Treatment of shock in children and some tricks to calculate dose of vasoactive agents | Pediatrics 

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For septic shock, directly start adrenaline or noradrenaline after fluid boluses

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link.springer.com/article/10.1007/s13312-018-1269-5

In our institute, 50 mg/ml Or sometimes 25 mg/ ml concentration of dobutamine is available. If you have 12.5 mg/ ml concentration then you have to always multiply 1.2 with weight for 24 hours drip ( dose will be equivalent to 10 ug/ kg / min. dobutamine)

It's a trick for easy calculation

Sure

5-20 micrograms/kg/minute

Weight multiply with 0.18 ml dopamine for 24 hours drip will be equivalent to 5 ug/kg/min infusion

50 ml fluid + 0.9 ml dobutamine divided by 24 hours = 2.1 ml/hour

thank you very much @@learningpediatrics5347

​​@@learningpediatrics5347i have a question mom, so we calculated the dose at 1mcg/kg/min in this formula,how do we calculate it to run at 0.05 mcg or 0.15mcg?? So mom in my local hospital in africa they calculate it as follows If we start over at 0.05mcg/kg min the rate it runs over is 1ml/hr If it was 0.1mcg/kg/min the rate it runs over is 2 ml/hr If it was 0.15mcg/kg/min the rate will be 3ml/kg.... It continues like this to maximum of 6ml/hr So mom is this the correct way???? I personally dont think it is

50 ml fluid + 0.9 ml dobutamine divided by 24 hours = 2.1 ml/hour

@@learningpediatrics5347 thank you ma'am ..

50 ml fluid + 0.9 ml dobutamine divided by 24 hours = 2.1 ml/hour

Learning Pediatrics Thanks a lot😇