| Amiodarone |
Ventricular arrhythmias, atrial fibrillation |
Loading: 150 mg IV over 10 min, then 1 mg/min for 6 hrs |
5 mg/kg IV/IO over 20–60 min (max 300 mg) |
| Atropine |
Bradycardia |
0.5 mg IV q3–5 min (max 3 mg) |
0.02 mg/kg IV (min 0.1 mg, max 0.5 mg per dose) |
| Dobutamine |
Cardiogenic shock, heart failure |
2–20 mcg/kg/min IV infusion |
2–20 mcg/kg/min IV infusion |
| Dopamine |
Hypotension, shock |
2–20 mcg/kg/min IV infusion |
2–20 mcg/kg/min IV infusion |
| Epinephrine |
Shock, cardiac arrest |
0.01 mg/kg (1:10,000) IV/IO every 3–5 min in arrest |
Same as adult; 0.01 mg/kg (max 1 mg) IV/IO every 3–5 min |
| Esmolol |
SVT, hypertension, aortic dissection |
Load: 500 mcg/kg over 1 min, then 50–200 mcg/kg/min infusion |
100–500 mcg/kg IV load, then 50–300 mcg/kg/min IV infusion |
| Fentanyl |
Pain, sedation |
25–100 mcg IV q30–60 min PRN or continuous 1–3 mcg/kg/hr |
1–2 mcg/kg IV q30–60 min or continuous 1–3 mcg/kg/hr |
| Furosemide |
Pulmonary edema, volume overload |
20–40 mg IV, titrate to response |
1 mg/kg IV (max 40 mg/dose) |
| Heparin |
DVT/PE, MI, anticoagulation |
IV bolus 60–70 U/kg (max 5000 U), then 12–15 U/kg/hr infusion |
75–100 U/kg IV bolus, then 15–25 U/kg/hr infusion |
| Labetalol |
Hypertensive emergency |
10–20 mg IV over 2 min, then repeat or continuous infusion |
0.2–1 mg/kg IV over 2 min (max 40 mg/dose) |
| Lidocaine |
Ventricular arrhythmias |
1–1.5 mg/kg IV bolus, then 1–4 mg/min infusion |
1 mg/kg IV bolus, then 20–50 mcg/kg/min infusion |
| Milrinone |
Heart failure, cardiogenic shock |
Load: 50 mcg/kg IV over 10 min, then 0.375–0.75 mcg/kg/min |
Same as adult |
| Morphine |
Pain, MI, pulmonary edema |
2–5 mg IV q3–4 hr PRN |
0.05–0.1 mg/kg IV q2–4 hr PRN |
| Norepinephrine |
Septic shock, hypotension |
2–30 mcg/min IV infusion (titrate to MAP) |
0.05–2 mcg/kg/min IV infusion |
| Phenylephrine |
Hypotension |
50–200 mcg IV bolus, or 0.5–2 mcg/kg/min infusion |
0.1–0.5 mcg/kg/min IV infusion |
| Propofol |
Sedation |
5 mcg/kg/min, titrate to effect (max ~50–80 mcg/kg/min) |
1–5 mg/kg IV bolus; infusion 5–50 mcg/kg/min |
| Sodium Nitroprusside |
Hypertensive crisis, afterload reduction |
0.3–10 mcg/kg/min IV infusion |
0.3–4 mcg/kg/min IV infusion |
| Vasopressin |
Septic shock, vasodilatory shock |
0.01–0.04 units/min IV infusion |
0.0003–0.002 units/kg/min IV infusion |
