PALS

Question 1

Hypotension formula

Answer 1

for children 1-10 years of age, systolic hypotension is: 70 + [childs age in year x 2] mmHg

Question 2

What things do you need to think about in an intubated patient who suddenly decompensates?

Answer 2

DOPE - displacement of tube, Obstruction of tube, PTX, Equipment failure

Question 3

How hard do you push in kids??

Answer 3

at least 1/3 of AP chest diameter. 1.5in in infants, 2in in kids

Question 4

Adult BLS compression ratio single provider

Answer 4

30:2

Question 5

Nalaxone dose

Answer 5

0.1mg/kg IV/IO/IM/subq q2min

Question 6

What are H’s and T’s?

Answer 6

Hypovolemia, hypoxia, hyperkalemia, hydrogen ions, hypoglycemia, hypothermia AND Tension ptx, Tamponade, Toxins, Thrombosis (pulm or coronary)

Question 7

Dextrose dose

Answer 7

D25W 2-4ml/kg, D10W 5-10ml/kg

Question 8

Atropine dose

Answer 8

0.02mg/kg (min dose 0.1, max 0.5)

Question 9

What is goal oxygen level in resuscitation?

Answer 9

90-95%

Question 10

Epinephrine IV dose

Answer 10

0.01mg/kg (0.1ml/g of 1:10,000) max dose 1mg

Question 11

Adult BLS compression ratio two provider

Answer 11

30:2

Question 12

Diameter of ET tube for child 2.5-9kg

Answer 12

2.5kg = 3.5mm

Question 13

Joules used for synchronization (SVT and VT with a pulse)

Answer 13

0.5-1J/kg then 2J/kg

Question 14

Indications for synchronization

Answer 14

VT with pulse and SVT

Question 15

Pediatric BLS compression ratio two provider

Answer 15

15:2

Question 16

Adenosine dose

Answer 16

first dose 0.1mg/kg rapid (6mg max) , second dose 0.2mg/kg rapid (12mg max)

Question 17

What age is the cutoff for adult vs pediatric AED pads

Answer 17

8

Question 18

Pediatric BLS compression ratio single provider

Answer 18

30:2

Question 19

Joules used for defibrillation

Answer 19

2J/kg then 4J/kg

Question 20

Amiodarone dose

Answer 20

5mg/kg (max dose 300mg) can repeat 3 times

Question 21

Mag sulfate dose

Answer 21

25-50mg/kg bolus

Question 22

Dexamethasone dose

Answer 22

0.6mg/kg

Question 23

epinephrine ET dose

Answer 23

0.1mg/kg (0.1ml/kg of 1:1000)

Question 24

Epinephrine IM dose

Answer 24

0.01mg/kg (0.01ml/kg of 1:1000)