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Calcimator

Pediatric Emergency Drugs Calculator

Weight-based emergency drug dosing for children including epinephrine, atropine, amiodarone, defibrillation energy, and fluid bolus.

Inputs

Results

Epinephrine (mg)

0.2

Epinephrine Volume (mL of 1:10,000)2
Atropine (mg)0.4
Amiodarone (mg)100
Defibrillation — Initial (J)40
Defibrillation — Subsequent (J)80
Fluid Bolus (mL)400
Adenosine — 1st Dose (mg)2
Adenosine — 2nd Dose (mg)4
Dextrose Volume (mL)40
How to Use This Calculator
  1. Enter Patient Weight (kg) — use a Broselow tape measurement for unconscious patients.
  2. Enter Patient Age (years) to cross-check weight-based dosing.
  3. Review all drug doses: Epinephrine, Atropine, Amiodarone, Dextrose, and Adenosine.
  4. Check Defibrillation Initial Dose (2 J/kg) and Subsequent Dose (4 J/kg).
  5. Confirm Fluid Bolus (20 mL/kg isotonic saline) and draw up all medications before the resuscitation begins.

How the result changes with Patient Weight (kg)

Patient Weight (kg)Epinephrine (mg)
100.1
350.35
650.65
900.9

What each input means

Patient Weight (kg)
Child's weight in kg. Use Broselow tape if weight unknown.
Patient Age (years)
Age in years. Affects atropine max dose and dextrose concentration.

What each result means

Epinephrine (mg)
0.01 mg/kg IV/IO (1:10,000), max 1 mg.
Epinephrine Volume (mL of 1:10,000)
Volume to draw up from 1:10,000 concentration (0.1 mg/mL).
Atropine (mg)
0.02 mg/kg IV, min 0.1 mg, max 0.5 mg (child) / 1.0 mg (adolescent).
Amiodarone (mg)
5 mg/kg IV/IO, max 300 mg. For refractory VF/pVT.
Defibrillation — Initial (J)
2 J/kg for first shock.
Defibrillation — Subsequent (J)
4 J/kg for subsequent shocks.
Fluid Bolus (mL)
20 mL/kg NS or LR. Reassess after each bolus.
Adenosine — 1st Dose (mg)
0.1 mg/kg rapid IV push, max 6 mg.
Adenosine — 2nd Dose (mg)
0.2 mg/kg rapid IV push, max 12 mg.
Dextrose Volume (mL)
D10W 5 mL/kg (infant) or D25W 2 mL/kg (child).

How this is calculated

Worked example, using the default values

  1. Identify Input Parameters
    Patient Weight (kg) = 20, Patient Age (years) = 5 = 2 input(s) provided
  2. Calculate Epinephrine
    Epinephrine
    0.2 = 0.2
  3. Calculate Epinephrine Volume
    Epinephrine Volume
    2 = 2
  4. Calculate Atropine
    Atropine
    0.4 = 0.4

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