

0.5mg/kg. Max 20mg

Diazepam Dose – Pediatric – Sedation IV/IO

0.04–0.2mg/kg every 2–4h. Max 0.6mg/kg in 8h

Diazepam Dose – Pediatric – Behavioral IV/IO

0.04–0.2mg/kg every 2–4h. Max 0.6mg/kg in 8h

Diltiazem Dose – Pediatric – Tachyarrhythmia IV

Not recommended

Diphenhydramine Dose – Pediatric – Allergic Reaction/Anaphylaxis IV/IM/IO

1mg/kg. Max 50mg

Dobutamine Dose – Pediatric – Cardiogenic Shock IV

5–20mcg/kg/min. Start 5, increase every 10min by 5 until SBP adequate

Dopamine Dose – Pediatric – Shock/Hypotension IV

Start 5mcg/kg/min. Increase every 10min by 5 until SBP adequate. Max 20 unless MD order

Droperidol Dose – Pediatric – Nausea IV/IO/IM

Not recommended

Duoneb Dose – Pediatric – Bronchospasm Neb

0.5mg Ipratropium + 3mg Albuterol. Repeat as needed

Enalopril Dose – Pediatric – Pulmonary Edema/CHF IV

Not recommended

Epinephrine Dose – Pediatric – Anaphylaxis/Asthma IM

0.01mg/kg. Max 0.3mg. Repeat every 5–15min as needed

Epinephrine Dose – Pediatric – Cardiac Arrest IV/IO

0.01mg/kg (0.1mL/kg of 0.1mg/mL) every 3–5min. Max 1mg/dose

Epinephrine Dose – Pediatric – Push Dose IV

1mcg/kg (0.1mL/kg of 1:100,000) every 2min as needed

Epinephrine Dose – Pediatric – Infusion IV

0.1–1mcg/kg/min titrated to SBP target

Epinephrine Dose – Pediatric – Upper Airway Edema Neb

0.5mL/kg of 1mg/mL (1:1000) in 2.5mL NS. Max 5mL

Etomidate Dose – Pediatric – Intubation IV

0.3mg/kg over 30s. Max 20mg

Fentanyl Dose – Pediatric – Pain IV/IO/IM/IN

1mcg/kg. May repeat ½ dose every 5min. Max 3mcg/kg (200mcg)

Furosemide Dose – Pediatric – CHF/Pulmonary Edema IV

1mg/kg. Max 6mg/kg in 24h

Glucagon Dose – Pediatric – Hypoglycemia IM/IN

0.1mg/kg. Max 1mg

Glucagon Dose – Pediatric – Beta/Calcium Blocker OD IV/IO

0.05mg/kg. Max 5mg. May repeat every 10–15min

Hydrocortisone Dose – Pediatric – Adrenal Insufficiency/Shock IV/IM

2mg/kg. Max 100mg

Hydroxocobalamin Dose – Pediatric – Cyanide Toxicity IV/IO

70mg/kg. Max 5g

Ibuprofen Dose – Pediatric – Pain PO

10mg/kg. Max 600mg

Ketamine Dose – Pediatric – Excited Delirium IM

4mg/kg single dose

Ketamine Dose – Pediatric – Excited Delirium IV/IO

2mg/kg

Ketamine Dose – Pediatric – Intubation IV/IO

2mg/kg

Ketamine Dose – Pediatric – Pain IV

0.3mg/kg in 100mL NSS over 10min. Max 30mg

Levalbuterol Dose – Pediatric – Bronchospasm Neb

0.63–1.25mg in 3mL NS over 5–15min. Repeat as needed

Levophed Dose – Pediatric – Shock/Hypotension IV

0.05–0.5mcg/kg/min. Increase by 0.05 every 5min to MAP goal

Lactated Ringers Dose – Pediatric – Shock/Burns/Dehydration IV

20mL/kg bolus. Repeat as needed

Lidocaine Dose – Pediatric – Cardiac Arrest VT/VF IV/IO

1mg/kg. Repeat 0.5–0.75mg/kg every 5–10min. Max 3mg/kg

Lidocaine Dose – Pediatric – Wide Complex Tachycardia IV/IO

1mg/kg. May repeat 0.5–0.75mg/kg if command approves

Lidocaine Dose – Pediatric – Post-ROSC Infusion IV

20–50mcg/kg/min

Lidocaine Dose – Pediatric – IO Anesthetic IO

0.5mg/kg slow push. Max 40mg

Lorazepam Dose – Pediatric – Anxiety/Seizures/Sedation IV/IO/IM/IN

0.05–0.1mg/kg. Max 4mg/dose

Lorazepam Dose – Pediatric – Persistent Dizziness IV/IO

0.05mg/kg. Max 4mg

Magnesium Sulfate Dose – Pediatric – Cardiac Arrest IV/IO

25–50mg/kg. Max 2g

Magnesium Sulfate Dose – Pediatric – Torsades with a pulse IV/IO

25–50mg/kg. Max 2g

Magnesium Sulfate Dose – Pediatric – Bronchospasm IV/IO

25–50mg/kg. Max 2g

Magnesium Sulfate Dose – Pediatric – Eclampsia

Not applicable

Methylprednisolone Dose – Pediatric – Anaphylaxis/Asthma/COPD IV/IO

2mg/kg. Max 125mg

Midazolam Dose – Pediatric – Sedation/SAI/Pacing/Cardioversion IV/IO

0.05–0.1mg/kg. Max 2mg/dose

Midazolam Dose – Pediatric – Seizures IM

0.2mg/kg. Max 10mg

Midazolam Dose – Pediatric – Seizures IV/IO

0.1mg/kg. Max 4mg/dose

Midazolam Dose – Pediatric – N/V Vertigo IV/IO

0.05mg/kg. Max 1mg

Morphine Dose – Pediatric – Pain IV/IO/IM

0.1mg/kg. Max 10mg/dose. Repeat every 5min. Max 20mg

Naloxone Dose – Pediatric – Overdose IV/IO/IM/IN

0.1mg/kg. Max 2mg

Nitroglycerin Dose – Pediatric – Not recommended

Nitrous Oxide Dose – Pediatric – Pain Inhaled

50% O2 / 50% N2O

Ondansetron Dose – Pediatric – N/V IV/IO/ODT

0.1–0.15mg/kg. Max 4mg

Oxytocin Dose – Pediatric – Not recommended

Pralidoxime Dose – Pediatric – Organophosphate Poisoning IM

20–50mg/kg

Procainamide Dose – Pediatric – Refractory VF/VT IV/IO

15mg/kg slow over 30–60min

Racemic Epinephrine Dose – Pediatric – Severe Stridor Neb

0.5mL in 2mL NSS. If <4 years, 0.25mL

Sodium Bicarbonate Dose – Pediatric – Cardiac Arrest/OD IV/IO

1mEq/kg

Sodium Bicarbonate Dose – Pediatric – Crush Injury IV/IO

1mEq/kg before extrication. Repeat after if QRS widening

Sodium Chloride Dose – Pediatric – Shock/Dehydration IV/IO

20mL/kg bolus. Repeat as needed

Sodium Thiosulfate Dose – Pediatric – Cyanide Toxicity IV/IO

400mg/kg (10mL/kg of 10%) over 10min. Max 12.5g

Tetracaine Dose – Pediatric – Corneal Injury Ophthalmic

2 drops

Terbutaline Dose – Pediatric – Bronchospasm IM

0.01mg/kg. Max 0.25mg

Toradol Dose – Pediatric – Pain IV/IM

0.5mg/kg. Max 15mg

Tranexamic Acid Dose – Pediatric – Trauma IV

15mg/kg in 100mL NSS over 10min. Max 1g

Verapamil Dose – Pediatric – Tachyarrhythmia IV

Not recommended