NOTE: If you received a brochure, your online checkout
discount code can be found on the order form.
ONLINE DISCOUNT SPECIAL: The promotional discount code can be found written on the brochure in the green space on the rights side of the order form. The regular price will be listed at checkout until this code is entered. This code is used to receive the special online quantity and price at checkout, otherwise the regular price will be charged.
NOTICE: The resolution of graphics on this site have been reduced and blurred to protect the chart information. The graphics on the actual chart are high resolution and in full color.
HOSPITALS & CLINICS
CRITICAL CARE UNITS
• Large 24 X 36 Inch Size Wall Chart.
• Large 3 X 3 Inch Medication Boxes.
• Printed On Poster Grade Quality Stock.
• Easy To Find & Calculate Dosages.
• Color Coded Administration Rates.
• Fluid Expansion/Maintenance Volumes.
• Standard Concentrations Listings.
• Rapid Sequence Intubation Information.
LARGE FULL SIZE 3 X 3 INCH MEDICATION BOXES!!
Large Easy-To-See Medications and Dosages Information
letter symbol for medication:
Red/Red - Infusion time (bolus - 5 min).
Red/Blue - Infusion time (10 - 30 min).
Blue/Blue - Infusion time (1 hr or more).
Med can be given by endotracheal tube
Available size / concentration
Med dosage used in 5 kg calculation
5 kg wt dosage for each concentration.
Medication information, concentration, etc.
|J||Background colors: yellow - PALS meds / green - RSI meds|
|K||Extravasation tissue damage risk|
|L||Maximum dosage information|
|M||Important warnings, interactions, etc|
|*A, *B, *C||Refers to a listed standard concentration of the indicated medication.|
The "Rule of Six" is that six times the patient’s body weight (in kg) equals the amount of drug (in mg) to be added to 100 mL of IV fluid. With a child weighing 10 kg, you would put 60 mg of medication into 100 mL of IV fluid. Using this rule results in a concentration where 1 mCg/kg/min dose of any drug equals a rate of 1 mL/hr.
JCAHO has mandated standard concentrations for infusions. The "Rule of Six" does not meet the requirement for standardized drug concentrations and JCAHO requires that this method be eliminated. The problem with the "Rule of Six" is that errors can occur during the mixing. Hospitals that have approval from JCAHO of an alternate method must still meet all the criteria of JCAHO and eliminate the method no later than December 31, 2008.
Hospitals must standardize and limit the number of drug concentrations it uses. If multiple concentrations of a drug are used, orders for that drug should specify the actual drug dose, drug volume, patient’s weight, the dose per unit weight, and the rate and mode of administration. This makes it possible to check dose by recalculation.
This organization is not in any way affiliated with or endorsed by JCAHO.
Example Using The Pediatric Chart: A 10 kg patient requiring epinephrine
The bolus dosage box has "EP" in red and has a dosage and volume based on 0.01 mg/kg in a 5 kg patient. For a 10 kg patient, multiply the dose and volume by two (10 kg = 5 kg X 2).
0.05 mg X 2 = 0.1 mg IV.
0.5 mL X 2 = 1.0 mL IV.
The patient would be given 0.1 mg (1.0 mL) IV of *A concentration of epinephrine.
The infusion dosage box has "EP" in blue and has a dosage and specific rates for each concentration of epinephrine based on 0.1 mCg/kg/min in a 5 kg patient.
For a 10 kg patient, multiply the dose and rates of infusion by two (10 kg = 5 kg X 2).
30 mCg/hr X 2 = 60 mCg/hr IV.
1.2 mL/hr X 2 = 2.4 mL/hr IV of *A concentration.
0.6 mL/hr X 2 = 1.2 mL/hr IV of *B concentration.
0.15 mL/hr X 2 = 0.30 mL/hr IV of *C concentration.
The patient would be given 60 mCg/hr IV using the rate of the selected *A, *B, or *C concentration.
The higher concentration limits fluid volume.
Click one of the "Order Now !" buttons above to order the chart.
THE INCREDIBLE MEDICAL SCHOOL
PEDIATRIC CRITICAL CARE
ONLINE MEDICAL VIDEOS
MEDICAL EDUCATIONAL VIDEOS