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PALS > Meds > Flashcards

Meds Flashcards

1
Q

What is the treatment for SVT?

A

Vagal maneuvers

Adenosine

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2
Q

What does adenosine treat?

A

SVT

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3
Q

Adenosine dosing

A

First dose 0.1mg/kg MAX 6mg

Second dose 0.2 mg/kg MAX 12mg

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4
Q

What if adenosine is ineffective for SVT

A

Synchronized cardio version
0.5-1 J/kg
Increase to 2 J/kg if needed
Sedate if possible

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5
Q

What is amiodorone used for?

A

Tachyarrhythmia

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6
Q

How should adenosine be given?

A

Rapid IV bolus

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7
Q

What should not be given with amiodorone?

A

Procainamide

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8
Q

What should not be given with procainamide?

A

Amiodorone

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9
Q

Which antiarrhythmics should be considered in VT (with expert consultation)

A

Amiodorone
Procainamide
Adenosine
Cardioversion

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10
Q

Amiodarone dosing

A

5mg/kg over 20-60 minutes

MAX 300mg

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11
Q

How should adenosine be given?

A

Rapid IV/IO bolus
No ET tube
Flush with saline

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12
Q

What is atropine used for?

A

Bradycardia

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13
Q

What is first line med for bradycardia?

A

Epinephrine IV/IO

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14
Q

How is epinephrine dosed for bradycardia?

A

IV/IO
0.01 mg/kg every 3-5 minutes
ET tube
0.1mg/kg

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15
Q

Atropine dosing

A

0.02 mg/kg
MIN 0.1mg MAX 0.5mg
May repeat once

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16
Q

How do you treat continued bradycardia?

A

Epinephrine
Atropine
Transcutaneous pacing
Identify and treat underlying cause

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17
Q

Which rhythms are shockable?

A

Pulseless V tachycardia

Ventricular fibrillation

18
Q

How is epinephrine dosed in cardiac arrest?

A

0.01 mg/kg
Repeat every 3-5 minutes
ET tube 0.1 mg/kg

19
Q

How to dose epinephrine for fluid-refractory shock?

A

0.03-0.05 mcg/kg/min

20
Q

Epinephrine dosing for anaphylactic shock

A

1:1000
0.01 mg/kg IM
MAX 0.5mg
Repeat every 5-15 minutes

21
Q

How is glucose dosed?

A

0.5-1 gram/kg

22
Q

Which solutions to use for glucose infusion?

A

Newborn 5-10 ml/kg D10W
Infant/child 2-4 ml/kg D25W
Teen 1-2ml/kg D50W

23
Q

What is lidocaine used for?

A

Tachyarrhythmia

24
Q

CPR defibrillation max doses

A

10 J/kg or the maximum adult dose of 360J

25
Q

How to dose lidocaine for CPR

A

Initial bolus dose 1mg/kg

Maintenance infusion 20-50 mcg/kg/min

26
Q

What is magnesium used for?

A

Torsades de pointes

Asthma

27
Q

How to dose magnesium for torsades de pointes?

A

25-50 mg/kg over 10-20 minutes

MAX 2 grams

28
Q

How to dose magnesium for asthma?

A

20-50 mg/kg over 15-30 minutes

Monitor HR and BP

29
Q

Formula for minimum systolic BP

A

(Age x 2) + 70

30
Q

How to size ET tube?

A

4 + (age in years / 4) uncuffed

3.5 + (age in years / 4) cuffed

31
Q

What is milrinone used for?

A

Cardiogenic shock

32
Q

How is milrinone dosed?

A

50 mcg/kg over 10-60 minutes

Maintenance 0.5-0.75 mcg/kg/min

33
Q

What are signs of cardiogenic shock?

A

Tachycardia
Dyspnea
JVD
Hepatomegaly

34
Q

What is the primary assessment model?

A 
A - airway
B - breathing
C - circulation
D- disability 
E - exposure
35
Q

Cardiogenic shock medications

A

Improve contractility and reduce SVR:

Dobutamine, milrinone, dopamine, epinephrine

36
Q

How do you dose naloxone?

A

0.1 mg/kg if <5 yo or <20 kg
2 mg IV if >5 yo or >20kg
Repeat every 2-3 minutes

37
Q

What is procainamide used for?

A

Ventricular tachycardia after expert consultation

38
Q

Procainamide dosing

A

15 mg/kg IV over 30-60 minutes

39
Q

What is sodium bicarbonate used for?

A

Metabolic acidosis

40
Q

How to dose sodium bicarbonate

A

1 mEq/kg slow bolus

MAX 50 mEq

41
Q

What is SAMPLE?

A

Secondary assessment:

Signs and symptoms, allergies, meds, PMH, last meal, events

PALS (1 decks)

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