ACLS/PALS

Question 1

Which Epinephrine (ACLS)

Answer 1

100mcg/mL

Question 2

Epinephrine dose (ACLS)

Answer 2

Epinephrine 100mcg/mL
Adults: 1mg IV q3-5 min

Question 3

Atropine dose (ACLS)

Answer 3

Adults (bradycardic): 1mg IV q3-5min

Question 4

Atropine dose (PALS)

Answer 4

Pediatrics: 0.02mg/kg IV (0.1mg min)

Question 5

Epinephrine dose (PALS)

Answer 5

Epinephrine 100mcg/mL
Pediatrics: 0.01mg/kg IV q3-5 min

Question 6

Amiodarone (ACLS)
Pulseless adult

Answer 6

Amiodarone: 300mg IV

Question 7

Amiodarone (ACLS)
V-tach w pulse adult

Answer 7

150mg IV

Question 8

Amiodrone (PALS)

Answer 8

5mg/kg/IV

Question 9

Amiodarone maintenance dose

Answer 9

1mg/min x 6hrs
then:
0.5mg/min x 18hrs

Question 10

Procainamide ACLS/PALS indiciation

Answer 10

Control of:
Arrhythmia

Caution: may cause HOTN, QRS Widening

Question 11

Procainamide dose (ACLS/PALS)

Answer 11

Up to 17mg/kg IV at rate of 20-50mg/min
Or
100mg q 5 min

Question 12

Adenosine dose (ACLS)

Answer 12

Adults:
First:6mg IV
Second: 12mg IV
Third: 12mg IV
- can reduce dose to 3mg if through central line

Question 13

Adenosine dose (PALS)

Answer 13

First: 0.1mg/kg IV
Second: 0.2mg/kg IV
Third: 0.2mg/kg IV

Question 14

Defibrillation type: standard of care

Answer 14

Biphasic = standard of care

Question 15

Defibrillation dose (ACLS)

Answer 15

Biphasic:
120-200J

Question 16

Defibrillation dose (PALS)

Answer 16

Biphasic:
2J/kg

Question 17

Synchronized cardioversion type: standard of care

Answer 17

Biphasic

Question 18

Synchronized Cardioversion (ACLS)

Answer 18

Adults: 50-200J

Question 19

Na Bicarbonate dose (ACLS)

Answer 19

• controversial-
  Adult:
  Starting dose:
  1amp (50mEq)
  Titrate depending on condition

Question 20

Na Bicarbonate (PALS)

Answer 20

• controversial-
  Pediatrics:
  1mEq/kg IV

Question 21

What does calcium chloride need for administration?

Answer 21

Central line

Question 22

Dose for calcium chloride (ACLS)

Answer 22

20mg/kg slow

Question 23

Calcium gluconate route of administration

Answer 23

Safe for peripheral line

Question 24

Calcium gluconate dose

Answer 24

60-100mg/kg slow
Usual dose = 1-3g

Question 25

Main difference between calcium chloride and calcium gluconate?

Answer 25

Calcium chloride is 3x more potent than calcium gluconate and therefore requires a central line
Calcium chloride usual dose 1g
Calcium gluconate usual dose 1-3g

Question 26

glucose (ACLS)

Answer 26

Adults (and >8 yr olds)
- 1 amp D50 (1-2 mL/kg)

Question 27

Glucose (PALS)

Answer 27

> 8yrs : 1amp D50 (1-2mL/kg)
2-8 yrs: 2-4mL/kg of D25
<2 yrs: 5-10mL/kg of D10 (isotonic)

Adults and >8 D50
2-8 D25
<2 D10

Question 28

Preferred route for D50?

Answer 28

Central line

Question 29

Way to remember glucose dose?

Answer 29

Rule off 50
>8 - 1 amp of d50
2-8 - 2-4mL/kg of D25 (2x25=50)
<2 - 5-10mL/kg of D10 (5x10=50)

Question 30

Magnesium (MgSO4) dose (ACLS)

Answer 30

Adults 2-4g IV

Question 31

Magnesium (MgSO4) dose (PALS)

Answer 31

Pediatrics: 25-50mg/kg IV

Question 32

Lidocaine dose (ACLS/PALS)

Answer 32

Initial:
- 1-1.5 mg/kg initial dose
then:
- 0.5-0.75 mg/kg q5 min (max 3mg/kg)

Question 33

Indications for lidocaine in (ACLS/PALS)

Answer 33

First line for toxicologic wide complex dysrrhythmias

Alternate to amiodarone (if not available)

Question 34

Meds that can be given via ETT

Answer 34

(NAVEL)
Naloxone
Atropine
Vasopressin
Epinephrine
Iidocaine

Question 35

How are ETT meds administered?

Answer 35

Double the dose and mix 10mL of NS
Inject directly down the ETT
- not often used due to ease of IO and the poor effect of ETT medications

Question 36

General meds for a crashing neonate?

Answer 36

IVF bolus (gentle if cardiac cause suspected)
Broad sepsis coverage
Steroid for adrenal aplasia
PGE for duct-dependent lesions
Epinephrine as first line pressor

Question 37

Prostaglandin E1 indication?

Answer 37

Congenital heart disease

Question 38

prostaglandin E1 dose?

Answer 38

Start: 0.05-0.4mcg/kg/min
Titrate while monitoring for HOTN and apnea

Question 39

Synchronized cardio version (PALS)

Answer 39

0.5-1J/kg