ACLS/PALS Flashcards
Which Epinephrine (ACLS)
100mcg/mL
Epinephrine dose (ACLS)
Epinephrine 100mcg/mL
Adults: 1mg IV q3-5 min
Atropine dose (ACLS)
Adults (bradycardic): 1mg IV q3-5min
Atropine dose (PALS)
Pediatrics: 0.02mg/kg IV (0.1mg min)
Epinephrine dose (PALS)
Epinephrine 100mcg/mL
Pediatrics: 0.01mg/kg IV q3-5 min
Amiodarone (ACLS)
Pulseless adult
Amiodarone: 300mg IV
Amiodarone (ACLS)
V-tach w pulse adult
150mg IV
Amiodrone (PALS)
5mg/kg/IV
Amiodarone maintenance dose
1mg/min x 6hrs
then:
0.5mg/min x 18hrs
Procainamide ACLS/PALS indiciation
Control of:
Arrhythmia
Caution: may cause HOTN, QRS Widening
Procainamide dose (ACLS/PALS)
Up to 17mg/kg IV at rate of 20-50mg/min
Or
100mg q 5 min
Adenosine dose (ACLS)
Adults:
First:6mg IV
Second: 12mg IV
Third: 12mg IV
- can reduce dose to 3mg if through central line
Adenosine dose (PALS)
First: 0.1mg/kg IV
Second: 0.2mg/kg IV
Third: 0.2mg/kg IV
Defibrillation type: standard of care
Biphasic = standard of care
Defibrillation dose (ACLS)
Biphasic:
120-200J
Defibrillation dose (PALS)
Biphasic:
2J/kg
Synchronized cardioversion type: standard of care
Biphasic
Synchronized Cardioversion (ACLS)
Adults: 50-200J
Na Bicarbonate dose (ACLS)
- controversial-
Adult:
Starting dose:
1amp (50mEq)
Titrate depending on condition
Na Bicarbonate (PALS)
- controversial-
Pediatrics:
1mEq/kg IV
What does calcium chloride need for administration?
Central line
Dose for calcium chloride (ACLS)
20mg/kg slow
Calcium gluconate route of administration
Safe for peripheral line
Calcium gluconate dose
60-100mg/kg slow
Usual dose = 1-3g
Main difference between calcium chloride and calcium gluconate?
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
glucose (ACLS)
Adults (and >8 yr olds)
- 1 amp D50 (1-2 mL/kg)
Glucose (PALS)
> 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
Preferred route for D50?
Central line
Way to remember glucose dose?
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)
Magnesium (MgSO4) dose (ACLS)
Adults 2-4g IV
Magnesium (MgSO4) dose (PALS)
Pediatrics: 25-50mg/kg IV
Lidocaine dose (ACLS/PALS)
Initial:
- 1-1.5 mg/kg initial dose
then:
- 0.5-0.75 mg/kg q5 min (max 3mg/kg)
Indications for lidocaine in (ACLS/PALS)
First line for toxicologic wide complex dysrrhythmias
Alternate to amiodarone (if not available)
Meds that can be given via ETT
(NAVEL)
Naloxone
Atropine
Vasopressin
Epinephrine
Iidocaine
How are ETT meds administered?
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
General meds for a crashing neonate?
IVF bolus (gentle if cardiac cause suspected)
Broad sepsis coverage
Steroid for adrenal aplasia
PGE for duct-dependent lesions
Epinephrine as first line pressor
Prostaglandin E1 indication?
Congenital heart disease
prostaglandin E1 dose?
Start: 0.05-0.4mcg/kg/min
Titrate while monitoring for HOTN and apnea
Synchronized cardio version (PALS)
0.5-1J/kg
