{"id":2630,"date":"2025-04-03T07:06:28","date_gmt":"2025-04-03T07:06:28","guid":{"rendered":"https:\/\/ojoaosanti.com\/pediatria\/?page_id=2630"},"modified":"2025-04-03T07:42:29","modified_gmt":"2025-04-03T07:42:29","slug":"analgesia-e-sedacao","status":"publish","type":"page","link":"https:\/\/ojoaosanti.com\/pediatria\/analgesia-e-sedacao\/","title":{"rendered":"Analgesia e Seda\u00e7\u00e3o"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"2630\" class=\"elementor elementor-2630\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-d0ede4b e-flex e-con-boxed wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no wpr-equal-height-no e-con e-parent\" data-id=\"d0ede4b\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-0dcc3b2 elementor-widget elementor-widget-heading\" data-id=\"0dcc3b2\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Calculadora de Analgesia e Seda\u00e7\u00e3o<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b1dc30d elementor-align-center elementor-widget elementor-widget-button\" data-id=\"b1dc30d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-size-sm\" role=\"button\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Planejamento seguro do manejo da dor<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-a16fadb e-flex e-con-boxed wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no wpr-equal-height-no e-con e-parent\" data-id=\"a16fadb\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-97fc69f elementor-widget elementor-widget-html\" data-id=\"97fc69f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"pediatric-calculator\">\r\n    \r\n    \r\n    <div class=\"input-group\">\r\n        <label for=\"weight\">Peso da Crian\u00e7a (kg):<\/label>\r\n        <input type=\"number\" id=\"weight\" placeholder=\"Digite o peso em kg\" step=\"0.1\" min=\"0\">\r\n    <\/div>\r\n\r\n    <!-- Midazolam -->\r\n    <div class=\"drug-control\">\r\n        <label for=\"midazolamRange\">Midazolam (0.05-0.2 mg\/kg\/h):<\/label>\r\n        <input type=\"range\" id=\"midazolamRange\" min=\"0.05\" max=\"0.2\" step=\"0.01\" value=\"0.1\">\r\n        <span class=\"slider-value\" id=\"midazolamValue\">0.1<\/span>\r\n    <\/div>\r\n\r\n    <!-- Fentanil -->\r\n    <div class=\"drug-control\">\r\n        <label for=\"fentanylRange\">Fentanil (1-5 mcg\/kg\/h):<\/label>\r\n        <input type=\"range\" id=\"fentanylRange\" min=\"1\" max=\"5\" step=\"0.1\" value=\"2\">\r\n        <span class=\"slider-value\" id=\"fentanylValue\">2<\/span>\r\n    <\/div>\r\n\r\n    <!-- Ketamina -->\r\n    <div class=\"drug-control\">\r\n        <label for=\"ketamineRange\">Ketamina (0.5-2 mg\/kg\/h):<\/label>\r\n        <input type=\"range\" id=\"ketamineRange\" min=\"0.5\" max=\"2\" step=\"0.1\" value=\"1\">\r\n        <span class=\"slider-value\" id=\"ketamineValue\">1<\/span>\r\n    <\/div>\r\n\r\n    <!-- Propofol -->\r\n    <div class=\"drug-control\">\r\n        <label for=\"propofolRange\">Propofol (1-4 mg\/kg\/h):<\/label>\r\n        <input type=\"range\" id=\"propofolRange\" min=\"1\" max=\"4\" step=\"0.1\" value=\"2\">\r\n        <span class=\"slider-value\" id=\"propofolValue\">2<\/span>\r\n    <\/div>\r\n\r\n    <!-- Dexmedetomidina -->\r\n    <div class=\"drug-control\">\r\n        <label for=\"dexmedetomidineRange\">Dexmedetomidina (0.2-1.4 mcg\/kg\/h):<\/label>\r\n        <input type=\"range\" id=\"dexmedetomidineRange\" min=\"0.2\" max=\"1.4\" step=\"0.1\" value=\"0.7\">\r\n        <span class=\"slider-value\" id=\"dexmedetomidineValue\">0.7<\/span>\r\n    <\/div>\r\n\r\n    <!-- Morfina -->\r\n    <div class=\"drug-control\">\r\n        <label for=\"morphineRange\">Morfina (0.02-0.06 mg\/kg\/h):<\/label>\r\n        <input type=\"range\" id=\"morphineRange\" min=\"0.02\" max=\"0.06\" step=\"0.01\" value=\"0.03\">\r\n        <span class=\"slider-value\" id=\"morphineValue\">0.03<\/span>\r\n    <\/div>\r\n\r\n    <!-- Resultados -->\r\n    <div class=\"results-section\">\r\n        <h3>Resultados<\/h3>\r\n        <table id=\"resultsTable\">\r\n            <thead>\r\n                <tr>\r\n                    <th>Medica\u00e7\u00e3o<\/th>\r\n                    <th>mL\/h<\/th>\r\n                    <th>Gotas\/min<\/th>\r\n                    <th>Microgotas\/min<\/th>\r\n                <\/tr>\r\n            <\/thead>\r\n            <tbody>\r\n                <tr id=\"midazolamRow\"><\/tr>\r\n                <tr id=\"fentanylRow\"><\/tr>\r\n                <tr id=\"ketamineRow\"><\/tr>\r\n                <tr id=\"propofolRow\"><\/tr>\r\n                <tr id=\"dexmedetomidineRow\"><\/tr>\r\n                <tr id=\"morphineRow\"><\/tr>\r\n            <\/tbody>\r\n        <\/table>\r\n    <\/div>\r\n\r\n    <!-- Dilui\u00e7\u00f5es -->\r\n    <div class=\"dilution-section\">\r\n        <h3>Dilui\u00e7\u00e3o para 24 horas<\/h3>\r\n        <table id=\"dilutionTable\">\r\n            <thead>\r\n                <tr>\r\n                    <th>Medica\u00e7\u00e3o<\/th>\r\n                    <th>Volume Total<\/th>\r\n                    <th>Volume Medica\u00e7\u00e3o<\/th>\r\n                    <th>Volume Diluente<\/th>\r\n                    <th>Diluente<\/th>\r\n                <\/tr>\r\n            <\/thead>\r\n            <tbody>\r\n                <tr id=\"midazolamDilution\"><\/tr>\r\n                <tr id=\"fentanylDilution\"><\/tr>\r\n                <tr id=\"ketamineDilution\"><\/tr>\r\n                <tr id=\"propofolDilution\"><\/tr>\r\n                <tr id=\"dexmedetomidineDilution\"><\/tr>\r\n                <tr id=\"morphineDilution\"><\/tr>\r\n            <\/tbody>\r\n        <\/table>\r\n    <\/div>\r\n\r\n    <!-- Prescri\u00e7\u00e3o -->\r\n    <div class=\"prescription-section\">\r\n        <h3>Modelo de Prescri\u00e7\u00e3o<\/h3>\r\n        <div id=\"prescriptionOutput\"><\/div>\r\n    <\/div>\r\n\r\n    <!-- Aviso -->\r\n    <div class=\"warning\">\r\n        <p>ATEN\u00c7\u00c3O: Sempre confira doses e dilui\u00e7\u00f5es com m\u00faltiplos profissionais antes da administra\u00e7\u00e3o.<\/p>\r\n    <\/div>\r\n<\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-6192ddc e-flex e-con-boxed wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no wpr-equal-height-no e-con e-parent\" data-id=\"6192ddc\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-895f697 elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"895f697\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-180a54b e-flex e-con-boxed wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no wpr-equal-height-no e-con e-parent\" data-id=\"180a54b\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-ecc7bab elementor-widget elementor-widget-html\" data-id=\"ecc7bab\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"drug-info-section\">\r\n    <h2>Informa\u00e7\u00f5es das Medica\u00e7\u00f5es<\/h2>\r\n    \r\n    <div class=\"drug-card\">\r\n        <h3>Midazolam<\/h3>\r\n        \r\n        <h4>Indica\u00e7\u00f5es<\/h4>\r\n        <ul>\r\n            <li>Sed\u00e7\u00e3o para procedimentos<\/li>\r\n            <li>Ansiolise<\/li>\r\n            <li>Anticonvulsivante<\/li>\r\n        <\/ul>\r\n        \r\n        <h4>Dose Inicial Recomendada<\/h4>\r\n        <ul>\r\n            <li class=\"recommended-dose\">Seda\u00e7\u00e3o: 0.05-0.1 mg\/kg\/h<\/li>\r\n            <li class=\"recommended-dose\">Anticonvulsivante: 0.1-0.2 mg\/kg\/h<\/li>\r\n        <\/ul>\r\n        \r\n        <h4>Contraindica\u00e7\u00f5es<\/h4>\r\n        <ul class=\"contraindications\">\r\n            <li>Hipersensibilidade aos benzodiazep\u00ednicos<\/li>\r\n            <li>Glaucoma agudo de \u00e2ngulo fechado<\/li>\r\n            <li>Miastenia gravis<\/li>\r\n        <\/ul>\r\n        \r\n        <h4>Intera\u00e7\u00f5es Medicamentosas<\/h4>\r\n        <ul class=\"interactions\">\r\n            <li>Opioides (risco de depress\u00e3o respirat\u00f3ria)<\/li>\r\n            <li>Antif\u00fangicos az\u00f3licos<\/li>\r\n            <li>Eritromicina<\/li>\r\n        <\/ul>\r\n        \r\n        <h4>Rea\u00e7\u00f5es Adversas<\/h4>\r\n        <ul class=\"side-effects\">\r\n            <li>Depress\u00e3o respirat\u00f3ria<\/li>\r\n            <li>Amn\u00e9sia anter\u00f3grada<\/li>\r\n            <li>Hipotens\u00e3o<\/li>\r\n        <\/ul>\r\n    <\/div>\r\n    \r\n    <div class=\"drug-card\">\r\n        <h3>Fentanil<\/h3>\r\n        \r\n        <h4>Indica\u00e7\u00f5es<\/h4>\r\n        <ul>\r\n            <li>Analgesia potente<\/li>\r\n            <li>Sed\u00e7\u00e3o para ventila\u00e7\u00e3o mec\u00e2nica<\/li>\r\n            <li>Controle da dor aguda<\/li>\r\n        <\/ul>\r\n        \r\n        <h4>Dose Inicial Recomendada<\/h4>\r\n        <ul>\r\n            <li class=\"recommended-dose\">1-5 mcg\/kg\/h<\/li>\r\n        <\/ul>\r\n        \r\n        <h4>Contraindica\u00e7\u00f5es<\/h4>\r\n        <ul class=\"contraindications\">\r\n            <li>Hipersensibilidade a opioides<\/li>\r\n            <li>\u00cdleo paral\u00edtico<\/li>\r\n            <li>Depress\u00e3o respirat\u00f3ria grave<\/li>\r\n        <\/ul>\r\n        \r\n        <h4>Intera\u00e7\u00f5es Medicamentosas<\/h4>\r\n        <ul class=\"interactions\">\r\n            <li>Benzodiazep\u00ednicos<\/li>\r\n            <li>Outros depressores do SNC<\/li>\r\n            <li>Inibidores da MAO<\/li>\r\n        <\/ul>\r\n        \r\n        <h4>Rea\u00e7\u00f5es Adversas<\/h4>\r\n        <ul class=\"side-effects\">\r\n            <li>Depress\u00e3o respirat\u00f3ria<\/li>\r\n            <li>Rigidez tor\u00e1cica<\/li>\r\n            <li>N\u00e1useas e v\u00f4mitos<\/li>\r\n        <\/ul>\r\n    <\/div>\r\n    \r\n    <div class=\"drug-card\">\r\n        <h3>Ketamina<\/h3>\r\n        \r\n        <h4>Indica\u00e7\u00f5es<\/h4>\r\n        <ul>\r\n            <li>Sed\u00e7\u00e3o dissociativa<\/li>\r\n            <li>Analgesia<\/li>\r\n            <li>Procedimentos curtos<\/li>\r\n        <\/ul>\r\n        \r\n        <h4>Dose Inicial Recomendada<\/h4>\r\n        <ul>\r\n            <li class=\"recommended-dose\">0.5-2 mg\/kg\/h<\/li>\r\n        <\/ul>\r\n        \r\n        <h4>Contraindica\u00e7\u00f5es<\/h4>\r\n        <ul class=\"contraindications\">\r\n            <li>Hipertens\u00e3o intracraniana<\/li>\r\n            <li>Esquizofrenia<\/li>\r\n            <li>Cirurgia ocular<\/li>\r\n        <\/ul>\r\n        \r\n        <h4>Intera\u00e7\u00f5es Medicamentosas<\/h4>\r\n        <ul class=\"interactions\">\r\n            <li>Teofilina<\/li>\r\n            <li>Barbit\u00faricos<\/li>\r\n            <li>Benzodiazep\u00ednicos<\/li>\r\n        <\/ul>\r\n        \r\n        <h4>Rea\u00e7\u00f5es Adversas<\/h4>\r\n        <ul class=\"side-effects\">\r\n            <li>Alucina\u00e7\u00f5es<\/li>\r\n            <li>Hipertens\u00e3o<\/li>\r\n            <li>Taquicardia<\/li>\r\n        <\/ul>\r\n    <\/div>\r\n    \r\n    <div class=\"drug-card\">\r\n        <h3>Propofol<\/h3>\r\n        \r\n        <h4>Indica\u00e7\u00f5es<\/h4>\r\n        <ul>\r\n            <li>Sed\u00e7\u00e3o em UTI<\/li>\r\n            <li>Indu\u00e7\u00e3o anest\u00e9sica<\/li>\r\n            <li>Manuten\u00e7\u00e3o de seda\u00e7\u00e3o<\/li>\r\n        <\/ul>\r\n        \r\n        <h4>Dose Inicial Recomendada<\/h4>\r\n        <ul>\r\n            <li class=\"recommended-dose\">1-4 mg\/kg\/h<\/li>\r\n        <\/ul>\r\n        \r\n        <h4>Contraindica\u00e7\u00f5es<\/h4>\r\n        <ul class=\"contraindications\">\r\n            <li>Alergia \u00e0 soja ou ovo<\/li>\r\n            <li>Hipovolemia grave<\/li>\r\n            <li>Idade < 3 anos para seda\u00e7\u00e3o em UTI<\/li>\r\n        <\/ul>\r\n        \r\n        <h4>Intera\u00e7\u00f5es Medicamentosas<\/h4>\r\n        <ul class=\"interactions\">\r\n            <li>Outros sedativos<\/li>\r\n            <li>Opioides<\/li>\r\n            <li>Neostigmina<\/li>\r\n        <\/ul>\r\n        \r\n        <h4>Rea\u00e7\u00f5es Adversas<\/h4>\r\n        <ul class=\"side-effects\">\r\n            <li>S\u00edndrome da infus\u00e3o do propofol<\/li>\r\n            <li>Hipotens\u00e3o<\/li>\r\n            <li>Bradicardia<\/li>\r\n        <\/ul>\r\n    <\/div>\r\n    \r\n    <div class=\"drug-card\">\r\n        <h3>Dexmedetomidina<\/h3>\r\n        \r\n        <h4>Indica\u00e7\u00f5es<\/h4>\r\n        <ul>\r\n            <li>Sed\u00e7\u00e3o em UTI<\/li>\r\n            <li>Sed\u00e7\u00e3o consciente<\/li>\r\n            <li>Procedimentos n\u00e3o-invasivos<\/li>\r\n        <\/ul>\r\n        \r\n        <h4>Dose Inicial Recomendada<\/h4>\r\n        <ul>\r\n            <li class=\"recommended-dose\">0.2-1.4 mcg\/kg\/h<\/li>\r\n        <\/ul>\r\n        \r\n        <h4>Contraindica\u00e7\u00f5es<\/h4>\r\n        <ul class=\"contraindications\">\r\n            <li>Bloqueio card\u00edaco avan\u00e7ado<\/li>\r\n            <li>Insufici\u00eancia card\u00edaca descompensada<\/li>\r\n            <li>Hipotens\u00e3o n\u00e3o controlada<\/li>\r\n        <\/ul>\r\n        \r\n        <h4>Intera\u00e7\u00f5es Medicamentosas<\/h4>\r\n        <ul class=\"interactions\">\r\n            <li>Anest\u00e9sicos<\/li>\r\n            <li>Anti-hipertensivos<\/li>\r\n            <li>Outros sedativos<\/li>\r\n        <\/ul>\r\n        \r\n        <h4>Rea\u00e7\u00f5es Adversas<\/h4>\r\n        <ul class=\"side-effects\">\r\n            <li>Bradicardia<\/li>\r\n            <li>Hipotens\u00e3o<\/li>\r\n            <li>Sed\u00e7\u00e3o prolongada<\/li>\r\n        <\/ul>\r\n    <\/div>\r\n    \r\n    <div class=\"drug-card\">\r\n        <h3>Morfina<\/h3>\r\n        \r\n        <h4>Indica\u00e7\u00f5es<\/h4>\r\n        <ul>\r\n            <li>Dor moderada a intensa<\/li>\r\n            <li>Dor oncol\u00f3gica<\/li>\r\n            <li>Sed\u00e7\u00e3o em ventila\u00e7\u00e3o mec\u00e2nica<\/li>\r\n        <\/ul>\r\n        \r\n        <h4>Dose Inicial Recomendada<\/h4>\r\n        <ul>\r\n            <li class=\"recommended-dose\">0.02-0.06 mg\/kg\/h<\/li>\r\n        <\/ul>\r\n        \r\n        <h4>Contraindica\u00e7\u00f5es<\/h4>\r\n        <ul class=\"contraindications\">\r\n            <li>Depress\u00e3o respirat\u00f3ria aguda<\/li>\r\n            <li>\u00cdleo paral\u00edtico<\/li>\r\n            <li>Hipertens\u00e3o intracraniana<\/li>\r\n        <\/ul>\r\n        \r\n        <h4>Intera\u00e7\u00f5es Medicamentosas<\/h4>\r\n        <ul class=\"interactions\">\r\n            <li>Benzodiazep\u00ednicos<\/li>\r\n            <li>Outros opioides<\/li>\r\n            <li>Antidepressivos tric\u00edclicos<\/li>\r\n        <\/ul>\r\n        \r\n        <h4>Rea\u00e7\u00f5es Adversas<\/h4>\r\n        <ul class=\"side-effects\">\r\n            <li>Depress\u00e3o respirat\u00f3ria<\/li>\r\n            <li>Constipa\u00e7\u00e3o<\/li>\r\n            <li>Reten\u00e7\u00e3o urin\u00e1ria<\/li>\r\n        <\/ul>\r\n    <\/div>\r\n<\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-20c3381 e-flex e-con-boxed wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no wpr-equal-height-no e-con e-parent\" data-id=\"20c3381\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-a358cbe elementor-widget elementor-widget-html\" data-id=\"a358cbe\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<script>\r\n\/\/ Configura\u00e7\u00f5es das medica\u00e7\u00f5es\r\nconst MEDICATIONS = {\r\n    midazolam: {\r\n        name: \"Midazolam\",\r\n        concentration: 5, \/\/ mg\/mL\r\n        minDose: 0.05,\r\n        maxDose: 0.2,\r\n        defaultDose: 0.1,\r\n        unit: \"mg\/kg\/h\",\r\n        diluent: \"SF 0.9%\",\r\n        diluentReason: \"Maior estabilidade\"\r\n    },\r\n    fentanyl: {\r\n        name: \"Fentanil\", \r\n        concentration: 0.05, \/\/ mg\/mL\r\n        minDose: 1,\r\n        maxDose: 5,\r\n        defaultDose: 2,\r\n        unit: \"mcg\/kg\/h\",\r\n        diluent: \"SF 0.9%\",\r\n        diluentReason: \"Compatibilidade qu\u00edmica\"\r\n    },\r\n    ketamine: {\r\n        name: \"Ketamina\",\r\n        concentration: 50, \/\/ mg\/mL\r\n        minDose: 0.5,\r\n        maxDose: 2,\r\n        defaultDose: 1,\r\n        unit: \"mg\/kg\/h\",\r\n        diluent: \"SG 5%\",\r\n        diluentReason: \"Menor risco de precipita\u00e7\u00e3o\"\r\n    },\r\n    propofol: {\r\n        name: \"Propofol\",\r\n        concentration: 10, \/\/ mg\/mL\r\n        minDose: 1,\r\n        maxDose: 4,\r\n        defaultDose: 2,\r\n        unit: \"mg\/kg\/h\",\r\n        diluent: \"Pronto para uso\",\r\n        diluentReason: \"N\u00e3o requer dilui\u00e7\u00e3o\"\r\n    },\r\n    dexmedetomidine: {\r\n        name: \"Dexmedetomidina\",\r\n        concentration: 0.1, \/\/ mg\/mL\r\n        minDose: 0.2,\r\n        maxDose: 1.4,\r\n        defaultDose: 0.7,\r\n        unit: \"mcg\/kg\/h\",\r\n        diluent: \"SF 0.9%\",\r\n        diluentReason: \"Maior estabilidade\"\r\n    },\r\n    morphine: {\r\n        name: \"Morfina\",\r\n        concentration: 10, \/\/ mg\/mL\r\n        minDose: 0.02,\r\n        maxDose: 0.06,\r\n        defaultDose: 0.03,\r\n        unit: \"mg\/kg\/h\",\r\n        diluent: \"SF 0.9%\",\r\n        diluentReason: \"Compatibilidade qu\u00edmica\"\r\n    }\r\n};\r\n\r\n\/\/ Dilui\u00e7\u00f5es padr\u00e3o\r\nconst STANDARD_DILUTIONS = {\r\n    midazolam: {\r\n        totalVolume: 50,\r\n        standardDilution: 45 \/\/ 45mL diluent + 5mL medication\r\n    },\r\n    fentanyl: {\r\n        totalVolume: 50,\r\n        standardDilution: 48 \/\/ 48mL diluent + 2mL medication  \r\n    },\r\n    ketamine: {\r\n        totalVolume: 50,\r\n        standardDilution: 40 \/\/ 40mL diluent + 10mL medication\r\n    },\r\n    propofol: {\r\n        totalVolume: 50,\r\n        standardDilution: 30 \/\/ 30mL diluent + 20mL medication\r\n    },\r\n    dexmedetomidine: {\r\n        totalVolume: 50,\r\n        standardDilution: 48 \/\/ 48mL diluent + 2mL medication\r\n    },\r\n    morphine: {\r\n        totalVolume: 50,\r\n        standardDilution: 49 \/\/ 49mL diluent + 1mL medication\r\n    }\r\n};\r\n\r\n\/\/ Inicializa\u00e7\u00e3o dos sliders\r\ndocument.addEventListener('DOMContentLoaded', function() {\r\n    const weightInput = document.getElementById('weight');\r\n    \r\n    \/\/ Configura os sliders\r\n    Object.keys(MEDICATIONS).forEach(drug => {\r\n        const slider = document.getElementById(`${drug}Range`);\r\n        const valueDisplay = document.getElementById(`${drug}Value`);\r\n        \r\n        if (slider && valueDisplay) {\r\n            slider.min = MEDICATIONS[drug].minDose;\r\n            slider.max = MEDICATIONS[drug].maxDose;\r\n            slider.value = MEDICATIONS[drug].defaultDose;\r\n            slider.step = (MEDICATIONS[drug].maxDose - MEDICATIONS[drug].minDose) \/ 20;\r\n            valueDisplay.textContent = MEDICATIONS[drug].defaultDose;\r\n            \r\n            slider.addEventListener('input', function() {\r\n                valueDisplay.textContent = this.value;\r\n                calculateDoses();\r\n            });\r\n        }\r\n    });\r\n    \r\n    \/\/ Calcula doses quando o peso \u00e9 alterado\r\n    weightInput.addEventListener('input', calculateDoses);\r\n});\r\n\r\n\/\/ Fun\u00e7\u00e3o principal de c\u00e1lculo\r\nfunction calculateDoses() {\r\n    const weight = parseFloat(document.getElementById('weight').value);\r\n    if (!weight || weight <= 0) return;\r\n    \r\n    let prescriptionHTML = '';\r\n    \r\n    Object.keys(MEDICATIONS).forEach(drug => {\r\n        const slider = document.getElementById(`${drug}Range`);\r\n        const dose = parseFloat(slider.value);\r\n        const med = MEDICATIONS[drug];\r\n        const dilution = STANDARD_DILUTIONS[drug];\r\n        \r\n        \/\/ C\u00e1lculos\r\n        const mlPerHour = (dose * weight) \/ med.concentration;\r\n        const dropsPerMin = mlPerHour * 20 \/ 60;\r\n        const microdropsPerMin = mlPerHour;\r\n        \r\n        \/\/ Atualiza tabela de resultados\r\n        const resultRow = document.getElementById(`${drug}Row`);\r\n        if (resultRow) {\r\n            resultRow.innerHTML = `\r\n                <td>${med.name}<\/td>\r\n                <td>${mlPerHour.toFixed(2)}<\/td>\r\n                <td>${dropsPerMin.toFixed(1)}<\/td>\r\n                <td>${microdropsPerMin.toFixed(1)}<\/td>\r\n            `;\r\n        }\r\n        \r\n        \/\/ Atualiza tabela de dilui\u00e7\u00e3o\r\n        const dilutionRow = document.getElementById(`${drug}Dilution`);\r\n        if (dilutionRow) {\r\n            dilutionRow.innerHTML = `\r\n                <td>${med.name}<\/td>\r\n                <td>${dilution.totalVolume} mL<\/td>\r\n                <td>${(dilution.totalVolume - dilution.standardDilution).toFixed(1)} mL<\/td>\r\n                <td>${dilution.standardDilution} mL<\/td>\r\n                <td>${med.diluent}<\/td>\r\n            `;\r\n        }\r\n        \r\n        \/\/ Prepara prescri\u00e7\u00e3o\r\n        prescriptionHTML += `\r\n            <div class=\"prescription-item\">\r\n                <h4>${med.name}<\/h4>\r\n                <p>${med.name} ${med.concentration}${drug === 'fentanyl' ||\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Calculadora de Analgesia e Seda\u00e7\u00e3o Planejamento seguro do manejo da dor Peso da Crian\u00e7a (kg): Midazolam (0.05-0.2 mg\/kg\/h): 0.1 Fentanil (1-5 mcg\/kg\/h): 2 Ketamina (0.5-2 mg\/kg\/h): 1 Propofol (1-4 mg\/kg\/h): 2 Dexmedetomidina (0.2-1.4 mcg\/kg\/h): 0.7 Morfina (0.02-0.06 mg\/kg\/h): 0.03 Resultados Medica\u00e7\u00e3o mL\/h Gotas\/min Microgotas\/min Dilui\u00e7\u00e3o para 24 horas Medica\u00e7\u00e3o Volume Total Volume Medica\u00e7\u00e3o Volume Diluente Diluente Modelo de Prescri\u00e7\u00e3o ATEN\u00c7\u00c3O: Sempre confira doses e dilui\u00e7\u00f5es com m\u00faltiplos profissionais antes da administra\u00e7\u00e3o. Informa\u00e7\u00f5es das Medica\u00e7\u00f5es Midazolam Indica\u00e7\u00f5es Sed\u00e7\u00e3o para procedimentos Ansiolise Anticonvulsivante Dose Inicial Recomendada Seda\u00e7\u00e3o: 0.05-0.1 mg\/kg\/h Anticonvulsivante: 0.1-0.2 mg\/kg\/h Contraindica\u00e7\u00f5es Hipersensibilidade aos benzodiazep\u00ednicos Glaucoma agudo de \u00e2ngulo fechado Miastenia gravis Intera\u00e7\u00f5es Medicamentosas Opioides (risco de depress\u00e3o respirat\u00f3ria) Antif\u00fangicos az\u00f3licos Eritromicina Rea\u00e7\u00f5es Adversas Depress\u00e3o respirat\u00f3ria Amn\u00e9sia anter\u00f3grada Hipotens\u00e3o Fentanil Indica\u00e7\u00f5es Analgesia potente Sed\u00e7\u00e3o para ventila\u00e7\u00e3o mec\u00e2nica Controle da dor aguda Dose Inicial Recomendada 1-5 mcg\/kg\/h Contraindica\u00e7\u00f5es Hipersensibilidade a opioides \u00cdleo paral\u00edtico Depress\u00e3o respirat\u00f3ria grave Intera\u00e7\u00f5es Medicamentosas Benzodiazep\u00ednicos Outros depressores do SNC Inibidores da MAO Rea\u00e7\u00f5es Adversas Depress\u00e3o respirat\u00f3ria Rigidez tor\u00e1cica N\u00e1useas e v\u00f4mitos Ketamina Indica\u00e7\u00f5es Sed\u00e7\u00e3o dissociativa Analgesia Procedimentos curtos Dose Inicial Recomendada 0.5-2 mg\/kg\/h Contraindica\u00e7\u00f5es Hipertens\u00e3o intracraniana Esquizofrenia Cirurgia ocular Intera\u00e7\u00f5es Medicamentosas Teofilina Barbit\u00faricos Benzodiazep\u00ednicos Rea\u00e7\u00f5es Adversas Alucina\u00e7\u00f5es Hipertens\u00e3o Taquicardia Propofol Indica\u00e7\u00f5es Sed\u00e7\u00e3o em UTI Indu\u00e7\u00e3o anest\u00e9sica Manuten\u00e7\u00e3o de seda\u00e7\u00e3o Dose Inicial Recomendada 1-4 mg\/kg\/h Contraindica\u00e7\u00f5es Alergia \u00e0 soja ou ovo Hipovolemia grave Idade < 3 anos para seda\u00e7\u00e3o em UTI Intera\u00e7\u00f5es Medicamentosas Outros sedativos Opioides Neostigmina Rea\u00e7\u00f5es Adversas S\u00edndrome da infus\u00e3o do propofol Hipotens\u00e3o Bradicardia Dexmedetomidina Indica\u00e7\u00f5es Sed\u00e7\u00e3o em UTI Sed\u00e7\u00e3o consciente Procedimentos n\u00e3o-invasivos Dose Inicial Recomendada 0.2-1.4 mcg\/kg\/h Contraindica\u00e7\u00f5es Bloqueio card\u00edaco avan\u00e7ado Insufici\u00eancia card\u00edaca descompensada Hipotens\u00e3o n\u00e3o controlada Intera\u00e7\u00f5es Medicamentosas Anest\u00e9sicos Anti-hipertensivos Outros sedativos Rea\u00e7\u00f5es Adversas Bradicardia Hipotens\u00e3o Sed\u00e7\u00e3o prolongada Morfina Indica\u00e7\u00f5es Dor moderada a intensa Dor oncol\u00f3gica Sed\u00e7\u00e3o em ventila\u00e7\u00e3o mec\u00e2nica Dose Inicial Recomendada 0.02-0.06 mg\/kg\/h Contraindica\u00e7\u00f5es Depress\u00e3o respirat\u00f3ria aguda \u00cdleo paral\u00edtico Hipertens\u00e3o intracraniana Intera\u00e7\u00f5es Medicamentosas Benzodiazep\u00ednicos Outros opioides Antidepressivos tric\u00edclicos Rea\u00e7\u00f5es Adversas Depress\u00e3o respirat\u00f3ria Constipa\u00e7\u00e3o Reten\u00e7\u00e3o urin\u00e1ria \/\/ Configura\u00e7\u00f5es das medica\u00e7\u00f5es const MEDICATIONS = { midazolam: { name: \"Midazolam\", concentration: 5, \/\/ mg\/mL minDose: 0.05, maxDose: 0.2, defaultDose: 0.1, unit: \"mg\/kg\/h\", diluent: \"SF 0.9%\", diluentReason: \"Maior estabilidade\" }, fentanyl: { name: \"Fentanil\", concentration: 0.05, \/\/ mg\/mL minDose: 1, maxDose: 5, defaultDose: 2, unit: \"mcg\/kg\/h\", diluent: \"SF 0.9%\", diluentReason: \"Compatibilidade qu\u00edmica\" }, ketamine: { name: \"Ketamina\", concentration: 50, \/\/ mg\/mL minDose: 0.5, maxDose: 2, defaultDose: 1, unit: \"mg\/kg\/h\", diluent: \"SG 5%\", diluentReason: \"Menor risco de precipita\u00e7\u00e3o\" }, propofol: { name: \"Propofol\", concentration: 10, \/\/ mg\/mL minDose: 1, maxDose: 4, defaultDose: 2, unit: \"mg\/kg\/h\", diluent: \"Pronto para uso\", diluentReason: \"N\u00e3o requer dilui\u00e7\u00e3o\" }, dexmedetomidine: { name: \"Dexmedetomidina\", concentration: 0.1, \/\/ mg\/mL minDose: 0.2, maxDose: 1.4, defaultDose: 0.7, unit: \"mcg\/kg\/h\", diluent: \"SF 0.9%\", diluentReason: \"Maior estabilidade\" }, morphine: { name: \"Morfina\", concentration: 10, \/\/ mg\/mL minDose: 0.02, maxDose: 0.06, defaultDose: 0.03, unit: \"mg\/kg\/h\", diluent: \"SF 0.9%\", diluentReason: \"Compatibilidade qu\u00edmica\" } }; \/\/ Dilui\u00e7\u00f5es padr\u00e3o const STANDARD_DILUTIONS = { midazolam: { totalVolume: 50, standardDilution: 45 \/\/ 45mL diluent + 5mL medication }, fentanyl: { totalVolume: 50, standardDilution: 48 \/\/ 48mL diluent + 2mL medication }, ketamine: { totalVolume: 50, standardDilution: 40 \/\/ 40mL diluent + 10mL medication }, propofol: { totalVolume: 50, standardDilution: 30 \/\/ 30mL diluent + 20mL medication }, dexmedetomidine: { totalVolume: 50, standardDilution: 48 \/\/ 48mL diluent + 2mL medication }, morphine: { totalVolume: 50, standardDilution: 49 \/\/ 49mL diluent + 1mL medication } }; \/\/ Inicializa\u00e7\u00e3o dos sliders document.addEventListener('DOMContentLoaded', function() { const weightInput = document.getElementById('weight'); \/\/ Configura os sliders Object.keys(MEDICATIONS).forEach(drug => { const slider = document.getElementById(`${drug}Range`); const valueDisplay = document.getElementById(`${drug}Value`); if (slider &#038;&#038; valueDisplay) { slider.min = MEDICATIONS[drug].minDose; slider.max = MEDICATIONS[drug].maxDose; slider.value = MEDICATIONS[drug].defaultDose; slider.step = (MEDICATIONS[drug].maxDose &#8211; MEDICATIONS[drug].minDose) \/ 20; valueDisplay.textContent = MEDICATIONS[drug].defaultDose; slider.addEventListener(&#8216;input&#8217;, function() { valueDisplay.textContent = this.value; calculateDoses(); }); } }); \/\/ Calcula doses quando o peso \u00e9 alterado weightInput.addEventListener(&#8216;input&#8217;, calculateDoses); }); \/\/ Fun\u00e7\u00e3o principal de c\u00e1lculo function calculateDoses() { const weight = parseFloat(document.getElementById(&#8216;weight&#8217;).value); if (!weight || weight { const slider = document.getElementById(`${drug}Range`); const dose = parseFloat(slider.value); const med = MEDICATIONS[drug]; const dilution = STANDARD_DILUTIONS[drug]; \/\/ C\u00e1lculos const mlPerHour = (dose * weight) \/ med.concentration; const dropsPerMin = mlPerHour * 20 \/ 60; const microdropsPerMin = mlPerHour; \/\/ Atualiza tabela de resultados const resultRow = document.getElementById(`${drug}Row`); if (resultRow) { resultRow.innerHTML = ` ${med.name} ${mlPerHour.toFixed(2)} ${dropsPerMin.toFixed(1)} ${microdropsPerMin.toFixed(1)} `; } \/\/ Atualiza tabela de dilui\u00e7\u00e3o const dilutionRow = document.getElementById(`${drug}Dilution`); if (dilutionRow) { dilutionRow.innerHTML = ` ${med.name} ${dilution.totalVolume} mL ${(dilution.totalVolume &#8211; dilution.standardDilution).toFixed(1)} mL ${dilution.standardDilution} mL ${med.diluent} `; } \/\/ Prepara prescri\u00e7\u00e3o prescriptionHTML += ` ${med.name} ${med.name} ${med.concentration}${drug === &#8216;fentanyl&#8217; ||<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"footnotes":""},"class_list":["post-2630","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/ojoaosanti.com\/pediatria\/wp-json\/wp\/v2\/pages\/2630","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ojoaosanti.com\/pediatria\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/ojoaosanti.com\/pediatria\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/ojoaosanti.com\/pediatria\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/ojoaosanti.com\/pediatria\/wp-json\/wp\/v2\/comments?post=2630"}],"version-history":[{"count":0,"href":"https:\/\/ojoaosanti.com\/pediatria\/wp-json\/wp\/v2\/pages\/2630\/revisions"}],"wp:attachment":[{"href":"https:\/\/ojoaosanti.com\/pediatria\/wp-json\/wp\/v2\/media?parent=2630"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}