This content was created by Peter Antevy. This content was uploaded by Peter Antevy. This is a YouTube video titled "Handtevy Minute 1-10000 & Amio" created on October 5, 2015, featuring Peter Antevy explaining the administration of epinephrine and amiodarone in pediatric cardiac arrest scenarios, including dosage calculations based on patient weight.
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Lets move now into 1 to 10,000 epinephrine. That drug is given for cardiac arrest through an IV. An easy way to remember that is the IV epinephrine. One to 1,000 is I've arrested, IV arrested. Remember, for patients who have arrested, that drug gets pushed fast. Once you have the weight, you move that decimal point over one place and that's your dose in MLS of epinephrine IV. So let's go through some examples. A one year old 10 kilo child, that's 1mL of epinephrine. A three year old 15 kilo child, move the decimal point over one place. 1.5 ML, 5 year old is 2 ML, a 7 year old is 2.5 ML and that 30 kilo 9 year old is 3 ML.
So let's move on. Next to amiodarone. Amiodarone is quite confusing. To many people it comes as 450 per 9 or 150 per 3. They both are 50 milligrams per 1 milliliter. In pediatrics we give 5 milligrams per kilogram. You see how many calculations are required until you get to the right dose in mls. With my system it's very simple. The amiodarone dose used in cardiac arrest is the same as your IV epi dose. 1 to 10,000. So let's review. A 1 year old 10 kilo child, decimal point cones over one place. One ML 3 year old, 15 kilo child, 1.5 ML. A 5 year old 20 kilo child gets 2 ML of amiodarone. And the 7 year old 25 kilo child gets 2.5 ML of amiodarone. It's that simple.