Memorization Items

Pediatric Antibiotic Dosing

Antibiotic	IV Dose	Max Dose
Ampicillin	50 mg/kg	2000 mg
Cefazolin	25 mg/kg	<80 kg : 1 g >80 kg : 2 g
Ceftriaxone	25 mg/kg	2000 mg
Cefuroxime	50 mg/kg	1500 mg
Clindamycin	10 mg/kg	600 mg
Levofloxacin	10 mg/kg	750 mg
Vancomycin	15 mg/kg	2000 mg

Anesthesia Gases

Vapor	1 MAC	Minimal FGF Rate	Pros	Cons
Isoflurane	1.2 %	1 L/min	cardioprotective	slow wake up
Sevoflurane	1.8 %	2 L/min	great mask induction	Compound A at low flows
Desflurane	6.6 %	1 L/min	good for obese patients	irritant for smokers or asthma

Anesthesia Drugs

Phase	Name	Mechanism	Dose	Notes
Preop	Midazolam	GABA agonist	Nasal: 0.2 mg/kg PO: 0.5 mg/kg IV: 0.1 mg/kg	up to 2mg IV
Preop	Dexmedetomidine	alpha 2a agonist	PO: 2-4 mcg/kg Nasal: 2-4 mcg/kg IV: 2mcg/kg
Preop	Ketamine	NMDA blocker	IV: 0.5-1 mg/kg IM: 3-5 mg/kg
Induction	Propofol	increases GABA-mediated CNS inhibition	IV: 2-4 mg/kg
Induction	Etomidate	stimulates GABA receptors depresses reticular activating system	IV: 0.3 mg/kg

Reversal Drugs

Name	Class	Dose	Notes
Flumazenil	benzo reversal	0.01 mg/kg	Seizures when too rapid
Naloxone	opioid reversal	0.001 mg/kg

Epidural and Peripheral Nerve Infusion Dosing

Name	Max Bolus Dose	Max Infusion Rate
Ropivicaine	< 2 mo: 2.5 mg/kg > 2 mo: 3.5 mg/kg	< 2 mo: 0.3 mg/kg/hr > 2 mo: 0.6 mg/kg/hr
Bupivicaine	< 2 mo: 2.5 mg/kg > 2 mo: 3 mg/kg	< 2 mo: 0.25 mg/kg/hr > 2 mo: 0.5 mg/kg/hr

• Note: To convert % concentration to mg/kg, multiply by 10

Regional Adjuvants

Name	Starting Dose	Comments
Clonidine	0.1 - 0.2 mcg/kg/hr	bolus = 0.5-2mck/kg. Do not give if hemodynamically unstable
Hydromorphone	0.5 - 2 mcg/kg/hr	epidural use only
Fentanyl	1 mcg/kg/hr	epidural use only

Mallapatti Classification

Cormack-Lehane Classification

Difficult Airway Algorithm