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Sedation and Paralytic
Alternatives
I. Paralytic Agents:
| Medication |
Pediatric (mg/kg) |
Adult |
| Succinylcholine |
1-2 |
1 mg/kg |
| Pancuronium |
0.05-0.1 |
0.08 mg/kg |
II. Sedatives:
| Medication |
Pediatric (mg/kg) |
Adult |
| Morphine |
0.1-0.2 |
4-10 mg |
| Fentanyl |
0.001-.002 |
0.1-0.2mg |
| Valium |
0.1-0.3 |
5-10mg |
| Choral Hydrate |
10-30 PO/PR |
|
| Ketamine |
0.5-2 0 |
.5-1.0mg/kg |
| Propofol (IV) |
2.5-3.5mg/kg then
200-300mcg/kg/min
|
2-2.5 mg/kg (1/2 for
elderly) 0ver 1 min
then 100-150mcg/kg/min
|
III. Rapid sequence intubation
Pediatric:
Atropine 0.01-.02 mg/kg
Thiopental 3-5 mg/kg
Suc-Chol. 1-2 mg/kg
Pancuronium 0.01mg/kg for
fasiculations
Adult:
Atropine 0.5-1 mg
Nembutol 50-100mg over 2
minutes
Suc-chol 70 mg
Pancuronium 0.5 mg
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