ACLS/PALS 2

Question 1

Glucose

Age groups & dose

Answer 1

Adults (>8 yrs):  2 ml/kg of D50 
2-8 yrs: 4ml/kg of D25 
<2 yrs: 10ml/kg D10 
Note: 1 amp = 50 ml 
D50 = 50g dextrose/100 ml--> 25g of suga

Question 2

Hydrocortisone

Answer 2

Adults: 100 mg IV

Question 3

Insulin (DKA)

Answer 3

Bolus: 0.1U/kg (usually 10U) IV [boluses not typical in kiddos]
Drip: 0.1 U/Kg/hr

Question 4

Mg

• Adults
• Peds

Answer 4

• 2-4 g IV

- 20-50 mg/kg IV

Question 5

Narcan

• Adults
• Peds

Answer 5

• 0.5-2 mg ( usually start with 0.1-0.2 mg, pre-treat with anti-emetic)
• 0.01 mg/kg initial, repeat at 0.1 mg/kg prn respiratory depression

Question 6

Lidocaine

Answer 6

For stable VT or persistent pulseless VT/V fib after amiodarone or if amiodarone unavailable

1-1.5 mg/kg initial bolus, then 0.5-0.75 mg/kg q5 min to max dose of 3 mg/kg

Question 7

ETT meds

Answer 7

“LEAN” (lidocaine, epinephrine, atropine, narcan)

- Double the dose and mix in 10 ml NS