Emergency Medicine

Paediatric Emergencies 345

CARDIOPULMONARY RESUSCITATION

Table 11.4 Paediatric emergency drugs

Drug Dose and route of administration

Intravenous Intra-

osseous

Intra-

muscular

Endo-

tracheal

Adrenaline

(epinephrine)

1 in

10 000

Initial:

0.1 mL/kg

(10 μg/kg)

Initial:

0.1 mL/kg

(10 μg/kg)

––

1 in

1000

• – 0.01 mL/kg
  (10 μg/kg)

0.1 mL/kg

(100 μg/kg)

Atropine 0.6 mg/mL i.v. or i.o. bolus over 1 min

Birth–1 month: 15 μg/kg

(0.025 mL/kg)

1 month–12 years:

20 μg/kg (0.033 mL/kg)

(minimum 100 μg,

maximum 600 μg)

Sodium bicarbonate

8.4%

i.v. or i.o.

1 mmol/kg or 1.0 mL/kg

––

Calcium chloride 10% Central line

or large i.v.

0.2 mmol/kg

(0.2 mL/kg)

to maximum

10 mL

–– –

Dextrose 10% i.v. bolus 10%:

5 mL/kg

–– –

25% i.v. bolus 25%:

2 mL/kg

–– –

Lignocaine (lidocaine)

2% (100 mg/5 mL)

i.v. or i.o.

1 mg/kg (0.05 mL/kg), then

i.v. infusion 15–50 μg/kg per

minute

Lorazepam i.v. or rectal or

sublingual

0.1 mg/kg

(maximum 4 mg)

Give as a single

dose (may be

repeated once)

–– –

i.o., intraosseous; i.v., intravenous.