Pediatric medication table

Pediatric adjuncts & sedation

Atropine · Fentanyl · Midazolam

Dose ranges

Atropine0.02 mg/kg IV; no minimum dose

Fentanyl1–2 mcg/kg IV

Midazolam0.05–0.1 mg/kg IV

Totals use the formulas above. Verify local dose caps and formulations.

3–10 kg · 1 kg increments

3–10 kg · 1 kg increments total-mass reference
Measured weight	Atropinemg total	Fentanylmcg total	Midazolammg total
3 kg	0.06 mg	3–6 mcg	0.15–0.3 mg
4 kg	0.08 mg	4–8 mcg	0.2–0.4 mg
5 kg	0.1 mg	5–10 mcg	0.25–0.5 mg
6 kg	0.12 mg	6–12 mcg	0.3–0.6 mg
7 kg	0.14 mg	7–14 mcg	0.35–0.7 mg
8 kg	0.16 mg	8–16 mcg	0.4–0.8 mg
9 kg	0.18 mg	9–18 mcg	0.45–0.9 mg
10 kg	0.2 mg	10–20 mcg	0.5–1 mg

11–20 kg · 1 kg increments

11–20 kg · 1 kg increments total-mass reference
Measured weight	Atropinemg total	Fentanylmcg total	Midazolammg total
11 kg	0.22 mg	11–22 mcg	0.55–1.1 mg
12 kg	0.24 mg	12–24 mcg	0.6–1.2 mg
13 kg	0.26 mg	13–26 mcg	0.65–1.3 mg
14 kg	0.28 mg	14–28 mcg	0.7–1.4 mg
15 kg	0.3 mg	15–30 mcg	0.75–1.5 mg
16 kg	0.32 mg	16–32 mcg	0.8–1.6 mg
17 kg	0.34 mg	17–34 mcg	0.85–1.7 mg
18 kg	0.36 mg	18–36 mcg	0.9–1.8 mg
19 kg	0.38 mg	19–38 mcg	0.95–1.9 mg
20 kg	0.4 mg	20–40 mcg	1–2 mg

22–40 kg · 2 kg increments

22–40 kg · 2 kg increments total-mass reference
Measured weight	Atropinemg total	Fentanylmcg total	Midazolammg total
22 kg	0.44 mg	22–44 mcg	1.1–2.2 mg
24 kg	0.48 mg	24–48 mcg	1.2–2.4 mg
26 kg	0.52 mg	26–52 mcg	1.3–2.6 mg
28 kg	0.56 mg	28–56 mcg	1.4–2.8 mg
30 kg	0.6 mg	30–60 mcg	1.5–3 mg
32 kg	0.64 mg	32–64 mcg	1.6–3.2 mg
34 kg	0.68 mg	34–68 mcg	1.7–3.4 mg
36 kg	0.72 mg	36–72 mcg	1.8–3.6 mg
38 kg	0.76 mg	38–76 mcg	1.9–3.8 mg
40 kg	0.8 mg	40–80 mcg	2–4 mg

45–60 kg · 5 kg increments

45–60 kg · 5 kg increments total-mass reference
Measured weight	Atropinemg total	Fentanylmcg total	Midazolammg total
45 kg	0.9 mg	45–90 mcg	2.25–4.5 mg
50 kg	1 mg	50–100 mcg	2.5–5 mg
55 kg	1.1 mg	55–110 mcg	2.75–5.5 mg
60 kg	1.2 mg	60–120 mcg	3–6 mg

Cautions, guidance & disclaimers

Measured weight: Use the child’s current measured weight when available. For a weight between rows, calculate from the formula rather than rounding. Use neonatal references for newborn-resuscitation care.

Atropine is selective, not routine. Verify indication, age-specific maximum, local concentration, and pediatric pharmacy guidance.

Major cautions

Atropine: May be considered in selected infants and children; not routine for every emergency intubation.
Fentanyl: Analgesia reference. Administer slowly and verify local pediatric maximum and concentration.
Midazolam: Sedation reference, not an analgesic. U.S. labeling uses age-specific initial doses and provides limited guidance for infants younger than 6 months; verify age, indication, cumulative sedatives, and the local maximum.

Sources, limitations, and review record

Source links checked 10 September 2026. Medication content review date: 23 July 2026.

AHA/AAP: 2025 Pediatric Advanced Life Support guideline DailyMed: Ketamine label DailyMed: Etomidate label and pediatric age limitation DailyMed: Succinylcholine pediatric emergency-intubation dosing and boxed warning DailyMed: Rocuronium label and pediatric RSI limitation DailyMed: Fentanyl citrate label DailyMed: Midazolam label Children’s Mercy: free PedsGuide information Children’s Minnesota emergency medication manual status

Verify the route, dosing weight, dose range, maximum, contraindications, age restrictions, organ function, local formulary, and product in hand.

Verify the dose, route, concentration, maximum, and patient-specific considerations against current institutional protocols and product labeling.

About this resource

Website creator: Kyle Brown, MD Airway educational contributors: Andrew Pirotte, MD; Kyle Brown, MD; Reba Hodge, MD; Amanda Vanderwerf, PharmD, BCEMP; Morgan Kimball, PharmD, BCEMP; Joshua Mohess Clinical review: Emergency medicine faculty review completed. Medication content reviewed by Amanda Vanderwerf, PharmD, BCEMP, and Morgan Kimball, PharmD, BCEMP. Last reviewed: 2026-07-23 Next scheduled review: 2027-01-23 Designed for: EM residents, emergency physicians, EMS clinicians, airway educators, and simulation faculty Important: Educational resource and clinical-reference guide only; not a bedside order set or substitute for local protocol, medical direction, or clinical judgment. Website contact: [email protected]

Educational and clinical reference material. Verify against current institutional protocols, product labeling, and clinical judgment.

Pediatric medication tables Clinical References Report an error