bedside reference · rhythms · dosing · peds · OB · case rounds
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Local
II
Lead
25
mm/s
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CASE —
Weight-based dosing shown as mg/kg with adult max caps where applicable. Use actual (not estimated) weight whenever possible.
Pediatric Antibiotics
Covers postpartum hemorrhage, preeclampsia/eclampsia, and related uterotonic/antihypertensive dosing. Involve OB early.
Doses shown are typical infusion ranges — titrate to the clinical endpoint (MAP, cardiac output, perfusion) rather than a fixed number.
Choose induction/paralytic agents based on hemodynamics, allergy history, and time-critical contraindications (e.g. hyperkalemia risk with succinylcholine).
Vent Management
General Approach to Status Epilepticus
Definition
A single seizure lasting more than 5 minutes, or two or more seizures within a 5-minute period without the patient returning to baseline between them.
Stepwise protocol
Protect the airway and monitor SpO₂/EtCO₂; position to reduce aspiration risk
Point-of-care glucose immediately — treat hypoglycemia if present
First-line: benzodiazepine (lorazepam or midazolam); may repeat once if still seizing after ~5 minutes
Second-line (still seizing after benzodiazepines): load an antiepileptic — fosphenytoin, valproic acid, or levetiracetam
Refractory status (continues despite first- and second-line agents): secure the airway, start a continuous infusion (propofol, midazolam, or ketamine), and involve neurology/EEG monitoring
Identify and treat reversible causes throughout — hypoglycemia, hyponatremia, hypoxia, toxin/withdrawal, eclampsia, fever, structural lesion
Doses shown include both ED/IV options and the pill-form regimen typically sent home. Always confirm local resistance patterns, culture/sensitivity data when available, and true allergy history before selecting an agent.
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Reference tool, not a clinical order set. Doses are common starting points from ACLS and major guidelines — confirm against your institution's protocol, patient-specific factors (weight, renal/hepatic function, allergies, pregnancy), and pharmacy before administering. Pediatric doses are weight-based: always verify against a current weight, a Broselow tape, or your institution's pediatric dosing tool before giving.