Emergency Department Rapid Sequence Intubation (RSI) Calculator – IWK Drug Information Resource

Pediatric Dosing/Administration Calculator Tools

Emergency Department Rapid Sequence Intubation (RSI) Calculator

Date Wednesday, November 30, 2022

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Emergency Department Rapid Sequence Intubation

Ketamine, IV (2 mg/kg)
Dose
Concentration	10 mg/mL
Volume
Notes/Admin Instructions	Administer IV direct in 1 minute or less. Dose may be repeated if needed after clinical assessment. Maximum: 200 mg/dose.

fentaNYL, IV (1 microgram/kg)
Dose
Concentration	50 microgram/mL
Volume
Notes/Admin Instructions	Administer IV direct in 1 minute or less. Dose may be repeated if needed after clinical assessment. Maximum: 100 microgram/dose.

Midazolam, IV (0.1 mg/kg)
Dose
Concentration	1 mg/mL
Volume
Notes/Admin Instructions	Administer IV direct in 1 minute or less. Dose may be repeated if needed after clinical assessment. Maximum: 10 mg/dose.

Propofol, IV (1 mg/kg)
Dose
Concentration	10 mg/mL
Volume
Notes/Admin Instructions	Administer IV direct in 1 minute or less. Dose may be repeated if needed after clinical assessment. Maximum: 100 mg/dose.

Succinylcholine, IV (1 mg/kg)
Dose
Concentration	20 mg/mL
Volume
Notes/Admin Instructions	Administer IV direct in 1 minute or less. Dose may be repeated if needed after clinical assessment. Maximum: 150 mg/dose.

Rocuronium, IV (1 mg/kg)
Dose
Concentration	10 mg/mL
Volume
Notes/Admin Instructions	Administer IV direct in 1 minute or less. Dose may be repeated if needed after clinical assessment. Maximum: 100 mg/dose.

If no IV Access

Ketamine, IM (4 mg/kg)
Dose
Concentration	50 mg/mL
Volume
Notes/Admin Instructions	Time to effect is longer then IV route. Maximum: 250 mg/dose.

Succinylcholine, IM (3 mg/kg)
Dose
Concentration	20 mg/mL
Volume
Notes/Admin Instructions	Time to effect is longer than IV route. Maximum: 150 mg/dose.