Color coding kids
Download
1 / 100

Color Coding Kids: - PowerPoint PPT Presentation


  • 601 Views
  • Updated On :

Color Coding Kids:. The Broselow-Luten System. Institute of Medicine Report. Deaths: 44,000 to 98,000 Cost: 17 to 29 Billion Dollars. Lesar study. Medication error rate in tertiary care center Greatest areas Pediatrics Emergency Department

Related searches for Color Coding Kids:

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'Color Coding Kids:' - paul2


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
Color coding kids l.jpg

Color Coding Kids:

The Broselow-Luten System


Institute of medicine report l.jpg
Institute of Medicine Report

  • Deaths: 44,000 to 98,000

  • Cost: 17 to 29 Billion Dollars


Lesar study l.jpg
Lesar study

Medication error rate in tertiary care center

  • Greatest areas Pediatrics Emergency Department

  • Pediatrics: reliance on dosage equations was major cause of error


Kaushal jama study 4 01 l.jpg
Kaushal JAMA Study 4/01

  • Included major Children’s Hospital

  • 5.7% of orders had medication errors

  • Dosing error most prevalent category


Slide9 l.jpg


Two key pediatric error issues l.jpg
Two Key Pediatric Error Issues

  • 1) Dependence upon calculations

  • 2) Lack of familiarity with normal vs. abnormal


Slide11 l.jpg

1993 1995

Number 34 30

Greater than

1 error 19 9

Ten fold errors 3 4


Slide12 l.jpg



Even the cleaning lady would know too many amps in the trash l.jpg
Even The Cleaning lady would know!!“Too many amps in the trash”



Adjusted broselow luten zones l.jpg

Zone CM Length Wt in Kg Age in months

1 Pink 59.5-66.5 6-7 2-5

2 Red 66.5-74 8-9 5-11

3 Purple 74-84.5 10-11 11-19

4 Yellow 84.5-97.5 12-14 19-30

5 White 97.5-110 15-18 30-39.5

6 Blue 110-120.75 19-23 39.5-62.5

7 Orange 120.75-133.4 24-29 62.5-83

8 Green 133.4-146.5 30-36 83-107.5

ADJUSTED BROSELOW-LUTEN ZONES


Mathematical accuracy of new zones l.jpg
Mathematical Accuracy of New Zones

  • Average variation from “rounded” Kg dosing for each zone or practical difference between per Kg and zone dosing: 4%


Slide19 l.jpg

Standard Pediatric system

PINK

6-7KG

Gray Zones

Gray 3kg

RED

8-9KG

Gray 4kg

Gray 5kg

PURPLE

10-11KG

YELLOW

12-14KG

Round

to the nearest

whole kilogram

WHITE

15-18KG

BLUE

19-23KG

ORANGE

24-29KG

GREEN

30-36KG


Slide20 l.jpg

RAINBOW TAPE

DRUGS and EQUIPMENT

YELLOW


Prescribing system l.jpg
“Prescribing system”

A standardized pre-calculated color-coding dosing system

May be used in all therapeutic environments

(not protocol driven)

Two formats:

1) rainbow pages

2) rainbow stripes



Rainbow stripe format l.jpg
Rainbow Stripe Format

VENTILATION

Parameters: FiO2 100%, PEEP 3 cm H2O, Inspiratory Time >0.6 sec, PIP 2030 cm H2O, Tidal Volume 10-15 mL/kg—Start low and increase to PIP 20-20 cm H2O

ZONE

PINK

RED

PURPLE

YELLOW

WHITE

BLUE

ORANGE

GREEN

TIDAL VOLUME

60-100mL

75 - 125mL

100-150mL

125-200mL

150-250mL

200-300mL

250-400mL

350-500mL

FREQUENCY(BPM)

20 - 25

20 - 25

15 - 25

15 - 25

15 - 25

12 - 20

12 - 20

12 - 20

FLUIDS

ZONE

PINK

RED

PURPLE

YELLOW

WHITE

BLUE

ORANGE

GREEN

BOLUS ( mL)

130

170

210

260

325

420

530

660

MAINTENANCE (mL/hr)

28

35

40

45

55

65

70

75

MINIMUM HOURLY

URINE OUTPUT (mL/hr)

7-14

9--18

10-20

13-25

16-32

20-40

25-50

35-65

NOTE: The 3, 4, 5 kg weights are not part of the color coded system.The following applies to these Patients : VENTILATION Rate same as pink and red, Tidal Volume, Fluid- 3kg 1/2 (50%) pink zone, 4kg 2/3(67%) pink zone, 5kg 3/4(75%) pink zone values.


Drug administration by protocol l.jpg
Drug administration by protocol

  • Standardized Dosing

  • Medication ordering by Protocol … Guide or “Key Word”

    3) Dose in mLs

    4) Information organized by

    Point of care “Flow Guides”


Dosing by key word l.jpg
Dosing by “Key word”

Midazolam Induction

Midazolam Sedation

Diazepam- sedation IV

Diazepam-Seizure IV*

Diazepam-seizure-RECTAL

Diphenhydramine IV

Pancuronium Defasciculation

Pancuronium Induction

Pancuronium Maintenance

Vancomycin IV

Vancomycin



Slide37 l.jpg

HYPERKALEMIA FLOW CHART

Initial

Stabilzation

Give Calcium Chloride IV over 3-5 minutes, may repeat in 10 minutes

Give Sodium Bicarbonate IV over 5-10 minutes

First Line

Drugs

Give Glucose and Insulin IV over 30 minutes, may repeat immediately

Ancillary

Measure

Albuterol neb

Long term

Preventive

Kayexalate PO,NG, or PR


Slide38 l.jpg

12-14 kg

YELLOW


Slide39 l.jpg

EQUIPMENT

ZONE

PINK

RED

PURPLE

YELLOW

WHITE

BLUE

ORANGE

GREEN

ET Tube(mm)

3.5 uncff

3.5 uncff

4.0 uncff

4.5 uncff

5.0 uncff

5.5 uncff

6.0 cuff

6.5 cuff

Lip-Tip (cm)

10 - 10.5

10 - 10.5

11 - 12

12.5-13.5

14- 5

15.5-16.5

17-18

18.5-19.5

Suction

8F

8F

8 - 10F

10F

10F

10F

10F

12F

L-Scope blade

1 straight

1 straight

1 straight

2 straight/

curved

2 straight/

curved

2 straight/

curved

2-3 straight/

curved

2-3straight/

curved

Stylet

6F

6F

6F

6F

6F

14F

14F

14F

Oral Airway

50 MM

50 MM

60 MM

60 MM

60 MM

70 MM

80 MM

80 MM

NP Airway

14F

14F

18F

20F

22F

24F

26F

30F

BVM

INFANT

INFANT

CHILD

CHILD

CHILD

CHILD

CHILD/

ADULT

ADULT

ETCO2

PEDIATRIC/

DETECTOR

PEDIATRIC/

DETECTOR

PEDIATRIC/

DETECTOR

PEDIATRIC/

DETECTOR

ADULT/

DETECTOR

ADULT/

DECTECTOR

ADULT/

DETECTOR

ADULT/

DETECTOR

DEFIBRILLATION - CARDIOVERSION

ZONE

PINK

RED

PURPLE

YELLOW

WHITE

BLUE

ORANGE

GREEN

Defib (1stdose)

13j

17j

20j

26j

33j

42j

53j

66j

Defib ( 2+ doses)

26j

34j

40j

52j

66j

84j

106j

132j

Cardioversion

7j

8j

10j

13j

17j

21j

27j

33j

NOTE: The 3, 4, 5 kg weights are not part of the color coded system.The following applies to these Patients : EQUIPMENT- same as pink and red. Defibrillation,Cardioversion 3kg 1/2 (50%) pink zone, 4kg 2/3(67%) pink zone, 5kg 3/4(75%) pink zone values.


Slide40 l.jpg

COMMON ORAL

MEDICATIONS (mLs)

DRUG

PINK

RED

PURPLE

YELLOW

WHITE

BLUE

ORANGE

GREEN

Acetamin

suspension

3.1

4

5

6.2

8

10

12.5

15

Acetamin

drops

1

1.3

1.6

2

2.5

3.2

4

5

Ibuprofen

suspension

3

4

5

6.5

8

10

13

16.5

Amoxicillin

125mg/5mL

3

4

5

6

8

10

13

16

Amoxicillin

250mg/5mL

1.5

2

2.5

3

4

5

6.5

8

Amoxicillin(HIGH DOSE)400mg/5mL

5.6

7.2

9.5

11

15

19

24

30

cefdinir

125mg/5mL

1.8

2.5

3

3.6

4.6

6

7.5

9.2


Slide41 l.jpg

RSI FLOW CHART(Medications)

Preparation

Preoxygenation

Zero

minus

5-10min

Zero

minus

3min

Zero

Zero

plus

45sec

Lidocaine-RSI IV

Fentanyl-RSI IV

Atropine-RSI IV

Pan/vecuronium-Defasiculation IV

Pretreatment

Paralytics

Succinylcholine IV

Rocuronium-Paralysis IV

Pan/vecuronium-Paralysis IV

Induction Agents

Etomidate-Induction IV

Ketamine Induction IV

Midazolam-Induction IV

Thiopental-Induction IV

Propofol-Induction IV

Paralysis/

Induction

Placement

Paralysis Maintenance

Pan/Vec/Rocuronium-maintenance IV

Post Intubation

Management

Sedation Maintenance

Lorazepam IV, or other


Slide42 l.jpg

RSI FLOW CHART

Gen Sequence

K+ Risk

+ICP

Poor Perfusion

Asthma

Zero

minus

5-10min

Zero

minus

3min

Zero

Zero

plus

45sec

Preparation

Preoxygenation

Pretreatment

Atropine-RSI/RESUS IV

Paralytics

Succinylcholine IV,

or

Rocuronium-Paralysis IV

Induction Agent

Etomidate-Induction IV

Paralysis/

Induction

Placement

Paralysis Maintenance

Vecuronium maintenanceIV

Post Intubation

Management

Sedation Maintenance

Lorazepam IV


Slide43 l.jpg

RSI FLOW CHART

Gen Sequence

K+ Risk

+ICP

Poor Perfusion

Asthma

Zero

minus

5-10min

Zero

minus

3min

Zero

Zero

plus

45sec

Preparation

Preoxygenation

Pretreatment

Atropine-RSI/RESUS IV

Paralytics

Rocuronium-Paralysis IV

Induction Agent

Etomidate-Induction IV

Paralysis/

Induction

Placement

Paralysis Maintenance

Vecuronium maintenanceIV

Post Intubation

Management

Sedation Maintenance

Lorazepam IV


Slide44 l.jpg

RSI FLOW CHART

Gen Sequence

K+ Risk

+ICP

Poor Perfusion

Asthma

Zero

minus

5-10min

Zero

minus

3min

Zero

Zero

plus

45sec

Preparation

Preoxygenation

Pretreatment*

Atropine-RSI/RESUS IV

Lidocaine-RSI IV

Paralysis/

Induction

Paralytics

Rocuronium-Paralysis IV

Induction Agent

Etomidate-Induction IV

Placement

Paralysis Maintenance

Vecuronium maintenanceIV

Post Intubation

Management

Sedation Maintenance

Lorazepam IV


Slide45 l.jpg

RSI FLOW CHART

Gen Sequence

K+ Risk

+ICP

Poor Perfusion

Asthma

Zero

minus

5-10min

Zero

minus

3min

Zero

Zero

plus

45 sec

Preparation

Preoxygenation

Pretreatment

Atropine-RSI/RESUS IV

Induction Agent

Etomidate-Induction IV

or

Ketamine Induction IV

Paralytics

Succinylcholine IV,

or

Rocuronium-Paralysis IV

Paralysis/

Induction

Placement

Paralysis Maintenance

Vecuronium maintenance IV

Post Intubation

Management

Sedation Maintenance

Lorazepam IV


Slide46 l.jpg

RSI FLOW CHART

Gen Sequence

K+ Risk

+ICP

Poor Perfusion

Asthma

Zero

minus

5-10min

Zero

minus

3min

Zero

Zero

plus

45sec

Preparation

Preoxygenation

Pretreatment

Atropine-RSI/RESUS IV

Induction Agent

Etomidate-Induction IV

or

Ketamine Induction IV

Paralytics

Succinylcholine IV,

or

Rocuronium-Paralysis IV

Paralysis/

Induction

Placement

Paralysis Maintenance

Vecuronium maintenance IV

Post Intubation

Management

Sedation Maintenance

Lorazepam IV


Putting it together l.jpg
Putting it together

5 year old “Broselow Tape Red Zone”

Hit on head with baseball bat

Glasgow Coma score is 6

BP 130/100 pulse 90 Respirations 20

Needs airway management and is at risk for elevated ICP


Slide48 l.jpg

RSI FLOW CHART

Gen Sequence

K+ Risk

+ICP

Poor Perfusion

Asthma

Zero

minus

5-10min

Zero

minus

3min

Zero

Zero

plus

45sec

Preparation

Preoxygenation

Pretreatment*

Atropine-RSI/RESUS IV

Lidocaine-RSI IV

Paralysis/

Induction

Paralytics

Rocuronium-Paralysis IV

Induction Agent

Etomidate-Induction IV

Placement

Paralysis Maintenance

Vecuronium maintenanceIV

Post Intubation

Management

Sedation Maintenance

Lorazepam IV


Slide49 l.jpg

RSI FLOW CHART

Gen Sequence

K+ Risk

+ICP

Poor Perfusion

Asthma

Zero

minus

5-10min

Zero

minus

3min

Zero

Zero

plus

45sec

Preparation

Preoxygenation

Pretreatment*

Atropine-RSI/RESUS IV

Lidocaine-RSI IV

Paralysis/

Induction

Paralytics

Rocuronium-Paralysis IV

Induction Agent

Etomidate-Induction IV

Placement

Paralysis Maintenance

Vecuronium maintenanceIV

Post Intubation

Management

Sedation Maintenance

Lorazepam IV


Slide50 l.jpg

Blue 19-24 KGS

Pretreatment Medications


Slide51 l.jpg

RSI FLOW CHART

Gen Sequence

K+ Risk

+ICP

Poor Perfusion

Asthma

Zero

minus

5-10min

Zero

minus

3min

Zero

Zero

plus

45sec

Preparation

Preoxygenation

Pretreatment*

Atropine-RSI/RESUS IV

Lidocaine-RSI IV

Paralysis/

Induction

Paralytics

Rocuronium-Paralysis IV

Induction Agent

Etomidate-Induction IV

Placement

Paralysis Maintenance

Vecuronium maintenanceIV

Post Intubation

Management

Sedation Maintenance

Lorazepam IV



Slide53 l.jpg

RSI FLOW CHART

Gen Sequence

K+ Risk

+ICP

Poor Perfusion

Asthma

Zero

minus

5-10min

Zero

minus

3min

Zero

Zero

plus

45sec

Preparation

Preoxygenation

Pretreatment*

Atropine-RSI/RESUS IV

Lidocaine-RSI IV

Paralysis/

Induction

Paralytics

Rocuronium-Paralysis IV

Induction Agent

Etomidate-Induction IV

Placement

Paralysis Maintenance

Vecuronium maintenanceIV

Post Intubation

Management

Sedation Maintenance

Lorazepam IV


Slide54 l.jpg

Blue 19-24 KGS

Post Intubation Agents


Are we dumbyfying medicine l.jpg
Are We " Dumbyfying" Medicine?

  • Math free algorithms enhance “critical thinking “

  • “Transparency” of critical decisions promotes team approach to error

    reduction


Point of care functional units l.jpg
Point of Care functional units

  • ALS

  • RSI

  • Anaphylaxis

  • Pain and Sedation

  • Fluids and burns

  • Weapons of Mass destruction

  • Seizures, electrolytes, etc


Slide57 l.jpg

BURNS--------PINK

  • Determine % BSA of patient’s burn

  • 2) Refer to fluid charts for hourly rate for patient’sburn

Body Surface Area Percentages for PINKzone

7%

7%

4%

3%

Front

Back


Slide58 l.jpg

1) Resuscitation Fluid (LR)

Presentation

1 hr post burn

Presentation

2hr post burn

Presentation

3 hr post burn

Presentation

4 hr post burn

%

Burn

Rate

For 7 hrs

%

Burn

Rate

For 6 hrs

%

Burn

Rate

For 5 hrs

%

Burn

Rate

For 4 hrs

10%

12mL/hr

10%

14mL/hr

10%

17mL/hr

10%

21mL/hr

20%

25mL/hr

20%

29mL/hr

20%

35mL/hr

20%

44mL/hr

30%

36mL/hr

30%

42mL/hr

30%

50mL/hr

30%

63mL/hr

40%

50mL/hr

40%

58mL/hr

40%

70mL/hr

40%

88mL/hr

50%

60mL/hr

50%

70mL/hr

50%

85mL/hr

50%

106mL/hr

60%

70mL/hr

60%

83mL/hr

60%

100mL/hr

60%

125mL/hr

70%

86mL/hr

70%

100mL/hr

70%

120mL/hr

70%

150mL/hr

80%

96mL/hr

80%

113mL/hr

80%

135mL/hr

80%

170mL/hr

90%

107mL/hr

90%

125mL/hr

90%

150mL/hr

90%

188mL/hr

100%

120mL/hr

100%

142mL/hr

100%

170mL/hr

100%

213mL/hr

2) Piggy Back Fluid (Maintenance D5W+1/4 NS)

Presentation

1hr Post Burn

Presentation

2hr Post Burn

Presentation

3hr Post Burn

Presentation

4hr Post Burn

Rate for 7hrs

Rate for 6 hrs

Rate for 5 hrs

Rate for 4 hrs

50mL/hr

For 7hrs

58mL/hr

for6hrs

70mL/hr

For 5hrs

88mL/hr

for4hrs

Presentation > 4hr Post Burn

*If > 4 hr.s post burn, start fluids at 4hr post burn rate, treat shock with 20mL/kg fluid boluses, and consult burn center for further fluid guidelines


Emergency infusions l.jpg
Emergency infusions

  • Standard Pediatric System

  • Neonates


Slide60 l.jpg

Standard Pediatric system

PINK

6-7KG

Gray Zones

Gray 3kg

RED

8-9KG

Gray 4kg

Gray 5kg

PURPLE

10-11KG

YELLOW

12-14KG

WHITE

15-18KG

BLUE

19-23KG

ORANGE

24-29KG

GREEN

30-36KG


Slide61 l.jpg

Standard Pediatric system

PINK

6-7KG

Gray Zones

Gray 3kg

RED

8-9KG

Gray 4kg

Gray 5kg

PURPLE

10-11KG

YELLOW

12-14KG

WHITE

15-18KG

BLUE

19-23KG

ORANGE

24-29KG

GREEN

30-36KG


Slide62 l.jpg

RAINBOW TAPE

DRUGS and EQUIPMENT

Purple


Slide63 l.jpg

Infusion bag label applied by pharmacist

#1

PURPLE

10-11KG

Maintenance Fluids

42 mLs/hr

B-L Concentration

Dopamine 1600 micrograms/mL

mcg/kg/min

2

mcg

4

mcg

6

mcg

8

mcg

10

mcg

12

mcg

14

mcg

16

mcg

18

mcg

20

mcg

mLs/hour

0.8

mL

1.6

mL

2.4

mL

3.2

mL

4

mL

4.7

mL

5.5

mL

6.3

mL

7

mL

8

mL


Slide64 l.jpg

Infusion bag label from pharmacy or manufacturer

# 1

B-L Concentration

Dopamine 6400 Micrograms/mL


Slide65 l.jpg

Infusion bag label applied by pharmacist

#1

PURPLE

10-11KG

Maintenance Fluids

42 mLs/hr

B-L Concentration

Dopamine 1600 micrograms/mL

mcg/kg/min

2

mcg

4

mcg

6

mcg

8

mcg

10

mcg

12

mcg

14

mcg

16

mcg

18

mcg

20

mcg

mLs/hour

0.8

mL

1.6

mL

2.4

mL

3.2

mL

4

mL

4.7

mL

5.5

mL

6.3

mL

7

mL

8

mL


Slide66 l.jpg

Newborn System

Miceronates

(up to 1 Kg)

Elefants

(1Kg to 4.5 Kg)

Pink

White

Pink

White

Red

Blue

Red

Blue

Purple

Purple

Orange

Orange

Green

Yellow

Green

yellow


Slide67 l.jpg

Elefants

Pink

1001-1250 GMS

White

2001-2500 GMS

Red

1251-1500 GMS

Blue

2501-3000 GMS

Purple

1501-1750 GMS

Orange

30001-3750

Yellow

1751-2000 GMS

Green

3751-4500 GMS


Slide68 l.jpg

Newborn infusion sticker

#1

Maintenance Fluids

12 mLs/hr

B-L Concentration

Blue

2501-3000 GMS

Dopamine 1600 micrograms/mL

mcg/kg/min

2

mcg

4

mcg

6

mcg

8

mcg

10

mcg

12

mcg

14

mcg

16

mcg

18

mcg

20

mcg

mLs/hour

0.2

mL

0.4

mL

0.8

mL

1

mL

1.4

mL

1.8

mL

2.2

mL

2.6

mL

3

mL

3.6

mL


Slide69 l.jpg

Miceronates

White

701-750 GMS

Pink

501-550 GMS

Blue

751-800 GMS

Red

551-600 GMS

Orange

801-900 GMS

Purple

601-650 GMS

Green

901-1000 GMs

Yellow

651-700 GMS


Slide70 l.jpg

Infusion bag label from pharmacy or manufacturer

# 2

B-L Concentration

Dopamine 6400 Micrograms/mL


Slide71 l.jpg

Newborn infusion sticker

#2

Maintenance Fluids

2 mLs/hr

B-L Concentration

Pink

501-550 GMS

Dopamine 6400 micrograms/mL

mcg/kg/min

2

mcg

4

mcg

6

mcg

8

mcg

10

mcg

12

mcg

14

mcg

16

mcg

18

mcg

20

mcg

mLs/hour

0.2

mL

0.4

mL

0.8

mL

1

mL

1.4

mL

1.8

mL

2.2

mL

2.6

mL

3

mL

3.6

mL


Slide72 l.jpg

Newborn infusion sticker

#1

Maintenance Fluids

12 mLs/hr

B-L Concentration

Blue

Dopamine 1600 micrograms/mL

mcg/kg/min

2

mcg

4

mcg

6

mcg

8

mcg

10

mcg

12

mcg

14

mcg

16

mcg

18

mcg

20

mcg

mLs/hour

0.2

mL

0.4

mL

0.8

mL

1

mL

1.4

mL

1.8

mL

2.2

mL

2.6

mL

3

mL

3.6

mL


Infusion pump window to be used in coordination with infusion label l.jpg
Infusion pump windowTo be used in coordination with infusion label

Standard

Pediatric

Select BL System

Broselow-Luten color

mLs/Hour

Per Cent of maintenance

Fluid requirements

Purple

10-11KG

4

8 %

Scroll bar

Scroll bar

Scroll may be used to set infusion

To Broselow-Luten color

Scroll may be used to set infusion

to maintenance, twice maintenance, etc


Infusion pump window to be used in coordination with infusion label74 l.jpg
Infusion pump windowTo be used in coordination with infusion label

Standard

Pediatric

Select BL System

Broselow-Luten color

mLs/Hour

Per Cent of maintenance

Fluid requirements

Blue

2501-3000 GMS

2

10 %

Scroll bar

Scroll bar

Scroll may be used to set infusion

To Broselow-Luten color

Scroll may be used to set infusion

to maintenance, twice maintenance, etc


Infusion pump window to be used in coordination with infusion label75 l.jpg
Infusion pump windowTo be used in coordination with infusion label

Standard

Pediatric

Select BL System

Broselow-Luten color

mLs/Hour

Per Cent of maintenance

Fluid requirements

1.5

15%

Pink

501-550 GMS

Scroll bar

Scroll bar

Scroll may be used to set infusion

To Broselow-Luten color

Scroll may be used to set infusion

to maintenance, twice maintenance, etc


Computer based computer based approach l.jpg
Computer Based Computer Based Approach



Slide80 l.jpg

DRUG NAME

Pancuronium


Slide81 l.jpg

COLOR

INDICATION

CONCENTRATION

PINK

Defasiculation

1mg/mL

concentration

RED

Paralyzing

2mg/mL

concentration

PURPLE

Maintenance

YELLOW

WHITE

BLUE

Pancuronium

ORANGE

GREEN


Slide82 l.jpg

COLOR

INDICATION

CONCENTRATION

PINK

Defasiculation

1mg/mL

concentration

RED

Paralyzing

2mg/mL

concentration

PURPLE

Maintenance

YELLOW

WHITE

BLUE

Pancuronium

ORANGE

GREEN


Slide83 l.jpg

COLOR

INDICATION

CONCENTRATION

PINK

Defasiculation

1mg/mL

concentration

RED

Paralyzing

2mg/mL

concentration

PURPLE

Maintenance

YELLOW

WHITE

BLUE

Pancuronium

ORANGE

GREEN


Slide84 l.jpg

COLOR

INDICATION

CONCENTRATION

PINK

Defasiculation

1mg/mL

concentration

RED

Paralyzing

2mg/mL

concentration

PURPLE

Maintenance

YELLOW

WHITE

BLUE

Pancuronium

ORANGE

GREEN


Slide85 l.jpg

Defasiculation

Paralyzing

Maintenance

PURPLE

2mL

2mg

Pancuronium

1mg/mL

concentration


Slide86 l.jpg

Defasiculation

Paralyzing

Maintenance

RED

1.7mL

1.7mg

Pancuronium

1mg/mL

concentration


Slide87 l.jpg

Defasiculation

Paralyzing

Maintenance

BLUE

4.2mL

4.2mg

Pancuronium

1mg/mL

concentration


Slide88 l.jpg

Defasiculation

Paralyzing

Maintenance

ORANGE

5.3mL

5.3mg

Pancuronium

mg/mL

concentration



Slide90 l.jpg

November 26, 2001 3:03:00 PM ET

CHICAGO--(BW HealthWire)--Nov. 26, 2001--

Color Coding for Kids to Provide Easy Reference Guidelines for Hospitals and Help Reduce CT Radiation for Children

GE Medical Systems, a unit of the General Electric Corporation (GE: NYSE), has signed an agreement that will allow GE to apply the Broselow-Luten Pediatric System, commonly known as Color Coding for Kids, to all of its medical imaging and patient information systems. The results of this agreement could positively impact millions of pediatric patients in the years to come.


Jerome medical l.jpg
Jerome Medical

  • Addressing pediatric issues of airways management and spinal alignment


Kids vs adults occipital angle l.jpg
Kids vs. AdultsOccipital Angle

P1 Collar

(Ages 0-2 yrs.)

P2 Collar

(Ages 2-6 yrs.)

P3 Collar

(Ages 6-12 yrs.)

Adult

(Ages > 12 yrs.)


Kids vs adults neck length l.jpg
Kids vs. AdultsNeck Length

P1 Collar

(Ages 0-2 yrs.)

P2 Collar

(Ages 2-6 yrs.)

P3 Collar

(Ages 6-12 yrs.)

Adult

(Ages > 12 yrs.)


Importance of alignment l.jpg
Importance of Alignment:

Always raise the child's thorax with the appropriate height padding to accommodate the occipital prominence and to maintain c-spine alignment and open airway with or without collar.


Potential for color coding l.jpg
Potential for color-coding

  • Unit dosing and packaging of Pediatric drugs (associated cost savings)

  • Defibrillator settings

  • Infusion Pumps

  • Respirators

  • Computer order entry

  • Car Restraints



Color a universal language l.jpg

Color“A Universal Language”