ACLS/PALS

Question 1

Epinephrine (adults)

Answer 1

1 mg IV

Question 2

Epinephrine (pediatrics)

Answer 2

0.01 mg/kg IV

Question 3

Epinephrine (maintenance - post ROSC)

Answer 3

0.1-0.5 mcg/kg/min

Question 4

Atropine (bradycardic adults)

Answer 4

0.5 mg IV q3-5 min, 3mg max

Question 5

Atropine (pediatrics)

Answer 5

0.02 mg/kg IV (minimum 0.1 mg)

Question 6

Amiodarone (pulseless adults)

Answer 6

300 mg IV

Question 7

Amiodarone (V-tach with pulse)

Answer 7

150 mg IV

Question 8

Amiodarone (pediatrics)

Answer 8

5 mg/kg IV

Question 9

Amiodarone (maintenance)

Answer 9

1 mg/min

Question 10

Procainamide

Answer 10

17 mg/kg at rate of 20-30 mg/min

Question 11

Adenoside (adults)

Answer 11

6 mg IV, 12 mg IV, 12 mg IV

Question 12

Adenosine (pediatrics)

Answer 12

0.1 mg/kg IV, 0.2 mg/kg IV, 0.2 mg/kg IV

Question 13

Diltiazem

Answer 13

0.25 mg/kg IV (20 mg max) over 2 minutes; then 0.35 mg/kg (25 mg max) over 2 min

Question 14

Diltiazem (drip)

Answer 14

Start at 5 mg/hr (to maintain rate control if needed)

Question 15

Defibrillation (adults)

Answer 15

200-360 J (monophasic)

120-200 J (biphasic)

Question 16

Defibrillation (pediatrics)

Answer 16

2-4 J/kg (monophasic)

2 J/kg (biphasic)

Question 17

Cardioversion (adults)
Narrow, regular
Narrow, irregular
Wide, regular

Answer 17

Narrow, regular: 50-100 J (biphasic)
Narrow, irregular: 120-200 J (biphasic)
Wide, regular: 100 J (biphasic)

Question 18

Cardioversion (pediatrics)

Answer 18

0.5-1 J/kg (monophasic)

Question 19

Na Bicarbonate (adults)

Answer 19

1 amp (50 mEq), this is the starting dose and is likely to be titrated depending on condition

Question 20

Na Bicarbonate (pediatrics)

Answer 20

1 mEq/kg IV dose

Question 21

Calcium chloride (needs central line)

Answer 21

20 mg/kg slow (3x more potent than Ca-gluconate)

Question 22

Calcium gluconate (may give peripherally)

Answer 22

60-100 mg/kg slow

Question 23

Glucose (adult or > 8 y/o)

Answer 23

1 amp D50 (2 cc/kg)

Question 24

Glucose (2-8 y/o)

Answer 24

2 cc/kg of D25

Question 25

Glucose (< 2 y/o)

Answer 25

10 cc/kg of D10 (isotonic)

Question 26

Hydrocortisone

Answer 26

100 mg IV

Question 27

Mg 2+ (adults)

Answer 27

2-4 grams IV

Question 28

Mg 2+ (pediatrics)

Answer 28

20-50 mg/kg IV

Question 29

Lidocaine

Answer 29

1.0-1.5 mg/kg initial dose then 0.5-0.75 mg/kg q5m to max dose of 3 mg/kg (alt to amiodarone if not available)

Question 30

ETT Meds

Answer 30

NAVEL (narcan, atropine, vasopressin, epi, lido) double the dose and mix in 10 cc of NS