Pediatric emergency medicine trisk 0217 0217

FIGURE 9.13 Broselow tape for determining drug dosage schedule based on patient length. A:
Placement of tape. B: Equipment size and drug dosage schedule printed on tape.

Alternative Routes of Medication Administration
IV administration, including IO, is the preferred route for medications. However,
the pulmonary bed provides a surface for absorption of lipid-soluble drugs and
can be used if vascular access is unavailable. Currently, lidocaine, epinephrine,
atropine, and naloxone (LEAN) can be used via this route. The optimal drug
dosage remains unknown as absorption varies widely due to its dependence on
pulmonary blood flow. Animal studies have shown that standard doses of
epinephrine (0.01 mg/kg) achieve serum levels that are approximately 10% of
those achieved by the intravascular route. Thus, the recommended dose of