271
Figure 1. NICU ANALGESIA AND SEDATION ALGORITHM(^)
(^)
(^) PLUS (^)
(^)
(^)
(^)
(^)
(^)
(^)
(^)
(^)
(^)
(^)
(^)
(^)
(^)
(^)
(^)
Fentanyl 2mcg/kg dose IV or
q 15 minutes until pain controlledmorphine 0.02mg/kg/dose IV^
Exhibiting signs of agitation despite bolus dosing
fentanyl infusion 2or - 5mcg/kg hr IV
Morphine 0.02-0.1 mg/kg/hr IV
(^) multiple bolus dosing (as assessed by Exhibiting signs of discomfort despite
FLACC or PIPP scale)
Pain
Agitation
Midazolam 0.03q1h prn-0.1mg/kg/dose IV
midazolam infusion0. 03 - 0.1 mg/kg IV
Exhibiting signs of discomfort requiring rescue prn bolus
dose equal to total of 1 hour infusion dose
3 nonprocedural boluses in 8 hours or
1 bolus dose in 1 hour
Increase infusion and bolus doses by 10%
Acetaminophen 15 mg/kg PR for 72 hours
33 >44 weeks q4h-44 weeks q8h^
28 - 32 weeks q12h
Increase infusion and bolus doses by 10%
3 nonprocedural boluses in 8 hours or
1 bolus dose in 1 hour