cxr

CBG's q2 until stable

CBC c dif/plt q12-24

BMP

bs q.5-1 until stable then q4 x 2

then q8 x 2 etc.

i/t >.25 = sepsis

To do

ivf's

bolus 10-20 cc/kg NS

4cc/kg/hr 1st 10kg

2cc/kg/hr 2nd 10kg

1cc/kg rest

fluid type based on lytes

glucose if low bs

bolus 2cc/kg D10W

then use maint

abx

amp 12.5-50mg/kg q6 AND

claforan12.5-45mg/kg q6 OR

gent 2-2.5mg/kg q8

hypocalcemia

calcium gluconate

300mg NGT QID

STABLE

Sugar

BS <40:

bolus D10W 2ml/kg

start infusion of D10W at 80ml/kg/dy

recheck BS Q15-30 min until >50 on 2 evals

Temperature

Nl 36.5(97.7)-37.5(99.5)

Artificial Breathing

Nl RR<60 with easy effort

CBG's': pH 7.3-7.4

pCO2 35-50

HCO3 19-22

Tube sizes

2.5 <1kg/<20wk

3.0 1-2kg/28-34wk

3.5 2-3kg/34-38wk

3.5-4.0 >3kg/>38wk

Versed

.05mg-.1mg/kg per dose over 15 min

BP

IV bolus 10ml/kg, may rpt 2-3X

dopamine

(6 x kg x dose)/desired rate(ml/hr)

start 5mcg/kg/min and increase by 2.5 mcg/kg/min

must be preceded by a fluid bolus

never thru UAC or art line

Lab

I/T= immature/total segs

>.25 suspect sepsis

>.8 increased risk of death

abx

amp 50-100mg/kg/dose Q12

gent 2.5mg/kg/dose Q12-24

Claforan 12.5-45 mg/kg Q6

Emotionial support

Emerg meds (NR)

epi 1:10,000

.1-.3mL/kg dose IV/ET

rpt Q3-5 min

NaHCO3 .5mEQ/mL (4.2 pct)

2mEQ/kg IV dose over 2min

Narcan .4mg/mL or 1.0 mg/mL

.1mg/kg dose IV/ET/SQ/IM